Nokea
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.
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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.
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 person with temperament traits of high harm avoidance would most likely suffer from which personality disorder?
- A. Schizoid
- B. Avoidant
- C. Narcissistic
- D. Antisocial
Correct Answer: B
Rationale: High harm avoidance, characterized by fear and shyness, aligns with avoidant personality disorder's anxious and fearful presentation.
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.
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.