When planning care for a client with passive-aggressive personality disorder, the nurse will need to include interventions for which behavior?
- A. Avoidance of anxiety-provoking situations
- B. Compulsive needs for perfection and praise
- C. Dependence on others for decisions
- D. Procrastination and subtle resistance
Correct Answer: D
Rationale: Passive-aggressive behavior is characterized by procrastination and subtle resistance, requiring targeted interventions.
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Of the following personality disorders, which are most likely related to lack of caring about others? Select all that apply.
- A. Schizotypal personality disorder
- B. Borderline personality disorder
- C. Antisocial personality disorder
- D. Narcissistic personality disorder
- E. Obsessive-compulsive personality disorder
Correct Answer: A,C,D
Rationale: Schizotypal, antisocial, and narcissistic personality disorders involve social deficits, disregard for others' rights, or lack of empathy, unlike borderline or obsessive-compulsive disorders.
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 is the main reason why the periodic team meetings are important when caring for a client with antisocial personality?
- A. The team needs to consider updating treatment recommendations as the client improves.
- B. Rotating team members need to be apprised of the care planned for the client.
- C. Staff frustrations in caring for the client need to be processed.
- D. Team consistency is important to prevent manipulation by the client.
Correct Answer: D
Rationale: Consistency in team approach prevents manipulation, as clients with antisocial personality disorder exploit inconsistencies.
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.
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