A client with dependent personality disorder has a goal to increase her problem-solving skills. Which client behavior would indicate progress toward meeting that goal?
- A. Asking questions
- B. Being polite
- C. Controlling emotional outbursts
- D. Requesting assistance appropriately
Correct Answer: A
Rationale: Asking questions demonstrates assertiveness and initiative, key steps in improving problem-solving for dependent clients.
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Which term describes the extent to which a person considers himself to be an integral part of the universe?
- A. Cooperativeness
- B. Self-directedness
- C. Self-transcendence
- D. Character
Correct Answer: C
Rationale: Self-transcendence refers to viewing oneself as part of the universe, distinct from cooperativeness, self-directedness, or general character.
The nurse is teaching a client with schizoid personality to function more comfortably with others in the community. Which nursing intervention would be effective to improve the client's social skills?
- A. Teach the client to make necessary requests in writing or over the phone.
- B. Accompany the client during initial interactions in the community.
- C. Suppress the display of any unusual behaviors in public.
- D. Assist in developing an explanation for bizarre behaviors to offer to others in the community.
Correct Answer: A
Rationale: Non-face-to-face communication, like writing or phone calls, reduces discomfort for clients with schizoid personality disorder.
A client with antisocial personality disorder is begging to use the phone to call his wife, even though it is against the unit rules. The client begs, 'It is just this once, and she will be so hurt if I don't call her.' Which would be the most appropriate response by the nurse?
- A. Only to help your wife, you can call this time.
- B. I will get in trouble with my supervisor if I let you call.
- C. You may not use the phone to call your wife.
- D. You cannot call because you need to focus on your recovery while you are here, not your wife.
Correct Answer: C
Rationale: A firm, matter-of-fact refusal prevents manipulation without engaging in arguments or justifications.
What would the nurse expect to assess in a client with narcissistic personality disorder?
- A. Genuine concern for others
- B. Mistrust of others
- C. Grandiose and superior self-concept
- D. Dependence on others for decision making
Correct Answer: C
Rationale: Narcissistic personality disorder is marked by grandiosity and a sense of superiority, expecting special treatment.
Of the following personality disorders, which are most likely related to lack of caring about others? Select all that apply.
- A. Schizotypal personality disorder
- B. Borderline personality disorder
- C. Antisocial personality disorder
- D. Narcissistic personality disorder
- E. Obsessive-compulsive personality disorder
Correct Answer: A,C,D
Rationale: Schizotypal, antisocial, and narcissistic personality disorders involve social deficits, disregard for others' rights, or lack of empathy, unlike borderline or obsessive-compulsive disorders.
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