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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.
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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.
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.
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 term describes the extent to which a person considers himself to be an integral part of the universe?
- A. Cooperativeness
- B. Self-directedness
- C. Self-transcendence
- D. Character
Correct Answer: C
Rationale: Self-transcendence refers to viewing oneself as part of the universe, distinct from cooperativeness, self-directedness, or general character.
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.