Nokea
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.
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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.
Which disorder is characterized by pervasive mistrust and suspiciousness of others?
- A. Paranoid personality disorder
- B. Schizoid personality disorder
- C. Histrionic personality disorder
- D. Dependent personality disorder
Correct Answer: A
Rationale: Paranoid personality disorder is defined by pervasive mistrust and suspiciousness of others, distinguishing it from other personality disorders.
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.
A client with antisocial personality disorder is begging to use the phone to call his wife, even though it is against the unit rules. The client begs, 'It is just this once, and she will be so hurt if I don't call her.' Which would be the most appropriate response by the nurse?
- A. Only to help your wife, you can call this time.
- B. I will get in trouble with my supervisor if I let you call.
- C. You may not use the phone to call your wife.
- D. You cannot call because you need to focus on your recovery while you are here, not your wife.
Correct Answer: C
Rationale: A firm, matter-of-fact refusal prevents manipulation without engaging in arguments or justifications.
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.