Nokea
A person with temperament traits of high harm avoidance would most likely suffer from which personality disorder?
- A. Schizoid
- B. Avoidant
- C. Narcissistic
- D. Antisocial
Correct Answer: B
Rationale: High harm avoidance, characterized by fear and shyness, aligns with avoidant personality disorder's anxious and fearful presentation.
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When planning care for a client with passive-aggressive personality disorder, the nurse will need to include interventions for which behavior?
- A. Avoidance of anxiety-provoking situations
- B. Compulsive needs for perfection and praise
- C. Dependence on others for decisions
- D. Procrastination and subtle resistance
Correct Answer: D
Rationale: Passive-aggressive behavior is characterized by procrastination and subtle resistance, requiring targeted interventions.
Which is the main reason why the periodic team meetings are important when caring for a client with antisocial personality?
- A. The team needs to consider updating treatment recommendations as the client improves.
- B. Rotating team members need to be apprised of the care planned for the client.
- C. Staff frustrations in caring for the client need to be processed.
- D. Team consistency is important to prevent manipulation by the client.
Correct Answer: D
Rationale: Consistency in team approach prevents manipulation, as clients with antisocial personality disorder exploit inconsistencies.
When establishing a relationship with a client who has borderline personality disorder, which is most important for the nurse to do?
- A. Aggressively confront the client about boundary violations.
- B. Limit interactions to 10 minutes.
- C. Respect the client's boundaries.
- D. Tell the client the relationship is professional.
Correct Answer: C
Rationale: Respecting the client's boundaries helps model and teach appropriate boundary-setting for those with borderline personality disorder.
The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action on them. Which is the best rationale for this intervention?
- A. It will assist the client to start basing decisions and actions on reality.
- B. It will help the client understand the origins of his or her paranoid thinking.
- C. It will help the client learn to trust other people.
- D. It will teach the client to differentiate when his or her suspicions are true.
Correct Answer: A
Rationale: Validating ideas with another person helps clients with paranoid personality disorder base decisions on reality, reducing impulsive actions.
Which disorder is characterized by pervasive mistrust and suspiciousness of others?
- A. Paranoid personality disorder
- B. Schizoid personality disorder
- C. Histrionic personality disorder
- D. Dependent personality disorder
Correct Answer: A
Rationale: Paranoid personality disorder is defined by pervasive mistrust and suspiciousness of others, distinguishing it from other personality disorders.