Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Personality Disorders Part 1
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Question 1 |
A client tells the nurse that his coworkers are sabotaging the computer. When the nurse asks questions, the client becomes argumentative. What is the most appropriate intervention for the nurse to implement?
A | Encourage the client to vent his anger about his coworkers. |
B | Tell the client that his coworkers haven’t touched his computer. |
C | Use clear and consistent speech when talking to the client. |
D | Tell the client to go to his room and stay there until he calms down. |
Question 2 |
A client with dependent personality disorder is working to increase selfesteem. Which statement by the client shows teaching was successful?
A | “I’m not going to look just at the negative things about myself.” |
B | “I’m most concerned about my level of competence and progress.” |
C | “I’m not as envious of the things other people have as I used to be.” |
D | “I find I can’t stop myself from taking over things others should be doing.” |
Question 3 |
A client with antisocial personality disorder is trying to manipulate the health care team. What is the best strategy for the staff to implement?
A | Focus on how to teach the client more effective behaviors for meeting basic needs. |
B | Help the client verbalize underlying feelings of hopelessness and learn coping skills. |
C | Remain calm and don’t emotionally respond to the client’s manipulative actions. |
D | Help the client eliminate the intense desire to have everything in life turn out perfectly. |
Question 4 |
Which nursing intervention has priority in the plan of care for a client with antisocial personality disorder who shows defensive behaviors?
A | Help the client accept responsibility for his own decisions and behaviors. |
B | Work with the client to feel better about himself by taking care of basic needs. |
C | Teach the client to identify the defense mechanisms used to cope with distress. |
D | Confront the client about the disregard of social rules and the feelings of others. |
Question 5 |
The nurse is developing outcomes for a client with a histrionic personality disorder. What is the most appropriate outcome for this client?
A | Contracts for safety and is free of self-inflicted injury |
B | Participates in impulse control training |
C | Participates in anger management classes |
D | Participates in group without being the center of attention |
Question 6 |
A client with antisocial personality disorder says, “I always want to blow things off.” Which response by the nurse is most appropriate?
A | “Try to focus on what needs to be done and just do it.” |
B | “Let’s work on considering some options and strategies.” |
C | “Procrastinating is a part of your illness that we’ll work on.” |
D | “The best thing to do is decide on some useful goals to accomplish.” |
Question 7 |
What is the most appropriate goal for a client with antisocial personality disorder with a high risk for violence directed at others?
A | The client will discuss the desire to hurt others rather than act. |
B | The client will be given something to destroy to displace the anger. |
C | The client will develop a list of resources to use when anger escalates. |
D | The client will understand the difference between anger and physical symptoms. |
Question 8 |
Which of the following nursing diagnoses would be appropriate for a client with a histrionic personality disorder?
A | Impaired social interaction related to seductive and self-dramatizing behaviors |
B | Risk for other-directed violence related to pacing and threatening stances |
C | Chronic low self-esteem related to overt aggressiveness |
D | Defensive coping related to absence of guilt and superior attitude toward others |
Question 9 |
A nurse notices other clients on the unit avoiding a client diagnosed with antisocial personality disorder. When discussing appropriate behavior in group therapy, which comment is expected about this client by his peers?
A | Lack of honesty |
B | Belief in superstitions |
C | Show of temper tantrums |
D | Constant need for attention |
Question 10 |
Which of the following behavioral patterns is characteristic of individuals with histrionic personality disorders?
A | Berating themselves and their abilities |
B | Overreacting to minor stimuli |
C | Suspicious and mistrustful of others |
D | Social withdrawal and distant relationships |
Question 11 |
The nurse would expect to observe which of the following behaviors in a client who has a histrionic personality disorder?
A | Exploitation of others to meet their own needs and desires |
B | Portray a demeanor of grandiosity |
C | Portray excessive provocative behaviors |
D | Expression of feelings of emptiness and boredom |
Question 12 |
Which two words describe cluster C personality disorders?
A | Odd and eccentric |
B | Dramatic and emotional |
C | Anxious and fearful |
D | Erratic and eccentric |
Question 13 |
A client with antisocial personality disorder is trying to convince a nurse that he deserves special privileges and that an exception to the rules should be made for him. What is the best response by the nurse?
A | “I believe we need to sit down and talk about this.” |
B | “Don’t you know better than to try to bend the rules?” |
C | “What you’re asking me to do for you is unacceptable.” |
D | “Why don’t you bring this request to the community meeting?” |
Question 14 |
A client is admitted exhibiting the following: pervasive pattern of social inhibition, agoraphobia, fear of criticism, feelings of inferiority to others, and feelings of being totally unattractive to others. The nurse interprets this behavior as characteristic of which disorder?
A | Dependent personality disorder |
B | Histrionic personality disorder |
C | Narcissistic personality disorder |
D | Avoidant personality disorder |
Question 15 |
The nurse is developing long-term goals for a client with paranoid personality disorder who is trying to improve peer relationships. What is the most appropriate goal?
A | The client will verbalize a realistic view of self. |
B | The client will take steps to address disorganized thinking. |
C | The client will become appropriately interdependent on others. |
D | The client will become involved in activities that foster social relationships. |
Question 16 |
Which statement made by a client with paranoid personality disorder shows that teaching about social relationships is effective?
