Nokea
Which nursing interventions are most important in a plan of care for a client with histrionic personality disorder? Select all that apply.
- A. Teach social skills.
- B. Assist the client to eliminate passive behavior.
- C. Provide factual feedback about behavior.
- D. Try to meet the client's needs for attention.
- E. Acceptance of the behavior.
Correct Answer: A,C
Rationale: Teaching social skills and providing factual feedback address attention-seeking behaviors without reinforcing them.
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A client with borderline personality disorder says to the nurse, 'I feel so comfortable talking with you. You seem to have a special way about you that really helps me.' Which would be the most appropriate response by the nurse?
- A. I'm glad you feel comfortable with me.
- B. I'm here to help you just as all the staff are.
- C. Do you feel others don't understand you?
- D. I cannot be your friend; we need to be clear on that.
Correct Answer: B
Rationale: This response reinforces the professional role of the nurse, maintaining boundaries with a client prone to idealization.
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 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.
The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action on them. Which is the best rationale for this intervention?
- A. It will assist the client to start basing decisions and actions on reality.
- B. It will help the client understand the origins of his or her paranoid thinking.
- C. It will help the client learn to trust other people.
- D. It will teach the client to differentiate when his or her suspicions are true.
Correct Answer: A
Rationale: Validating ideas with another person helps clients with paranoid personality disorder base decisions on reality, reducing impulsive actions.