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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.
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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.
Which of the following is a realistic outcome for the care of a person with a personality disorder?
- A. Outcomes that focus on satisfaction with daily life
- B. Outcomes that focus on the client's perception of others
- C. Outcomes that focus on increased client insight
- D. Outcomes that focus on change in behavior
Correct Answer: D
Rationale: Behavioral change is a realistic and primary focus for treatment, as insight or perception changes are less achievable.
Which nursing interventions are most important in a plan of care for a client with histrionic personality disorder? Select all that apply.
- A. Teach social skills.
- B. Assist the client to eliminate passive behavior.
- C. Provide factual feedback about behavior.
- D. Try to meet the client's needs for attention.
- E. Acceptance of the behavior.
Correct Answer: A,C
Rationale: Teaching social skills and providing factual feedback address attention-seeking behaviors without reinforcing them.
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.