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The nurse is talking to a client with schizoid personality disorder about finding a job. Which suggestion by the nurse would be most helpful?
- A. Being a loner really limits your employment opportunities.
- B. Maybe your friend could see if there is a night position available at the convenience store.
- C. Perhaps working part-time at a fast-food restaurant would be something you could do.
- D. There is a job posting at the hospital for a file clerk in medical records.
Correct Answer: D
Rationale: A low-interaction job like file clerk suits the client's preference for minimal interpersonal contact.
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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.
A nurse is teaching a client with borderline personality disorder to reshape thinking patterns. Which is an example of a cognitive restructuring technique that would be helpful for this client?
- A. When negative thoughts begin, tell yourself â??stop.'
- B. Learn to look at situations realistically rather than assuming the worst.
- C. Recognize negative thoughts and replace them with positive ones.
- D. Express needs using â??I' statements.
Correct Answer: C
Rationale: Cognitive restructuring involves identifying and replacing negative thoughts with positive ones to alter maladaptive thinking patterns.
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.
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.
A client with borderline personality disorder says to the nurse, 'I feel so comfortable talking with you. You seem to have a special way about you that really helps me.' Which would be the most appropriate response by the nurse?
- A. I'm glad you feel comfortable with me.
- B. I'm here to help you just as all the staff are.
- C. Do you feel others don't understand you?
- D. I cannot be your friend; we need to be clear on that.
Correct Answer: B
Rationale: This response reinforces the professional role of the nurse, maintaining boundaries with a client prone to idealization.