Nokea
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.
You may also like to solve these questions
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.
Upon admission, a client with a personality disorder identified the following as areas of concern for which the client would like help. According to studies, which will most likely be addressed by the health-care team?
- A. Self-care
- B. Sexual expression
- C. Budgeting
- D. Psychological distress
Correct Answer: D
Rationale: Health-care teams typically prioritize psychological distress in personality disorders, as it underlies many functional impairments.
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.
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.
The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. The nurse should use a matter-of-fact approach with clients with which types of personality disorders? Select all that apply.
- A. Paranoid
- B. Antisocial
- C. Schizotypal
- D. Narcissistic
- E. Avoidant
Correct Answer: A,B,D
Rationale: A matter-of-fact approach with limit setting is effective for paranoid, antisocial, and narcissistic personalities to maintain boundaries.