Mental Health: Mostly Personality Disorders NCLEX Questions

Mental Health: Mostly Personality Disorders NCLEX Questions

Social SciencesPsychologyAbnormal Psychology nelvehjem Save FINAL - Chapter 24 - Personality Dis...34 terms jhess214Preview NCLEX Personality Disorders questi...14 terms BuckeyesRN77 Preview Personality disorders 34 terms kristin_giesler Preview Anxiety 30 terms gra A nurse assists a client with a diagnosis of obsessive-compulsive disorder (OCD) in his preparations for bedtime. One hour later the client calls the nurse and says that he is feeling anxious; he asks the nurse to sit and talk for a while. Which is the appropriate initial nursing action?

• Sit and talk with the client.
• Ask the unlicensed assistive personnel to sit with the client.
• Administer the prescribed as-needed antianxiety medication.
• Tell the client that it is time for sleep and that you will talk with him tomorrow.
• Sit and talk with the client.

Rationale:

The appropriate initial nursing action is to sit and talk with the client if he is expressing anxiety. An unlicensed assistive personnel may not be able to alleviate the client's anxiety. Antianxiety medication may be necessary, but this would not be the initial appropriate nursing action.Option 4 is an inappropriate action and places the client's feelings on hold.A nurse is planning care for a group of clients on a mental health unit. The nurse notes that most of the assigned clients require interventions commonly used to treat anxiety disorders. Such antianxiety interventions would be appropriate for which clients? Select all that apply.

• A client with panic disorder
• Generalized anxiety disorder
• A client with multiple personality disorder
• A client with posttraumatic stress disorder (PTSD)
• A client with obsessive-compulsive disorder (OCD)
• A client with panic disorder
• Generalized anxiety disorder
• A client with posttraumatic stress disorder (PTSD)
• A client with obsessive-compulsive disorder (OCD)

Rationale:

Multiple personality disorder is considered to be a dissociative disorder rather than an anxiety disorder. Anxiety is a characteristic of panic disorder, generalized anxiety disorder, PTSD, and OCD.

A nurse is preparing to admit a client with a diagnosis of obsessive-compulsive disorder (OCD) to the mental health unit. The nurse would expect to note which behaviors in the client?

• Suspicious and hostile
• Flexible and adaptable
• Frightened and delusional
• Rigidness in thought and inflexibility
• Rigidness in thought and inflexibility

Rationale:

Rigid and inflexible behaviors are characteristic of the client with OCD. Clients with this disorder usually are not hostile unless they are prevented from engaging in the obsession or compulsion, because this behavior is what decreases the anxiety. Options 1, 2, and 3 are incorrect and are not characteristic of OCD.A nurse is performing an assessment on a client admitted to the mental health unit. The client tells the nurse that she cannot leave home without checking numerous times that the iron and coffee pot have been shut off. The client states that this activity makes her late for many functions and that she misses engagements on occasion because of it. The nurse would expect to note which anxiety disorder documented in the client's record?

• A phobia
• Generalized anxiety disorder
• Posttraumatic stress disorder (PTSD)
• Obsessive-compulsive disorder (OCD)
• Obsessive-compulsive disorder (OCD)

Rationale:

A repetitive behavior that interferes with activities of daily living and functioning is indicative of OCD. This repetitive behavior is not associated with phobias, generalized anxiety disorder, or PTSD.A nurse is performing an assessment on a client admitted to the mental health unit. The nurse notes that the client's diagnosis is documented as obsessive-compulsive disorder. The nurse plans care knowing that the client is most likely to experience which type of compulsive behavior?

• Fears
• Actions
• Illusions
• Thoughts
• Actions

Rationale:

A compulsion is a repetitive act. The client with a phobia is likely to experience repetitive fears. Illusions are characteristic of schizophrenia. An obsession is a repetitive thought.

A nurse caring for a client who has been diagnosed with a personality disorder should expect that the client will exhibit which of the following characteristics?

• Frequent episodes of psychosis
• Constant involvement with the needs of significant others
• Inflexible and maladaptive responses to stress
• Abnormal ego functioning
• Inflexible and maladaptive responses to stress

Personality patterns persist unmodified over long periods of time. Characteristics of inflexible and maladaptive response to stress is one of these characteristics for individuals with personality disorder.Which statement is descriptive of clients with personality disorders?

• They are resistant to behavioral change.
• They have an ability to tolerate frustration and pain.
• They usually seek help to change maladaptive behaviors.
• They have little difficulty forming satisfying and intimate relationships.
• They are resistant to behavioral change.

Personality disorders are deeply ingrained and pervasive. Clients with personality disorders find it very difficult, if not nearly impossible, to change. Change proceeds very slowly.

Research has indicated that antisocial personality may be characterized by:

• social isolation.
• lack of remorse.
• learning difficulties.
• difficulty with reality testing.
• lack of remorse.

The antisocial personality exhibits a lack of remorse when confronted with the results of their thoughtless, irresponsible behavior towards others.The primary goal of milieu therapy for clients with personality disorders is

• manage the affect behavior has on the entire group.
• one-on-one therapy.
• to help the client remain uninvolved with other patients.
• a laissez faire attitude.
• manage the affect behavior has on the entire group.

The primary goal of milieu therapy is affect management in a group context

Characteristic behaviors the nurse will assess in the narcissistic client are

• dramatic expression of emotion, being easily led.
• perfectionism and preoccupation with detail.
• grandiose, exploitive, and rage-filled behavior.
• angry, highly suspicious, aloof, withdrawn behavior.
• grandiose, exploitive, and rage-filled behavior.

Narcissistic clients give the impression of being invulnerable and superior to others to protect their fragile self-esteem.Which client with a personality disorder is most likely to be admitted to a psychiatric unit?

• Mr. A, with paranoid personality disorder who is suspicious of his neighbors
• Mr. B, with narcissistic personality disorder who is highly self-important
• Ms. C, with borderline personality disorder who is impulsive
• Mrs. D, with dependent personality disorder who clings to her husband
• Ms. C, with borderline personality disorder who is impulsive

Clients with borderline disorder can decompensate into psychotic states under stress. Hospitalization is needed at these times.Characteristics the nurse will assess in the client with antisocial personality disorder are

• deceitfulness, impulsiveness, and lack of empathy.
• perfectionism, preoccupation with detail, and verbosity.
• avoidance of interpersonal contact and preoccupation with being criticized.
• need for others to assume responsibility for decision-making and seeks nurture.
• deceitfulness, impulsiveness, and lack of empathy.

Antisocial clients have no conscience. Their sense of right and wrong is impaired, and they tend to do whatever serves them best without consideration for the rights or feelings of others.Playing one staff member against another is an example of

• devaluation.
• splitting.
• impulsiveness.
• social ineptitude.
• splitting.

Splitting involves setting up individuals or groups to disagree. While the two parties are busy disagreeing, they are too busy to maintain consistent limits for the manipulative client. The client can enjoy the spectacle and do as he or she pleases.