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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 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 working with the family of a client who has been diagnosed with antisocial personality disorder. Which of the following would be most important for the nurse to focus on when teaching the family about this disorder?
- A. Anger management
- B. Boundary setting
- C. Medication therapy
- D. Self-responsibility
Correct Answer: B
Rationale: Boundary setting (B) is critical for families dealing with ASPD, as it protects against manipulation and maintains healthy interactions. Anger management (A) and self-responsibility (D) are less family-focused, and medication therapy (C) is not a primary treatment for ASPD.
A nursing instructor is describing depressive and negativistic personality traits to a group of nursing students. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of negativistic personality traits? Select all that apply.
- A. Anhedonia
- B. Hostility
- C. Pessimism
- D. Oppositionality
- E. Guilt
Correct Answer: B,C,D
Rationale: Negativistic (passive-aggressive) personality traits include hostility (B), pessimism (C), and oppositionality (D), reflecting resistance and negativity toward others. Anhedonia (A) and guilt (E) are more characteristic of depressive traits.
The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the client?s affect and behavior will most likely be which of the following?
- A. Angry and hostile
- B. Flirtatious and seductive
- C. Fearful and anxious
- D. Friendly and open
Correct Answer: A
Rationale: Paranoid personality disorder is characterized by pervasive distrust and suspicion, often leading to an angry and hostile affect (A) due to perceived threats. Flirtatious behavior (B) is more typical of histrionic personality, fearful/anxious (C) aligns with avoidant personality, and friendly/open (D) is unlikely given the mistrust.
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.