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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.
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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.
When establishing a relationship with a client who has borderline personality disorder, which is most important for the nurse to do?
- A. Aggressively confront the client about boundary violations.
- B. Limit interactions to 10 minutes.
- C. Respect the client's boundaries.
- D. Tell the client the relationship is professional.
Correct Answer: C
Rationale: Respecting the client's boundaries helps model and teach appropriate boundary-setting for those with borderline personality disorder.
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 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.
A client with dependent personality disorder has a goal to increase her problem-solving skills. Which client behavior would indicate progress toward meeting that goal?
- A. Asking questions
- B. Being polite
- C. Controlling emotional outbursts
- D. Requesting assistance appropriately
Correct Answer: A
Rationale: Asking questions demonstrates assertiveness and initiative, key steps in improving problem-solving for dependent clients.