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A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?
- A. Depression
- B. Substance abuse
- C. Avoidant personality disorder
- D. Anxiety
Correct Answer: A
Rationale: Depression (A) is the most common comorbid disorder with schizoid personality due to social isolation and emotional detachment increasing depressive risk. Substance abuse (B), avoidant personality (C), and anxiety (D) are less frequently associated.
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A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?
- A. It requires the client to develop attachments.
- B. It sets up specific boundaries for the client.
- C. It helps reinforce self-responsibility.
- D. It avoids confrontation about dysfunctional patterns.
Correct Answer: C
Rationale: Problem-solving groups for ASPD reinforce self-responsibility (C) by encouraging accountability and constructive decision-making. Developing attachments (A) is less relevant, boundaries (B) are set elsewhere, and avoiding confrontation (D) is not the goal, as addressing patterns is key.
A nurse is working with a client who is a compulsive gambler. Which of the following would the nurse emphasize as crucial for relapse prevention? Select all that apply
- A. Medication therapy
- B. Family involvement
- C. Identification of triggers
- D. Anger management
- E. Milieu management
Correct Answer: B,C
Rationale: Family involvement (B) supports accountability and a supportive environment, and identifying triggers (C) helps the client avoid situations that prompt gambling. Medication therapy (A) is not standard, anger management (D) is less relevant, and milieu management (E) is too vague for relapse prevention.
The nurse is caring for a client with schizoid personality trait. When developing the plan of care for the client, which of the following would the nurse most likely include?
- A. Social skills training
- B. Anger management training
- C. Relaxation techniques
- D. Coping skills training
Correct Answer: C
Rationale: Schizoid personality disorder involves social detachment and restricted emotional expression, making relaxation techniques (C) appropriate to manage anxiety or stress in social settings. Social skills training (A) may overwhelm, anger management (B) is less relevant, and coping skills (D) are too broad.
A nurse is assessing a client diagnosed with avoidant personality disorder. Which of the following would the nurse most likely expect to find? Select all that apply.
- A. Shyness
- B. Feelings of inadequacy
- C. Feelings of superiority
- D. Perfectionism
- E. Detail oriented
Correct Answer: A,B
Rationale: Avoidant personality disorder is characterized by shyness (A) and feelings of inadequacy (B) due to fear of rejection. Feelings of superiority (C) align with narcissistic personality, and perfectionism (D) and detail-oriented behavior (E) are more typical of obsessive-compulsive personality.
A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse?s suspicions?
- A. I have a very important position in life; everyone I know wants to be like me.
- B. My wife is poisoning my food so she can get rid of me and marry her boss.
- C. I like to work alone because then I can let my thoughts wander.
- D. I?m always the life of the party, making new friends all the time.
Correct Answer: A
Rationale: The statement about having an important position and being envied (A) reflects grandiosity and a need for admiration, core features of narcissistic personality disorder. Paranoia (B) suggests paranoid personality, solitude preference (C) aligns with schizoid, and sociability (D) is more histrionic.