Nokea
The nurse is teaching a client with schizoid personality to function more comfortably with others in the community. Which nursing intervention would be effective to improve the client's social skills?
- A. Teach the client to make necessary requests in writing or over the phone.
- B. Accompany the client during initial interactions in the community.
- C. Suppress the display of any unusual behaviors in public.
- D. Assist in developing an explanation for bizarre behaviors to offer to others in the community.
Correct Answer: A
Rationale: Non-face-to-face communication, like writing or phone calls, reduces discomfort for clients with schizoid personality disorder.
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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.
The nurse teaches an antisocial client to take a time-out in his room when challenged by another person instigating an argument. What is the main reason for the time-out?
- A. It allows time for the instigator to leave the area.
- B. It allows adequate space between the client and the instigating individual.
- C. It prevents the client from experiencing negative consequences of behavior.
- D. It allows an opportunity for the client to regain control of emotions.
Correct Answer: D
Rationale: A time-out provides a neutral space for the client to regain emotional control, reducing impulsive reactions.
Which techniques are important for nurses caring for clients with personality disorders to use in order to effectively provide care? Select all that apply.
- A. Discuss feelings of anger or frustration with colleagues to help them recognize and cope with their own feelings.
- B. Considering the client to be a personal friend.
- C. Employ ongoing communication with team members to remain firm and consistent about expectations for clients.
- D. Solving the problems of the client.
- E. Understanding that behavior changes in clients with personality disorders can occur quickly.
Correct Answer: A,C
Rationale: Discussing frustrations and maintaining team consistency are key to managing countertransference and preventing manipulation.
Which are important in the limit-setting technique to deal with manipulative behavior? Select all that apply.
- A. Stating the behavioral limit
- B. Identifying the consequences if the limit is exceeded
- C. Identifying the expected or desired behavior
- D. Providing choices
- E. Allowing flexibility
Correct Answer: A,B,C
Rationale: Limit-setting involves clearly defining unacceptable behavior, consequences, and expected behavior to manage manipulation effectively.