ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
The client has Obsessive-Compulsive Personality Disorder. To which of the following client personality characteristics should the nurse give the most attention when planning care for this client?
Correct Answer: D
Rationale: OCPD involves perfectionism and rigidity, often driven by anxious/fearful traits (D), which the nurse must address to manage control needs. Oddity (A) fits schizotypal, reality loss (B) psychosis, and drama (C) histrionic/borderline.
Question 2 of 5
A grandiose sense of self importance is associated with which of the following disorders?
Correct Answer: B
Rationale: Narcissistic PD (B) features grandiosity and self-importance per DSM-5. Histrionic (A) seeks attention, antisocial (C) lacks empathy, and OCPD (D) focuses on perfection, not grandeur.
Question 3 of 5
A client with Borderline PD approaches the nurse complaining about inattentive staff. The client blames the nursing staff for the client’s feelings of unimportance. The nurse’s best therapeutic response would include which of the following statements?
Correct Answer: D
Rationale: Exploring feelings (D) therapeutically validates the client’s emotions, common in borderline PD, fostering trust. Team meeting (A) deflects, direct confrontation (B) may escalate, and journaling (C) avoids engagement.
Question 4 of 5
A patient with Antisocial PD comes to the nurses station at 11:00pm requesting to phone a lawyer. The unit rule states, 'No phone calls after 10:00pm.' The patient insists on discussing the process for filing for a divorce immediately. Which of the following responses is therapeutic for this patient?
Correct Answer: C
Rationale: Enforcing rules calmly (C) sets limits for antisocial PD, countering manipulation. Allowing (A) undermines policy, questioning (B) engages manipulatively, and shaming (D) is non-therapeutic.
Question 5 of 5
Which of the following nursing diagnoses would be most appropriate for a client with schizotypal personality disorder?
Correct Answer: D
Rationale: Schizotypal PD involves odd beliefs like magical thinking and ideas of reference, making impaired thought processes (D) most appropriate. Hand washing (A) is OCD, self-mutilation (B) borderline, and violence (C) antisocial.