A | “As long as I live, I won’t abide by social rules.” |
B | “Sometimes, I can see what causes relationship problems.” |
C | “I’ll find out what problems others have so I won’t repeat them.” |
D | “I don’t have problems in social relationships; I never really did.” |
Question 17 |
A nurse caring for a client with an avoidant personality disorder has established an outcome of demonstration of newly acquired social skills in social situations. Which of the following interventions would address this outcome?
A | Discuss with counselor factors that interfere with social interaction. |
B | Identify social skills that the client already performs well. |
C | Go to hospital cafeteria, purchase desired item, and eat in cafeteria. |
D | Complete a work sheet on social skills. |
Question 18 |
Which of the following outcomes would be appropriate for the nurse to expect from a client with an avoidant personality disorder?
A | Demonstrates an ability to use constructive criticism |
B | Participates in impulse control training |
C | Demonstrates a reduction in clinging, splitting, and manipulation behaviors |
D | Demonstrates a decrease in attention-seeking behaviors |
Question 19 |
Which of the following nursing diagnoses would be appropriate for a client with an avoidant personality disorder?
A | Risk for self-mutilation related to a desperate need for attention |
B | Ineffective coping related to negative attitudes toward health behavior |
C | Anxiety related to fear of criticism, disapproval, and rejection |
D | Risk for injury related to uncontrolled anger and hostility toward others |
Question 20 |
A client with paranoid personality disorder responds aggressively during a psychoeducational group therapy session to something another client said about him. The nurse interprets this behavior as indicating which of the following?
A | The client doesn’t want to participate in the group. |
B | The client took the statement as a personal criticism. |
C | The client is impulsive and was acting out of frustration. |
D | The client was attempting to handle emotional distress. |
Question 21 |
A nurse is caring for a client with schizotypal personality disorder. The nurse would expect to observe which of the following?
A | Exhibitionism |
B | Impulsiveness |
C | Bodily illusions |
D | Repetitive behaviors |
Question 22 |
What is the most appropriate short-term goal for a client with paranoid personality disorder and impaired social skills?
A | Obtain feedback from other people. |
B | Discuss anxiety-provoking situations. |
C | Address positive and negative feelings about self. |
D | Identify personal feelings that hinder social interaction. |
Question 23 |
A client with a paranoid personality disorder makes an inappropriate and unreasonable report to a nurse. What is the most appropriate intervention by the nurse?
A | Use logic to address the client’s concern. |
B | Confront the client about the stated misperception. |
C | Use nonverbal communication to address the issue. |
D | Tell the client matter-of-factly that you don’t share his interpretation |
Question 24 |
A client with paranoid personality disorder is discussing current problems with a nurse. What is the most important intervention for the nurse to implement?
A | Have the client look at sources of frustration. |
B | Have the client focus on ways to interact with others. |
C | Have the client discuss the use of defense mechanisms. |
D | Have the client clarify thoughts and beliefs about an event. |
Question 25 |
Which of the following responses from the nurse would enhance a therapeutic relationship with a client with a personality disorder?
A | “What would you like to do today?” |
B | “After you attend the morning community meeting, you may work on your homework.” |
C | “You remind me of a friend of mine.” |
D | “We will have you get comfortable on the unit first before we have you work on any homework.” |
Question 26 |
A nurse is caring for a client with schizotypal personality disorder. What is the most appropriate response by the nurse?
A | “You are to participate in all of the classes offered here on the unit.” |
B | “You may work on your assigned work sheets in your room.” |
C | “You are to conduct the community meeting this morning.” |
D | “You will help teach our medication class today to the entire group.” |
Question 27 |
Which of the following nursing diagnoses would be most appropriate for a client with a schizotypal personality disorder?
A | Ineffective coping related to repetitive behaviors such as hand washing |
B | Risk for self-mutilation related to social anxiety |
C | Risk for violence toward others related to lack of remorse for behaviors |
D | Impaired thought processes related to ideas of reference and magical thinking |
Question 28 |
A nurse is distinguishing characteristics of schizotypal personality disorder from schizoid personality disorder. What is the most appropriate statement by the nurse?
A | Schizotypals are characterized by emotional detachment. |
B | Schizotypals are characterized by disinterest in close relationships. |
C | Schizotypals are indifferent to praise or criticism. |
D | Schizotypals have magical thinking or perceptual distortions. |
Question 29 |
The nurse is reviewing the behaviors of a client with a histrionic personality disorder. The nurse determines that a change in behavior may be occurring when the client does what?
A | Draws attention and dresses provocatively |
B | Is easily influenced by others or circumstances |
C | Shows concern about hurting someone else’s feelings |
D | Describes intimate relationships with casual acquaintances |
Question 30 |
A client with antisocial personality disorder talks about personal life changes that need to occur. Which client statement shows group therapy is having a positive therapeutic effect?
A | “I’m not doing as bad as I thought I was.” |
B | “I wish I could believe I can change, but it’s probably too late.” |
C | “I see all the problems, but I’m not sure there are good solutions.” |
D | “I’m finally learning how to live my life without living on the edge.” |
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