Personality Disorders NCLEX TYPE Question And Answers

personality disorder. Which of the following statements is expected from a client who has this type of personality disorder? A. "I'm scared that you're going to leave me." B. "I'll go to group therapy if you'll let me smoke." C. "I need to feel that everyone admires me." D. "I sometimes feel better if I cut myself." - answerA Clients who have avoidant personality disorder often have a fear of abandonment. This type of statement is expected. A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? A. Regression B. Splitting C. Undoing D. Identification - answerB Splitting occurs when a person is unable to see both positive and negative qualities at the same time. The client who has borderline personality disorder tends to see a person as all bad one time and all good another time. A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply) A. Demonstrates extreme anxiety when placed in a social situation B. Has difficulty making even simple decisions C. Attempts to convince other clients to give him their belongings D. Becomes agitated if his personal area is not near and orderly E. Blames others for his past and current problems - answerC,E -Exploitation and manipulation of others is an expected finding of antisocial personality disorder. -Failure to accept personal responsibility is an expected finding of clients who have antisocial personality disorder. A charge nurse is preparing a staff education session on personality disorders. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (Select all that apply) A. Difficulty in getting along with other members of a group B. Belief in the ability to become invisible during times of stress C. Display of defense mechanisms when routines are changed D. Claiming to be more important than other persons E. Difficulty understanding why it is inappropriate to have a personal relationship with staff - answerA,C,E -Difficulty with social and professional relationships is a personality characteristic that can be seen with all personality disorder types. -Maladaptive response to stress is a personality characteristic that can be seen with all personality disorder types. -Difficulty understanding personal boundaries is a personality characteristic that can be seen with all personality disorder types. A 36-year-old client with paranoid schizophrenia believes the room is bugged by the Central Intelligence Agency and a roommate is a foreign spy. The client has never had a romantic relationship, has no contact with family, and hasn't been employed for the past 14 years. Based on Erikson's theories, the nurse should recognize that this client is in which stage of psychosocial development? A. Autonomy versus shame and doubt B. Generativity versus stagnation C. Integrity versus despair D. Trust versus mistrust - answerD This client's paranoid ideation indicates difficulty in trusting others. Before eating a meal, a client with obsessive-compulsive disorder must wash his hands for 18 minutes, comb his hair 444 strokes, and switch the bathroom light on and off 44 times. What is the most appropriate long-term treatment goal for this client? A. Omit one unacceptable behavior each day B. Increase the client's acceptance of therapeutic drug use C. Allow ample time for the client to complete all rituals before each meal D. Systematically decrease the amount of time spent in - and the number of repetitions of - rituals - answerD When treating a client with obsessive-compulsive disorder, the long-term goal is to systematically decrease the undesirable behavior. The nurse counsels a client with obsessive-compulsive disorder. Which statement by the client indicates the need for reassessment? A. "I must work overtime every night this week or the job won't get done right." B. "I'm working on developing a relationship with one coworker whom I like." C. "I've decided I won't be able to go to the islands for my vacation." D. "I may never have many people in my life except for my family." - answerA The perception that the client needs to work overtime every night indicates a perfectionist tendency and an excessive focus on work to the exclusion of social or leisure activities. A client with antisocial personality disorder smokes where it is prohibited and doesn't follow other unit or facility rules. The client gets others to do the laundry and other personal chores, tries to divide the staff, and works only with certain nurses. The primary focus on this client's care plan should be: A. consistently enforcing unit rules and facility policy B. isolating the client to decrease contact with easily manipulated clients C. engaging in power struggles with the client to d