NCLEX CRUSADE ACADEMY TEST - 5 MENTAL HEALTH DISORDERS

1. Which statement best defines a personality disorder?. A temporary change in mood caused by situational stress. An enduring and inflexible pattern of behavior impairing functioning. A neurological condition caused by brain injury. A psychiatric condition that only affects emotions.

2. A patient with antisocial personality disorder (ASPD) typically demonstrates which characteristic?. Excessive empathy for others. Persistent disregard for the rights of others. Severe memory fragmentation. Fear of abandonment.

3. Which behavior is commonly associated with antisocial personality disorder?. Chronic feelings of emptiness. Identity fragmentation. Manipulative charm used for personal gain. Dissociative amnesia.

4. A nurse caring for a patient with ASPD should prioritize which intervention?. Providing emotional reassurance. Establishing firm and consistent boundaries. Encouraging emotional dependence. Avoiding rule enforcement.

5. Which medication type may be used to help control impulsive aggression in ASPD?. Mood stabilizers. Antibiotics. Insulin. Anticoagulants.

6. Borderline personality disorder (BPD) is most strongly associated with which clinical feature?. Fear of abandonment. Loss of motor coordination. Persistent hallucinations. Severe memory loss.

7. Which behavior is typical of a patient experiencing splitting in BPD?. Memory fragmentation. Viewing others as all good or all bad. Avoidance of emotional relationships. Persistent amnesia.

8. A patient with BPD presents with selfIharm behavior. What is the nurses priority?. Encourage journaling. Assess suicidal intent directly. Delay intervention. Provide nutritional education.

9. Which therapy is considered the gold standard treatment for borderline personality disorder?. Cognitive stimulation therapy. Dialectical behavior therapy (DBT). Electroconvulsive therapy. Hypnotherapy.

10. Which medication class may be used to treat emotional dysregulation in BPD?. Antihistamines. SSRIs. Antacids. Antifungals.

11. Dissociative identity disorder (DID) is most commonly associated with which underlying factor?. Genetic mutation. Severe childhood trauma. Viral infection. Endocrine dysfunction.

12. Which symptom is characteristic of DID?. Distinct personality states. Chronic hyperglycemia. Persistent mania. Visual blindness.

13. Memory gaps in DID are referred to as: Aphasia. Amnesia. Apraxia. Agnosia.

14. Which nursing strategy is most appropriate when caring for a patient with DID?. Confront the patient aggressively. Build trust and maintain consistency. Encourage confrontation of trauma immediately. Ignore alternate identities.

15. Which technique helps ground a patient experiencing dissociation?. Sensory grounding exercises. Isolation. Sleep deprivation. Medication withholding.

16. Intimate partner violence (IPV) is best defined as: Conflict between coworkers. Abuse by a current or former intimate partner. Workplace harassment. Community violence.

17. Which finding may suggest possible IPV?. Injuries inconsistent with explanation. Stable employment. Balanced diet. Normal blood pressure.

18. During IPV screening, the nurse should: Ask questions in private. Question the partner. Conduct screening in public areas. Avoid asking about abuse.

19. When documenting IPV injuries, the nurse should: Write assumptions about abuse. Use objective descriptions and quotes. Avoid documentation. Diagnose the abuser.

20. A competent adult experiencing IPV refuses assistance. What is the nurses responsibility?. Force intervention. Respect autonomy unless mandatory reporting criteria exist. Contact the abuser. Discharge immediately.

21. Which scenario requires mandatory reporting?. Adult declines help. Child victim of violence. Minor bruising. Emotional distress.

22. Psychiatric triage prioritizes which factor first?. Insurance status. Imminent safety risk. Age. Occupation.

23. A patient experiencing command hallucinations to harm others represents which triage category?. Low priority. Moderate priority. Critical priority. Non urgent.

24. A depressed patient expressing hopelessness but no plan for suicide represents: Expected symptom with potential risk. Immediate danger. Non psychiatric case. No intervention required.

25. The primary goal in psychiatric triage is: Rapid discharge. Prioritize patient safety. Reduce hospital costs. Minimize documentation.