Q.1 Which personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy?
Borderline Personality Disorder
Narcissistic Personality Disorder
Avoidant Personality Disorder
Obsessive-Compulsive Personality Disorder
Explanation - Narcissistic Personality Disorder involves an exaggerated sense of self-importance, preoccupation with fantasies of success, and a lack of empathy for others.
Correct answer is: Narcissistic Personality Disorder
Q.2 A patient frequently exhibits unstable interpersonal relationships, impulsivity, and self-harming behaviors. Which personality disorder is most likely?
Borderline Personality Disorder
Schizoid Personality Disorder
Histrionic Personality Disorder
Paranoid Personality Disorder
Explanation - Borderline Personality Disorder is marked by emotional instability, fear of abandonment, and impulsive or self-destructive behaviors.
Correct answer is: Borderline Personality Disorder
Q.3 Which nursing intervention is most appropriate for a patient with antisocial personality disorder?
Encourage long-term intimate relationships
Set clear boundaries and consistent limits
Use group therapy to explore emotions
Promote dependency on staff for decision-making
Explanation - Patients with antisocial personality disorder often disregard rules and manipulate others, so clear limits help manage behavior.
Correct answer is: Set clear boundaries and consistent limits
Q.4 Avoidant Personality Disorder is primarily characterized by:
Disregard for others' rights
Fear of criticism and social inhibition
Excessive attention-seeking behavior
Grandiose sense of self-importance
Explanation - Individuals with Avoidant Personality Disorder avoid social interactions due to feelings of inadequacy and fear of rejection.
Correct answer is: Fear of criticism and social inhibition
Q.5 Which personality disorder shows a pattern of attention-seeking and excessive emotionality?
Histrionic Personality Disorder
Schizotypal Personality Disorder
Dependent Personality Disorder
Paranoid Personality Disorder
Explanation - Histrionic Personality Disorder is characterized by exaggerated emotional expressions and a constant need for attention.
Correct answer is: Histrionic Personality Disorder
Q.6 A patient consistently distrusts others and believes they are exploiting them. Which personality disorder is most consistent with this behavior?
Paranoid Personality Disorder
Borderline Personality Disorder
Obsessive-Compulsive Personality Disorder
Schizoid Personality Disorder
Explanation - Paranoid Personality Disorder involves pervasive distrust and suspicion, often interpreting others’ actions as malevolent.
Correct answer is: Paranoid Personality Disorder
Q.7 Which nursing approach is most effective for patients with dependent personality disorder?
Promote autonomy and decision-making
Encourage impulsive behaviors
Challenge all their beliefs directly
Avoid structured care plans
Explanation - Patients with dependent personality disorder need support to develop confidence in making decisions and becoming self-reliant.
Correct answer is: Promote autonomy and decision-making
Q.8 Obsessive-Compulsive Personality Disorder is best characterized by:
Impulsivity and recklessness
Preoccupation with orderliness and control
Excessive fear of social rejection
Exaggerated emotional expression
Explanation - OCPD involves a focus on perfectionism, rigid adherence to rules, and control over situations.
Correct answer is: Preoccupation with orderliness and control
Q.9 Schizoid Personality Disorder primarily involves:
Social detachment and limited emotional expression
Fear of criticism
Impulsivity and mood swings
Grandiose behavior
Explanation - Schizoid Personality Disorder is characterized by a lack of interest in social relationships and a restricted range of emotional expression.
Correct answer is: Social detachment and limited emotional expression
Q.10 Which of the following is a priority nursing intervention for a patient with borderline personality disorder exhibiting self-harm tendencies?
Ignore minor self-harm behaviors to avoid reinforcement
Provide immediate safety interventions and supportive environment
Encourage impulsive decision-making
Avoid discussing feelings
Explanation - Ensuring patient safety is the first priority, followed by supportive interventions to address emotional regulation.
Correct answer is: Provide immediate safety interventions and supportive environment
Q.11 Which cluster includes paranoid, schizoid, and schizotypal personality disorders?
Cluster A
Cluster B
Cluster C
Cluster D
Explanation - Cluster A personality disorders are considered odd or eccentric, including paranoid, schizoid, and schizotypal types.
Correct answer is: Cluster A
Q.12 Cluster B personality disorders are primarily characterized by:
Anxious and fearful behavior
Odd or eccentric behavior
Dramatic, emotional, or erratic behavior
Social withdrawal and isolation
Explanation - Cluster B includes antisocial, borderline, histrionic, and narcissistic personality disorders, known for emotional intensity and impulsivity.
Correct answer is: Dramatic, emotional, or erratic behavior
Q.13 Which personality disorder is often associated with a need to be taken care of and fear of separation?
