Nokea
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
- A. Suspicious of others
- B. Callousness
- C. Self-centered behavior
- D. Violates others' rights
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Histrionic personality disorder is characterized by attention-seeking behavior, excessive emotions, and a need for approval. Individuals with this disorder often exhibit self-centered behavior to gain attention and validation from others. Choice A is incorrect as suspicion of others is more indicative of paranoid personality disorder. Choice B, callousness, is not a typical feature of histrionic personality disorder, but rather more aligned with antisocial personality disorder. Choice D, violating others' rights, is more characteristic of individuals with antisocial personality disorder as well.
You may also like to solve these questions
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
- A. I should expect to see improvement in my mood within a few days.
- B. I may experience increased thoughts of suicide at the beginning of treatment.
- C. I need to avoid foods high in tyramine while taking this medication.
- D. I will need to have my lithium levels checked regularly.
Correct Answer: B
Rationale: The correct answer is B: "I may experience increased thoughts of suicide at the beginning of treatment." This statement indicates an understanding of the medication because fluoxetine, an SSRI, can initially increase suicidal ideation in clients with major depressive disorder due to sudden improvement in energy levels before mood improvement. This is important for the client to know for safety monitoring.
Choice A is incorrect as improvement in mood may take several weeks, not days. Choice C is incorrect as avoiding tyramine-rich foods is relevant for MAOIs, not SSRIs like fluoxetine. Choice D is incorrect as lithium levels are monitored for clients taking lithium, not fluoxetine.
A nurse is providing discharge teaching to a client who has bipolar disorder and a new prescription for lithium. Which statement by the client indicates an understanding of the teaching?
- A. I will reduce my sodium intake to help lithium work better
- B. I should take my medication on an empty stomach
- C. I need to drink 2-3 liters of water each day
- D. I can stop taking lithium once my symptoms improve
Correct Answer: C
Rationale: The correct answer is C: "I need to drink 2-3 liters of water each day." This statement indicates an understanding of the teaching because lithium can cause dehydration and increase the risk of toxicity. Adequate hydration helps to prevent this. Choice A is incorrect because reducing sodium intake is not directly related to lithium's effectiveness. Choice B is incorrect as lithium should be taken with food to reduce gastrointestinal side effects. Choice D is incorrect because stopping lithium abruptly can lead to a relapse of symptoms.
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
- A. "Are you not happy with your treatment?"
- B. "Why are you interested in seeing your therapist's notes?"
- C. "We can provide a copy of your records, but the therapist's notes are not included."
- D. "I don't think you will benefit from reviewing your therapist's notes right now."
Correct Answer: C
Rationale: The correct response, C, is appropriate because therapist's notes are considered confidential and are not typically shared with clients. Providing a copy of the client's records without the therapist's notes is in line with maintaining client confidentiality and upholding ethical standards in mental health practice. Choice A is incorrect as it assumes the client is unhappy with their treatment without any basis. Choice B is not ideal as it probes the client's reasons, potentially violating their privacy. Choice D is inappropriate as it undermines the client's autonomy and right to access their records.
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse expect to administer?
- A. Methadone
- B. Disulfiram
- C. Lorazepam
- D. Bupropion
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms by reducing anxiety, seizures, and agitation. Methadone (A) is used for opioid addiction, Disulfiram (B) is for alcohol aversion therapy, and Bupropion (D) is for smoking cessation. The other choices are not appropriate for alcohol withdrawal management.
A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse expect? (Select all that apply)
- A. Anhedonia
- B. Insomnia
- C. Weight gain
- D. Flight of ideas
- E. Feelings of worthlessness
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Anhedonia is a key feature of major depressive disorder characterized by the inability to feel pleasure. Insomnia commonly occurs due to disrupted sleep patterns. Feelings of worthlessness are typical in depression due to negative self-perception. Weight gain is less common in major depressive disorder, typically weight loss is more prevalent. Flight of ideas is not a typical finding in major depressive disorder, as it is more associated with manic episodes in bipolar disorder.