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Which challenges are posed when working with clients with personality disorders? Select all that apply.
- A. Clients with personality disorders are obviously unable to function more effectively.
- B. It can take a long time to change their behaviors, attitudes, or coping skills.
- C. The nurse can easily but mistakenly believe the client simply lacks motivation or the willingness to make changes.
- D. Clients with personality disorders challenge the ability of therapeutic staff to work as a team.
- E. Team members may have differing opinions about individual clients.
Correct Answer: B,C,D,E
Rationale: Long-term change, perceived lack of motivation, and team dynamics are significant challenges in treating personality disorders.
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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.
Which would most likely be a type of behavior that would be manifested by a client with histrionic personality disorder?
- A. Insisting that others follow the rules of the times
- B. Wondering why others are being friendly to her
- C. Having a tantrum if not getting enough attention
- D. Getting others to make decisions for her
Correct Answer: C
Rationale: Histrionic personality disorder is characterized by excessive emotionality and attention-seeking, such as throwing tantrums when not receiving attention.
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.
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 are important in the limit-setting technique to deal with manipulative behavior? Select all that apply.
- A. Stating the behavioral limit
- B. Identifying the consequences if the limit is exceeded
- C. Identifying the expected or desired behavior
- D. Providing choices
- E. Allowing flexibility
Correct Answer: A,B,C
Rationale: Limit-setting involves clearly defining unacceptable behavior, consequences, and expected behavior to manage manipulation effectively.