NCLEX Exam: Trivia Questions On Personality Disorders!

1. Which of the following information must be included for the family of a client diagnosed with dependent personality disorder?

Address coping skills

Explore panic attacks

Promote exercise programs

Decrease aggressive outbursts

Clients with dependent personality disorder are extremely over-reliant on others; they aren’t abrasive or assertive. They’re clinging and demanding of others; they don’t manipulate.

Explanation

Clients with dependent personality disorder are extremely over-reliant on others; they aren’t abrasive or assertive. They’re clinging and demanding of others; they don’t manipulate.

2. A nurse is assessing a client diagnosed with dependent personality disorder. Which of the following characteristics is a major component to this disorder?

Abrasive to others

Indifferent to others

Manipulative of others

Over-reliance on others

Clients with borderline who are needy. dependent. and manipulative will benefit greatly from maintaining consistent and realistic limits.Option B: They don’t tend to have difficulty meeting their self-care needs.Option C: They don’t tend to have sleeping difficulties.Option D: They enjoy attending group therapy because they often attempt to use the opportunity to become the center of attention.

Explanation

Clients with borderline who are needy. dependent. and manipulative will benefit greatly from maintaining consistent and realistic limits.Option B: They don’t tend to have difficulty meeting their self-care needs.Option C: They don’t tend to have sleeping difficulties.Option D: They enjoy attending group therapy because they often attempt to use the opportunity to become the center of attention.

3. Which of the following nursing interventions has priority for a client with borderline personality disorder?

Maintain consistent and realistic limits

Give instructions for meeting basic self-care needs

Engage in daytime activities to stimulate wakefulness

Have the client attend group therapy on a daily basis

Chronic feelings of emptiness and sadness predispose a client to depression. About 40% of the clients with borderline struggle with depression.

Explanation

Chronic feelings of emptiness and sadness predispose a client to depression. About 40% of the clients with borderline struggle with depression.

4. Which of the following characteristics or client histories substantiates a diagnosis of antisocial personality disorder?

Delusional thinking

Feelings of inferiority

Disorganized thinking

Multiple criminal charges

Clients with antisocial personality disorder tend to engage in acts of dishonesty. shown by lying.

Explanation

Clients with antisocial personality disorder tend to engage in acts of dishonesty. shown by lying.

5. Which of the following conditions is likely to coexist in clients with a diagnosis of borderline personality disorder?

Avoidance

Delirium

Depression

Disorientation

Clients with borderline personality disorder would decide to look for a perfect partner. This characteristic is a result of the dichotomous manner in which these clients view the world. They go from relationship to relationship without taking responsibility for their behavior.Option A: It’s unlikely that an unsuccessful relationship will cause clients to make a change. They tend to be demanding and impulsive in relationships.Option C: There’s no thought given to what one wants or needs from a relationship. Because they tend to blame others for problems. it’s unlikely they would express a desire to learn communication skills.Option D: Because they tend to blame others for problems. it’s unlikely they would express a desire to learn communication skills.

Explanation

Clients with borderline personality disorder would decide to look for a perfect partner. This characteristic is a result of the dichotomous manner in which these clients view the world. They go from relationship to relationship without taking responsibility for their behavior.Option A: It’s unlikely that an unsuccessful relationship will cause clients to make a change. They tend to be demanding and impulsive in relationships.Option C: There’s no thought given to what one wants or needs from a relationship. Because they tend to blame others for problems. it’s unlikely they would express a desire to learn communication skills.Option D: Because they tend to blame others for problems. it’s unlikely they would express a desire to learn communication skills.

6. A client with borderline personality disorder is admitted to the unit after slashing his wrist. Which of the following goals is most important after promoting safety?

Establish a therapeutic relationship with the client

Identify whether splitting is present in the client’s thoughts

Talk about the client’s acting out and self-destructive tendencies.

Encourage the client to understand why he blames others

Clients with antisocial personality disorder are often sent for treatment by the court after multiple crimes or for the use of illegal substances.

Explanation

Clients with antisocial personality disorder are often sent for treatment by the court after multiple crimes or for the use of illegal substances.

7. Which of the following assessment findings is seen in a client diagnosed with borderline personality disorder?

Abrasions in various healing stages

Intermittent episodes of hypertension

Alternating tachycardia and bradycardia

Mild state of euphoria with disorientation

Relationship problems can precipitate a crisis because they bring up issues of abandonment. Clients with borderline personality disorder aren’t usually suspicious; they’re more likely to be depressed or highly anxious.

Explanation

Relationship problems can precipitate a crisis because they bring up issues of abandonment. Clients with borderline personality disorder aren’t usually suspicious; they’re more likely to be depressed or highly anxious.

8. Which of the following characteristics or situations is indicated when a client with borderline personality disorder has a crisis?

Antisocial behavior

Suspicious behavior

Relationship problems

Auditory hallucinations

After promoting safety. the nurse establishes a rapport with the client to facilitate appropriate expression of feelings. At this time. the client isn’t ready to address the unhealthy behavior. A therapeutic relationship must be established before the nurse can effectively work with the client on self-destructive tendencies and the issues of splitting.

Explanation

After promoting safety. the nurse establishes a rapport with the client to facilitate appropriate expression of feelings. At this time. the client isn’t ready to address the unhealthy behavior. A therapeutic relationship must be established before the nurse can effectively work with the client on self-destructive tendencies and the issues of splitting.

9. Which of the following statements is expected from a client with borderline personality disorder with a history of dysfunctional relationships?

“I won’t get involved in another relationship.”

“I’m determined to look for the perfect partner.”

“I’ve decided to use better communication skills.”

“I’m going to be an equal partner in a relationship.”

Clients with borderline personality disorder are likely to develop dysfunctional coping and act out in self-destructive ways such as binge eating.

Explanation

Clients with borderline personality disorder are likely to develop dysfunctional coping and act out in self-destructive ways such as binge eating.

10. In planning care for a client with borderline personality disorder. a nurse must be aware that this client is prone to develop which of the following conditions?

Binge eating

Memory loss

Cult membership

Delusional thinking

Clients with borderline personality disorder tend to self-mutilate and have abrasions in various stages of healing.

Explanation

Clients with borderline personality disorder tend to self-mutilate and have abrasions in various stages of healing.