Extract:

Question 1 of 5

A nurse is assisting with planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

A. Histrionic personality disorderB. Borderline personality disorderC. Antisocial personality disorderD. Narcissistic personality disorder

Correct Answer: C

Rationale: Antisocial personality disorder involves impulsivity and aggression, often leading to legal issues. Histrionic seeks attention, borderline shows emotional instability, and narcissistic displays arrogance, not physical aggression.

Question 2 of 5

A school nurse is assisting in the planning a presentation on identifying potential warning signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the presentation?

A. Seeking a tutor for help with a challenging classB. Volunteering to serve food at a homeless shelter over the holidays.C. Displaying extreme mood swingsD. Making plans to go to the prom

Correct Answer: C

Rationale: Extreme mood swings signal emotional instability, a suicide risk factor. Tutoring, volunteering, and prom plans suggest engagement, not risk.

Question 3 of 5

A nurse is assisting with the teaching of a group of newly licensed nurses about personality disorders. Which of the following information should be included?

A. Strict parental guidelines contribute to the development of personality disorders.B. Personality disorders often manifest from childhood emotional trauma.C. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders.D. Personality disorders are often seen in children under the age of 10.

Correct Answer: B

Rationale: Childhood trauma is a key risk factor for personality disorders, shaping maladaptive coping. Strict parenting, socioeconomic status, and early diagnosis in children are less accurate.

Question 4 of 5

A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

A. A relapse plan explains how you can be hospitalized if needed.B. A relapse plan addresses your living housing and working needs.C. A relapse plan describes how you use coping strategies for living in the community.D. A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse.

Correct Answer: D

Rationale: A relapse plan aids recovery by identifying early symptoms and outlining steps to prevent worsening, reducing hospitalization risk. It’s not just about hospitalization, housing, or general coping.

Question 5 of 5

A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

A. Suspiciousness of othersB. Requiring frequent reassurance from othersC. Inflated sense of selfD. Lack of feelings of remorse

Correct Answer: A

Rationale: Suspiciousness defines paranoid personality disorder, causing distrustful behavior. Reassurance needs, grandiosity, and lack of remorse align with other disorders.