Dependent Personality Disorder
Paranoid Personality Disorder
Histrionic Personality Disorder
Schizotypal Personality Disorder
Explanation - Dependent Personality Disorder involves excessive reliance on others and fear of losing support or approval.
Correct answer is: Dependent Personality Disorder
Q.14 Which of the following is an effective communication strategy for patients with narcissistic personality disorder?
Use confrontational language to challenge them
Provide empathetic acknowledgment while maintaining boundaries
Ignore their achievements
Encourage emotional outbursts
Explanation - Acknowledging their feelings without enabling manipulative behavior helps manage relationships effectively.
Correct answer is: Provide empathetic acknowledgment while maintaining boundaries
Q.15 Patients with which personality disorder may appear aloof, emotionally cold, and indifferent to praise or criticism?
Schizoid Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Dependent Personality Disorder
Explanation - Schizoid Personality Disorder is marked by emotional detachment and a preference for solitary activities.
Correct answer is: Schizoid Personality Disorder
Q.16 A patient with antisocial personality disorder is likely to exhibit:
Persistent disregard for rules and others' rights
Extreme fear of social criticism
Excessive emotionality and attention-seeking
Detachment from social relationships
Explanation - Antisocial Personality Disorder is characterized by disregard for societal rules, manipulativeness, and lack of remorse.
Correct answer is: Persistent disregard for rules and others' rights
Q.17 Which personality disorder may lead to chronic feelings of inadequacy and hypersensitivity to negative evaluation?
Avoidant Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Paranoid Personality Disorder
Explanation - Avoidant Personality Disorder involves social inhibition, feelings of inadequacy, and extreme sensitivity to criticism.
Correct answer is: Avoidant Personality Disorder
Q.18 In managing a patient with borderline personality disorder, nurses should focus on:
Encouraging splitting behaviors
Promoting emotional regulation and stable therapeutic relationship
Avoiding discussions about feelings
Ignoring self-harm behaviors
Explanation - Stable nurse-patient relationships and emotional regulation strategies help manage borderline personality disorder effectively.
Correct answer is: Promoting emotional regulation and stable therapeutic relationship
Q.19 Which personality disorder is associated with magical thinking, odd beliefs, and peculiar behavior?
Schizotypal Personality Disorder
Obsessive-Compulsive Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Explanation - Schizotypal Personality Disorder involves eccentric behavior, unusual perceptual experiences, and cognitive distortions.
Correct answer is: Schizotypal Personality Disorder
Q.20 For patients with personality disorders, the primary role of psychiatric nursing includes:
Diagnosis and prescribing medications
Providing structured care, support, and therapeutic communication
Performing invasive procedures
Limiting social interaction completely
Explanation - Nurses focus on managing behaviors, providing support, and promoting adaptive coping skills.
Correct answer is: Providing structured care, support, and therapeutic communication
Q.21 Which cluster of personality disorders is most associated with anxiety and fearfulness?
Cluster C
Cluster A
Cluster B
Cluster D
Explanation - Cluster C includes avoidant, dependent, and obsessive-compulsive personality disorders, characterized by anxious and fearful behavior.
Correct answer is: Cluster C
Q.22 Which therapeutic approach is commonly used in borderline personality disorder to address self-harm and emotional dysregulation?
Cognitive-Behavioral Therapy (CBT)
Dialectical Behavior Therapy (DBT)
Electroconvulsive Therapy (ECT)
Psychoanalysis
Explanation - DBT combines behavioral and cognitive strategies to help patients manage emotions, reduce self-harm, and improve interpersonal skills.
Correct answer is: Dialectical Behavior Therapy (DBT)
Q.23 Which nursing action is least appropriate for a patient with narcissistic personality disorder?
Setting clear boundaries
Providing consistent feedback
Reinforcing manipulative behavior
Acknowledging achievements appropriately
Explanation - Reinforcing manipulation can worsen behavioral problems; nurses should maintain consistent boundaries.
Correct answer is: Reinforcing manipulative behavior
Q.24 Which symptom is most characteristic of schizotypal personality disorder?
Social anxiety and odd beliefs
Grandiosity and attention-seeking
Fear of abandonment
Need for constant reassurance
Explanation - Schizotypal personality disorder includes eccentric behavior, unusual beliefs, and discomfort in close relationships.
Correct answer is: Social anxiety and odd beliefs
Q.25 In personality disorder nursing care, establishing trust is important because:
Patients often test boundaries and have difficulty with relationships
Patients have no emotional needs
Patients are always compliant
Trust is less important than medication
Explanation - Trust and consistency in the nurse-patient relationship help manage challenging behaviors and promote therapeutic progress.
Correct answer is: Patients often test boundaries and have difficulty with relationships