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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.
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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.
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.
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.
Upon admission, a client with a personality disorder identified the following as areas of concern for which the client would like help. According to studies, which will most likely be addressed by the health-care team?
- A. Self-care
- B. Sexual expression
- C. Budgeting
- D. Psychological distress
Correct Answer: D
Rationale: Health-care teams typically prioritize psychological distress in personality disorders, as it underlies many functional impairments.
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.