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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.
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The nurse is teaching a client with schizoid personality to function more comfortably with others in the community. Which nursing intervention would be effective to improve the client's social skills?
- A. Teach the client to make necessary requests in writing or over the phone.
- B. Accompany the client during initial interactions in the community.
- C. Suppress the display of any unusual behaviors in public.
- D. Assist in developing an explanation for bizarre behaviors to offer to others in the community.
Correct Answer: A
Rationale: Non-face-to-face communication, like writing or phone calls, reduces discomfort for clients with schizoid personality disorder.
Which techniques are important for nurses caring for clients with personality disorders to use in order to effectively provide care? Select all that apply.
- A. Discuss feelings of anger or frustration with colleagues to help them recognize and cope with their own feelings.
- B. Considering the client to be a personal friend.
- C. Employ ongoing communication with team members to remain firm and consistent about expectations for clients.
- D. Solving the problems of the client.
- E. Understanding that behavior changes in clients with personality disorders can occur quickly.
Correct Answer: A,C
Rationale: Discussing frustrations and maintaining team consistency are key to managing countertransference and preventing manipulation.
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.
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.
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.