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Which of the following is a psychosocial explanation for the development of personality disorders?
- A. Highly self-directed people reflect uncooperativeness and intolerance.
- B. Cooperative people become increasingly helpless over time.
- C. Failure to complete a developmental task kindizes future personality development.
- D. Self-transcendence contributes to self-consciousness and materialism.
Correct Answer: C
Rationale: Failure to complete developmental tasks can disrupt personality development, leading to maladaptive traits.
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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.
The nurse is talking to a client with schizoid personality disorder about finding a job. Which suggestion by the nurse would be most helpful?
- A. Being a loner really limits your employment opportunities.
- B. Maybe your friend could see if there is a night position available at the convenience store.
- C. Perhaps working part-time at a fast-food restaurant would be something you could do.
- D. There is a job posting at the hospital for a file clerk in medical records.
Correct Answer: D
Rationale: A low-interaction job like file clerk suits the client's preference for minimal interpersonal contact.
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.
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.
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.