Nokea
A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?
- A. Antisocial personality disorder
- B. Borderline personality disorder
- C. Paranoid personality disorder
- D. Dependent personality disorder
Correct Answer: D
Rationale: Dependent personality disorder is part of cluster C, which includes disorders characterized by anxious and fearful behaviors. Clients with dependent personality disorder often lack confidence and feel unable to care for themselves.
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A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?
- A. This procedure will cause me to have brief seizures.'
- B. I will be able to eat breakfast prior to my procedure.'
- C. I will not need to have a pre-ECT workup before the procedure.'
- D. One ECT treatment will be effective for my depression.'
Correct Answer: A
Rationale: Electroconvulsive therapy (ECT) involves inducing brief seizures under controlled conditions. The client's statement about having brief seizures indicates an understanding of the procedure.
Which scenario best demonstrates an example of eustress?
- A. An individual loses a beloved family pet.
- B. prepares to take a vacation to a tropical island with a group of close friends.
- C. receives a bank notice that there were insufficient funds in his/her account for a recent rent payment.
- D. receives notification that his/her current employer is experiencing financial problems and some workers will be terminated.
Correct Answer: B
Rationale: Eustress is beneficial stress; it motivates people to develop skills they need to solve problems and meet personal goals. Positive life experiences produce eustress. Going on a tropical vacation is an exciting, relaxing experience and is an example of eustress. Losing the family pet, worrying about employment security, and having financial problems are examples of distress, a negative experience that drains energy and can lead to significant emotional problems.
A patient states, 'I’m not worth anything I have negative thoughts about myself I feel anxious and shaky all the time Sometimes I feel so sad that I want to go to sleep and never wake up' Which nursing intervention should have the highest priority?
- A. Self-esteem–building activities
- B. Anxiety self-control measures
- C. Sleep enhancement activities
- D. Suicide precautions
Correct Answer: D
Rationale: Suicidal thoughts (D) demand immediate safety measures, outranking A, B, and C
A Chinese American patient diagnosed with an anxiety disorder says,My problems began when my energy became imbalanced. The nurse asks for the patients ideas about how to treat the imbalance. Which comment would the nurse expect from this patient?
- A. My family will bring special foods to help me get well.
- B. I hope my health care provider will prescribe some medication to help me.
- C. I think I would benefit from talking to other patients with a similar problem.
- D. I would like to have a native healer perform a ceremony to balance my energy.
Correct Answer: A
Rationale: The concept of energy imbalance as a source of illness is an explanatory model familiar to Asian cultures. A source of healing is dietary change to include either hot or cold foods to correct the imbalance. Hot and cold in this case do not refer to thermal properties of the foods. Medication would not be a treatment suggested by a patient with an Eastern worldview. Someone from an indigenous culture may suggest rituals. Group discussion of mental illness would not be appealing to a Chinese American.
A nurse is working with a patient diagnosed with generalized anxiety disorder. Which of the following interventions is most appropriate to help the patient manage their anxiety?
- A. Encourage the patient to confront their fears directly.
- B. Provide the patient with relaxation techniques such as deep breathing.
- C. Reassure the patient that their anxiety is not warranted.
- D. Encourage the patient to avoid stressful situations whenever possible.
Correct Answer: B
Rationale: Teaching relaxation techniques, such as deep breathing, helps the patient manage their anxiety by reducing physiological symptoms of anxiety.