Personality, Mood Disorders, And Suicidal Behavior | NCLEX Quiz 209

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Personality, Mood Disorders, And Suicidal Behavior | NCLEX Quiz 209 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    Mrs. B is diagnosed with borderline personality disorder has a nursing diagnosis of Risk for self-directed violence.which is related to the client’s self-mutilation behavior (burning arms with cigarettes). Which client behavior would indicate a positive outcome of intervention?
    • A. 

      Mrs. B denies feelings of wanting to harm anyone.

    • B. 

      Mrs. B expresses feelings of anger towards others.

    • C. 

      Mrs. B requests cigarettes at appropriate times.

    • D. 

      Mrs. B tells the nurse about wanting to burn herself.

  • 2. 
    Nurse Aldrich is working with the family of Mary Ann.a client with a personality disorder. Which of the following should Nurse Aldrich encourage the family members to work on?
    • A. 

      Avoiding direct expressions of problems with family

    • B. 

      Changing Mary Ann’s problem behaviors

    • C. 

      Improving self-functioning

    • D. 

      Supporting Mary Ann’s defenses.

  • 3. 
    Nurse Florence assesses Mrs. B with borderline personality disorder. Which of the following behaviors are common to this diagnosis? Select all that apply.
    • A. 

      Intense fear of being alone

    • B. 

      Evidence of self-mutilating attempts

    • C. 

      Evidence of suspiciousness and mistrust of others

    • D. 

      Indifferent attitude toward approval of criticism

    • E. 

      Unstable moods with impulsive behaviors

    • F. 

      Presence of odd mannerisms, speech, and behaviors

  • 4. 
    When a client with personality disorder begins demonstrating manipulative behavior.which of the following nursing actions are most appropriate? Select all that apply.
    • A. 

      Ask the client to think about the consequences of behavior.

    • B. 

      Allow the client time to perform specific rituals.

    • C. 

      Develop a consistent team approach to handle the client’s behaviors.

    • D. 

      Help the client to express anxiety verbally rather than with specific symptoms.

    • E. 

      Provide immediate feedback concerning the client’s specific behaviors.

    • F. 

      Set limits in a clear, direct manner.

  • 5. 
    Barbara is a client with borderline personality disorder. She is defensive and emotionally labile and often becomes suddenly and explosively angry. When interacting with her.you as a nurse would:
    • A. 

      Point out how angry Barbara is becoming.and confront the behavior.

    • B. 

      Take a calm.quiet.and nonconfrontational approach.and avoid arguing with Barbara.

    • C. 

      Tell Barbara to calm down and to avoid becoming explosive or restraints will be used.

    • D. 

      Use a gentle touch and a caring approach to calm Barbara.

  • 6. 
    Nurse Danita is working with clients who have personality disorders. Which of the following techniques would the nurse use to deal with her own feelings that interfere with therapeutic performance?
    • A. 

      Active listening techniques

    • B. 

      Challenging the client’s assertions

    • C. 

      Forming social relations

    • D. 

      Seeking peer or supervisor direction

  • 7. 
    A client with antisocial personality disorder was admitted in a unit at Nurseslabs Hospital. The newly admitted client stole money from an elderly in the unit. Which of the following is the most appropriate for the nurse to say to this client?
    • A. 

      “Why did you take the money?”

    • B. 

      “Let’s talk about how you felt when you took the money.”

    • C. 

      “The consequences of stealing are a loss of privileges.”

    • D. 

      “This client is defenseless against you.”

  • 8. 
    Angela has a history of conflict-filled relationships. Despite an expressed desire for friends.she acts in ways that tend to alienate people. Which nursing intervention would be important for Angela?
    • A. 

      Establish a therapeutic relationship in which the nurse uses role-modeling and role-playing for appropriate behaviors.

    • B. 

      Help the client to select friends who are kind and extra caring.

    • C. 

      Point out that the client acts in ways that alienate others.

    • D. 

      Recognize that this client is unlikely to change and therefore intervention is inappropriate.

  • 9. 
    Tyrion describes himself as “very religious.with strong opinions about what is right and what is wrong.” He is quite judgmental about beliefs and lifestyles that are “unacceptable.” Which statement supports the nurse’s analysis that this client’s behavior is typical of someone with a personality disorder?
    • A. 

      Inflexible behaviors.along with the use of rigid defense mechanisms.are characteristic.

    • B. 

      Judgmental behavior.including self-insight.is common.

    • C. 

      Religious fanatics often have personality disorders.

    • D. 

      Strong belief systems are common and can help identify evidence of instability.

  • 10. 
    Which statement about an individual with a personality disorder is true?
    • A. 

      Psychotic behavior is common during acute episodes.

    • B. 

      Prognosis for recovery is good with therapeutic intervention.

    • C. 

      The individual typically remains in the mainstream of society.although he has problems in social and occupational roles.

    • D. 

      The individual usually seeks treatment willingly for symptoms that are personally distressful.

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