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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.
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A client with dependent personality disorder has a goal to increase her problem-solving skills. Which client behavior would indicate progress toward meeting that goal?
- A. Asking questions
- B. Being polite
- C. Controlling emotional outbursts
- D. Requesting assistance appropriately
Correct Answer: A
Rationale: Asking questions demonstrates assertiveness and initiative, key steps in improving problem-solving for dependent clients.
What would the nurse expect to assess in a client with narcissistic personality disorder?
- A. Genuine concern for others
- B. Mistrust of others
- C. Grandiose and superior self-concept
- D. Dependence on others for decision making
Correct Answer: C
Rationale: Narcissistic personality disorder is marked by grandiosity and a sense of superiority, expecting special treatment.
Which thought process would cause a client with antisocial personality disorder to want to do everything for himself?
- A. Belief in his own self-worth
- B. Inability to delay gratification
- C. Rewards for competitive behavior
- D. Sense of mistrust of others
Correct Answer: D
Rationale: Antisocial personality disorder includes mistrust of others, leading clients to rely solely on themselves to meet their needs.
A nursing student appears to cooperate with the group but does not complete agreed upon tasks at the appropriate time repeatedly and then displays negativity. The nursing student may be showing signs of which personality disorder or behavior?
- A. Paranoid
- B. Borderline
- C. Narcissistic
- D. Passive-aggressive behavior
Correct Answer: D
Rationale: Passive-aggressive behavior involves superficial cooperation with underlying resistance and negativity, unlike the other disorders listed.
Of the following personality disorders, which are most likely related to lack of caring about others? Select all that apply.
- A. Schizotypal personality disorder
- B. Borderline personality disorder
- C. Antisocial personality disorder
- D. Narcissistic personality disorder
- E. Obsessive-compulsive personality disorder
Correct Answer: A,C,D
Rationale: Schizotypal, antisocial, and narcissistic personality disorders involve social deficits, disregard for others' rights, or lack of empathy, unlike borderline or obsessive-compulsive disorders.