Personality Disorders NCLEX Questions

Personality Disorders NCLEX Questions and Answers Latest 2022;Solved correctly During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the appropriate nursing response to this behavior?

• You are very disrespectful. You need to learn to control yourself.
• I understand that you are angry, but this behavior will not be tolerated.
• What behaviors could you modify to improve this situation?
• What anti-personality disorder medications have helped you in the past? Correct

answer- 2 ~ The appropriate nursing response is to reflect the clients feeling while setting firm limits on behavior. Clients diagnosed with antisocial personality disorder have a low tolerance for frustration, see themselves as victims, and use projection as a primary ego defense mechanism.Define egosyntonic Correct answer- In psychoanalysis, egosyntonic refers to the behaviors, values, and feelings that are in harmony with or acceptable to the needs and goals of the ego, or consistent with one's ideal self-image.Define egodystonic Correct answer- Egodystonic (or ego alien) is the opposite, referring to thoughts and behaviors (dreams, compulsions, desires, etc.) that are in conflict, or dissonant, with the needs and goals of the ego, or, further, in conflict with a person's ideal self-image.At 11:00 p.m. a client diagnosed with antisocial personality disorder demands to phone a lawyer to file for a divorce. Unit rules state that no phone calls are permitted after

10:00 p.m. Which nursing response is most appropriate?

• Go ahead and use the phone. I know this pending divorce is stressful.
• You know better than to break the rules. I'm surprised at you.

3. It is after the 10:00 p.m. phone curfew. You will be able to call tomorrow.

• A divorce shouldn't be considered until you have had a good nights sleep. Correct

answer- 3 ~ The most appropriate response by the staff is to restate the unit rules in a calm, assertive manner. The nurse can encourage the client to verbalize frustration while maintaining an accepting attitude. The nurse may also help the client to identify the true source of frustration. 1 / 3

A client diagnosed with paranoid personality disorder becomes violent on a unit. Which nursing intervention is most appropriate?

• Provide objective evidence that reasons for violence are unwarranted.
• Initially restrain the client to maintain safety.
• Use clear, calm statements and a confident physical stance.
• Empathize with the clients paranoid perceptions. Correct answer- 3 ~ The most

appropriate nursing intervention is to use clear, calm statements and to assume a confident physical stance. A calm attitude provides the client with a feeling of safety and security. It may also be beneficial to have sufficient staff on hand to present a show of strength.A client diagnosed with borderline personality disorder brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. How can the nursing staff best handle this situation?

• Allow the clients to apply the democratic process when developing unit rules.
• Maintain consistency of care by open communication to avoid staff manipulation.
• Allow the client spokesman to verbalize concerns during a unit staff meeting.
• Maintain unit order by the application of autocratic leadership. Correct answer- 2 ~

The nursing staff can best handle this situation by maintaining consistency of care by open communication to avoid staff manipulation. Clients with borderline personality disorder can exhibit negative patterns of interaction, such as clinging and distancing, splitting, manipulation, and self-destructive behaviors.Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder?

• Being firm, consistent, and empathic, while addressing specific client behaviors
• Promoting client self-expression by implementing laissez-faire leadership
• Using authoritative leadership to help clients learn to conform to society norms
• Overlooking inappropriate behaviors to avoid providing secondary gains Correct

answer- 1 ~ The best nursing approach when working with a client diagnosed with borderline personality disorder is to be firm, consistent, and empathetic while addressing specific client behaviors. Individuals with borderline personality disorder always seem to be in a state of crisis and can often have negative patterns of interaction, such as manipulation and splitting.Which adult client should a nurse identify as exhibiting the characteristics of a dependent personality disorder?

• A physically healthy client who is dependent on meeting social needs by contact with

15 cats

• A physically healthy client who has a history of depending on intense relationships to

meet basic needs

• A physically healthy client who lives with parents & depends on public transportation
• A physically healthy client who is serious, inflexible, perfectionistic, lacks spontaneity

& depends on rules to provide security Correct answer- 3 ~ A physically healthy adult client who lives with parents and depends on public transportation exhibits signs of dependent personality disorder. Dependent personality disorder is characterized by a 2 / 3

pervasive and excessive need to be taken care of that leads to submissive and clinging behaviors.A client expresses low self-worth, has much difficulty making decisions, avoids positions of responsibility & has a behavioral pattern of suffering in silence. Which statement best explains the etiology of this clients personality disorder?

• Childhood nurturance was provided from many sources, and independent behaviors

were encouraged.

• Childhood nurturance was provided exclusively from one source, and independent

behaviors were discouraged.

• Childhood nurturance was provided exclusively from one source, and independent

behaviors were encouraged.

• Childhood nurturance was provided from many sources, and independent behaviors

were discouraged. Correct answer- 2 ~ The behaviors presented in the question represent symptoms of dependent personality disorder. Nurturance provided from one source & discouragement of independent behaviors can contribute to the development of this personality disorder. Dependent behaviors may be rewarded by a parent who is overprotective & discourages autonomy.Family members of a client ask the nurse to explain the difference between schizoid & avoidant personality disorders. Which is the appropriate nursing response?

• Clients diagnosed with avoidant personality disorder desire intimacy but fear it, and

clients diagnosed with schizoid personality disorder prefer to be alone.

• Clients diagnosed with schizoid personality disorder exhibit delusions and

hallucinations, while clients diagnosed with avoidant personality disorder do not.

• Clients diagnosed with avoidant personality disorder are eccentric, and clients

diagnosed with schizoid personality disorder are dull and vacant.

• Clients diagnosed with schizoid personality disorder have a history of psychosis,

while clients diagnosed with avoidant personality disorder remain based in reality.Correct answer- 1 ~ The nurse should educate the family that clients diagnosed with avoidant personality disorder desire intimacy but fear it, while clients diagnosed with schizoid personality disorder prefer to be alone. Schizoid personality disorder is characterized by a profound deficit in the ability to form personal relationships. Clients diagnosed with schizoid personality disorder may exhibit odd and eccentric behaviors but not to the extent of psychosis.Which nursing diagnosis should a nurse identify as appropriate when working with a client diagnosed with schizoid personality disorder?

• Altered thought processes R/T increased stress
• Risk for suicide R/T loneliness

3. Risk for violence: directed toward others R/T paranoid thinking

• Social isolation R/T inability to relate to others Correct answer- 4 ~ An appropriate

nursing diagnosis when working with a client diagnosed with schizoid personality disorder is social isolation R/T inability to relate to others. Clients diagnosed with schizoid personality disorder appear cold, aloof & indifferent to others. They prefer to work in isolation & are not sociable.

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