and 100 Verified Correct Answers Latest

Personality Disorders NCLEX TYPE Question and 100% Verified Correct Answers Latest Update 2024-2025 Guaranteed A+ A 15 year-old client living in a residential facility has a nursing diagnosis of ineffective coping R/T abuse AEB defiant responses to adult rules. Which of the following interventions would address this nursing diagnosis appropriately? (Select all that apply)

• Set limits on manipulative behavior
• Refuse to engage in controversial and argumentative encounters
• Obtain an order for tranquilizing medications
• Encourage the discussion of angry feelings

E. Remove all dangerous objects from the client's environment - CORRECT ANSWER:

A,B,D -Setting limits on manipulative behaviors is an appropriate intervention to discourage dysfunctional coping, such as oppositional and defiant behaviors. It is important to convey to the client that inappropriate behaviors are not tolerated.-By refusing to engage in debate, argument, rationalization, or bargaining with a client, the nurse has intervened effectively to decrease manipulative behaviors and has decreased the opportunity for oppositional and defiant behaviors.-Dealing with feelings honestly and directly discourages ineffective coping. The client may cope with anger inappropriately by displacing this anger onto others.

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?

• Autonomy versus shame and doubt
• Generativity versus stagnation
• Integrity versus despair

D. Trust versus mistrust - CORRECT ANSWER: D

This client's paranoid ideation indicates difficulty in trusting others.

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)

• Difficulty in getting along with other members of a group
• Belief in the ability to become invisible during times of stress
• Display of defense mechanisms when routines are changed
• Claiming to be more important than other persons
• Difficulty understanding why it is inappropriate to have a personal relationship with

staff - CORRECT ANSWER: A,C,E

-Difficulty with social and professional relationships is a personality characteristic that can be seen with all personality disorder types. 1 / 3

-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 client diagnosed with a borderline personality disorder is given a nursing diagnosis of disturbed personal identity R/T unmet dependency needs AEB the inability to be alone.Which nursing intervention would be appropriate?

• Ask the client directly, "Have you thought about killing yourself?"
• Maintain a low level of stimuli in the client's environment
• Frequently orient the client to reality and surroundings

D. Help the client identify values and beliefs - CORRECT ANSWER: D

This client has been diagnosed with borderline personality disorder resulting from fixation in an earlier developmental level. This disruption during the establishment of the client's value system has led to disturbed personal identity. When the nurse helps the client to identify internalized values, beliefs, and attitudes, the client begins to distinguish personal identity.

A client diagnosed with a dependent personality disorder has a nursing diagnosis of social isolation R/T parental abandonment AEB fear of involvement with individuals not in the immediate family. Which nursing intervention would be appropriate?

• Address inappropriate interactions during group therapy
• Recognize when client is playing one staff member against another
• Role-model positive relationships
• Encourage client to discuss conflicts evident withing the family system - CORRECT

ANSWER: C

Role-modeling positive relationships would provide a motivation to initiate interactions with others outside the client's family. This is an appropriate intervention for the nursing diagnosis of social isolation.

A client diagnosed with a personality disorder insists that a grandmother, through reincarnation, has come back to life as a pet kitten. The though process described is reflective of which personality disorder?

• Obsessive-compulsive personality disorder
• Schizotypal personality disorder
• Borderline personality disorder

D. Schizoid personality disorder - CORRECT ANSWER: B

Cluster A includes paranoid, schizoid, and schizotypal personality disorders. Clients diagnosed with schizotypal personality disorder are characterized by peculiarities of ideation, appearance, and behavior; magical thinking; and deficits in interpersonal relatedness that are not severe enough to meet the criteria for schizophrenia. In the question, this client's statement reflects ideations of magical thinking.

A client diagnosed with a personality disorder states, "You are the very best nurse on the unit and not at all like that mean nurse who never lets us stay up later than 9 pm." This statement would be associated with which personality disorder? 2 / 3

• Borderline personality disorder
• Schizoid personality disorder
• Dependent personality disorder

D. Paranoid personality disorder - CORRECT ANSWER: A

Cluster B includes antisocial, borderline, histrionic, and narcissistic personality disorders. Clients diagnosed with borderline personality disorder are characterized by a marked instability in interpersonal relationships, mood, and self-image. Clients with this disorder attempt to pit one individual against another. This is known as "splitting" and is related to an inability to integrate and accept positive and negative feelings. Splitting is a primitive ego defense mechanism that is common in individuals with borderline personality disorder. In the question, the client's statement typifies splitting behavior.

A client diagnosed with an avoidant personality disorder has the nursing diagnosis of social isolation R/T severe malformation of the spine AEB "I can't be around people, looking like this." Which correctly written short-term outcome is appropriate for this client's problem?

• The client will see self as straight and tall by the time of discharge
• The client will see self as valuable after attending assertiveness training courses
• The client will be able to participate in one therapy group by end of shift
• The client will join in a charade game to decrease social isolation - CORRECT

ANSWER: C

This short-term outcome is stated in observable and measurable terms. This outcome sets a specific time for achievement (by end of shift). It is short and specific (one therapy group), and it is written in positive terms, all of which should contribute to the final goal of the client having increased social interaction.

A client diagnosed with antisocial personality disorder demands, at midnight, to speak to the ethics committee about the involuntary commitment process. Which nursing statement is appropriate?

• "I realize you're upset; however, this is not the appropriate time to explore your

concerns."

• "Let me give you a sleeping pill to help put your mind at ease."
• "It's midnight, and you are disturbing the other clients."
• "I will document your concerns in your chart for the morning shift to discuss with the

ethics committee." - CORRECT ANSWER: A

In this situation, the nurse empathizes with the client's concerns and then sets limits on inappropriate behaviors in a matter-of-fact manner.

A client diagnosed with antisocial personality disorder is caught smuggling cigarettes into the nonsmoking clinical area. Which initial nursing intervention is appropriate?

• Confront the client about the behavior
• Tell the client's primary nurse about the situation
• Remind all clients of the no smoking policy in the community meeting

D. Teach alternative coping mechanisms to assist with anxiety - CORRECT ANSWER:

A

• / 3