PERSONALITY DISORDERS NCLEX EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 220 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

1 | P a g e PERSONALITY DISORDERS NCLEX EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 220 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ The client with BPD often attempts to manipulate staff to promote self needs. Which behavior indicates that the client is able to overcome this manipulative behavior? A. Client insists on joining other clients in the dayroom because of feeling lonely B. Client asks for a cigarette 30 minutes after being told that cigarettes are allowed once an hour C. Client states to the nurse, "You are the best nurse, and only you are allowed to care for me." D. Client self-mutilates by cutting after the HCP discussed possible discharge with the client - ANSWER- A Wanting to join others because of loneliness is a nonmanipulative behavior. The client with BPD states to the nurse, "Hey, you know what! You are my favorite nurse. That night nurse sure doesn't understand me the way you do." Which response by the nurse is most therapeutic? A. "Hang in there. I won't enjoy coming to work as much after you are discharged." B. "I'm glad you're comfortable with me. Which night nurse doesn't understand you?" 2 | P a g e C. "I like you. Tomorrow you'll be discharged; I'm glad you will be able to return home." D. "You are my favorite patient; I'll really miss caring for you when you are discharged." - ANSWER- C The most therapeutic response is one in which the nurse avoids responding to the designation of favorite nurse and redirects the client to concentrate on the impending discharge. The nurse receives an order to administer phenelzine 15 mg tid to the client diagnosed with BPD. Based on the finding of the client's medication record, which should be the nurse's reasoning for questioning the medication order? Fluoxetine 20 mg daily 0900, Carbamazepine 400 mg bid 0900 and 2100, Alprozolam 0.5 bid 0900 and 2100 A. The combination phenelzine and fluoxetine will drastically lower the blood pressure B. Tension headaches may result when carbamazepine and alprazolam are combined C. MAOIs are not used to treat borderline personality disorder due to the risk of suicide D. Phenelzine and fluoxetine should not be taken together due to excessive serotonin release - ANSWER- D Fluoxetine (Prozac) is an SSRI, and phenelzine (Nardil) is an MAOI. SSRIs and MAOIs should not be taken together because excessive release of serotonin (serotonin syndrome) may result with associated mental, cardiovascular, GI and neuromuscular alterations. 3 | P a g e The client with no psychiatric history is admitted to an ED after physically assaulting his wife. The client is frightened by his loss of control, which he states was precipitated by his wife's complaining and lack of support. The client tells the nurse he is self-employed, recently expanded his company nationally, and has many well-known friends. The client's wife states, "The business is losing money, yet he continues his lavish lifestyle; what's important to him is who he knows and how it looks!" The nurse determines that the client's behavior is typical of which disorder? A. Schizoid personality disorder B. Borderline personality disorder C. Narcissistic personality disorder D. Dependent personality disorder - ANSWER- C Rationale; Narcissistic personality disorder is characterized by constant seeking of praise and attention, an egocentric attitude, envy, rage, and violence when others are not supportive. The nurse is developing the plan of care for the client with schizoid personality disorder. Which primary outcome should the nurse include? A. Recognizes limits B. Able to cope and control emotions C. Validates ideas before taking action D. Able to function independently in the community - ANSWER- D Rationale; An outcome for the individual with schizoid personality disorder focuses on improving functioning within the community. 4 | P a g e The nurse is planning care for the client with avoidant personality disorder. Which interventions should the nurse plan? (Select all that apply) A. Use reframing technique B. Explore positive self-aspects C. Practice social skills with client D. Use decatastrophizing technique E. Identify negative responses from others - ANSWER- A,B,C,D Rationale; -Reframing is a cognitive behavioral technique where alternative points of view are examined to explain events and is used to enhance self-worth of the person with avoidant personality disorder. -Exploring positive aspects of self is used to enhance self-worth of the person with avoidant personality disorder. -Practicing social skills with the client in the safety of the nurseclient relationship will help the client reduce social fears and develop meaningful social contact and relationship skills. -Decatastrophizing is a method of learning to assess situations in a realistic manner instead of assuming a catastrophe will happen. Using this can enhance self-worth. The nurse is working with the individual with OCPD. Which approach should the nurse use? A. Inflexible and autocratic B. Calm and nonconfrontational C. Direct, hurried, and organized 

personality disorders nclex exam,personality disorders nclex quizlet,personality disorders nclex questions quizlet,personality disorders nclex questions,personality disorders nclex,borderline personality disorder nclex questions,nclex personality disorders,nclex personality disorder questions,personality disorder nclex questions,are personality disorders learned