Question 1

A client is admitted with behavior consistent with borderline personality disorder. Which of the following interventions should the nurse anticipate for this client?

Accepted Answer

A)Dialectical behavior therapy (DBT)is a cognitive and behavioral therapy used in the treatment of borderline personality disorder. DBT has been shown to decrease suicidal behavior, hospitalization, and treatment dropout while improving interpersonal functioning and anger management. This is the intervention most likely to be used with this client. Exercise therapy and occupational therapy are not known to improve borderline personality disorder. Vitamin B₁₂ injections might be indicated if the client demonstrates depressive episodes. B)Dialectical behavior therapy (DBT)is a cognitive and behavioral therapy used in the treatment of borderline personality disorder. DBT has been shown to decrease suicidal behavior, hospitalization, and treatment dropout while improving interpersonal functioning and anger management. This is the intervention most likely to be used with this client. Exercise therapy and occupational therapy are not known to improve borderline personality disorder. Vitamin B₁₂ injections might be indicated if the client demonstrates depressive episodes. C)Dialectical behavior therapy (DBT)is a cognitive and behavioral therapy used in the treatment of borderline personality disorder. DBT has been shown to decrease suicidal behavior, hospitalization, and treatment dropout while improving interpersonal functioning and anger management. This is the intervention most likely to be used with this client. Exercise therapy and occupational therapy are not known to improve borderline personality disorder. Vitamin B₁₂ injections might be indicated if the client demonstrates depressive episodes. D)Dialectical behavior therapy (DBT)is a cognitive and behavioral therapy used in the treatment of borderline personality disorder. DBT has been shown to decrease suicidal behavior, hospitalization, and treatment dropout while improving interpersonal functioning and anger management. This is the intervention most likely to be used with this client. Exercise therapy and occupational therapy are not known to improve borderline personality disorder. Vitamin B₁₂ injections might be indicated if the client demonstrates depressive episodes.

Question 2

Why is the presence of dental caries and enamel erosion more suggestive of bulimia nervosa than of anorexia nervosa?

Accepted Answer

A)Bulimia nervosa involves purging behaviors, whereas anorexia nervosa does not. Many clients with bulimia purge by inducing vomiting. Because the stomach contents are highly acidic, frequent vomiting can lead to enamel erosion and tooth decay. Both clients with bulimia and clients with anorexia experience nutritional deficiencies. Although clients with bulimia are more likely to consume sugar, this is not the primary cause of the tooth damage frequently associated with this disorder. Laxative use does not cause tooth decay.
B)Bulimia nervosa involves purging behaviors, whereas anorexia nervosa does not. Many clients with bulimia purge by inducing vomiting. Because the stomach contents are highly acidic, frequent vomiting can lead to enamel erosion and tooth decay. Both clients with bulimia and clients with anorexia experience nutritional deficiencies. Although clients with bulimia are more likely to consume sugar, this is not the primary cause of the tooth damage frequently associated with this disorder. Laxative use does not cause tooth decay.
C)Bulimia nervosa involves purging behaviors, whereas anorexia nervosa does not. Many clients with bulimia purge by inducing vomiting. Because the stomach contents are highly acidic, frequent vomiting can lead to enamel erosion and tooth decay. Both clients with bulimia and clients with anorexia experience nutritional deficiencies. Although clients with bulimia are more likely to consume sugar, this is not the primary cause of the tooth damage frequently associated with this disorder. Laxative use does not cause tooth decay.
D)Bulimia nervosa involves purging behaviors, whereas anorexia nervosa does not. Many clients with bulimia purge by inducing vomiting. Because the stomach contents are highly acidic, frequent vomiting can lead to enamel erosion and tooth decay. Both clients with bulimia and clients with anorexia experience nutritional deficiencies. Although clients with bulimia are more likely to consume sugar, this is not the primary cause of the tooth damage frequently associated with this disorder. Laxative use does not cause tooth decay.

Question 3

A client who was admitted for treatment of a personality disorder is observed pulling another client's hair and pushing clients out of their chairs. What is the priority nursing intervention for this client?

Accepted Answer

A)Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of personality disorders, it may be difficult to form a therapeutic nurse-client relationship, so this should not be the nurse's main focus at this time. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.
B)Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of personality disorders, it may be difficult to form a therapeutic nurse-client relationship, so this should not be the nurse's main focus at this time. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.
C)Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of personality disorders, it may be difficult to form a therapeutic nurse-client relationship, so this should not be the nurse's main focus at this time. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.
D)Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of personality disorders, it may be difficult to form a therapeutic nurse-client relationship, so this should not be the nurse's main focus at this time. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.

Question 4

A client who has been diagnosed with a personality disorder tells the nurse, "Sometimes I daydream that I go home and kill my family." Which of the following is the priority nursing diagnosis for this client?

Accepted Answer

A)A client who has been diagnosed with a personality disorder and admits to daydreaming about killing his family is at risk for violence toward others. To protect the client and family, the priority nursing diagnosis should be Risk for Other-Directed Violence. Dysfunctional Family Processes, Deficient Knowledge, and Ineffective Coping may also be appropriate nursing diagnoses, but the nurse's first priority should be to address the client's risk for violence toward others.
B)A client who has been diagnosed with a personality disorder and admits to daydreaming about killing his family is at risk for violence toward others. To protect the client and family, the priority nursing diagnosis should be Risk for Other-Directed Violence. Dysfunctional Family Processes, Deficient Knowledge, and Ineffective Coping may also be appropriate nursing diagnoses, but the nurse's first priority should be to address the client's risk for violence toward others.
C)A client who has been diagnosed with a personality disorder and admits to daydreaming about killing his family is at risk for violence toward others. To protect the client and family, the priority nursing diagnosis should be Risk for Other-Directed Violence. Dysfunctional Family Processes, Deficient Knowledge, and Ineffective Coping may also be appropriate nursing diagnoses, but the nurse's first priority should be to address the client's risk for violence toward others.
D)A client who has been diagnosed with a personality disorder and admits to daydreaming about killing his family is at risk for violence toward others. To protect the client and family, the priority nursing diagnosis should be Risk for Other-Directed Violence. Dysfunctional Family Processes, Deficient Knowledge, and Ineffective Coping may also be appropriate nursing diagnoses, but the nurse's first priority should be to address the client's risk for violence toward others.

Question 5

A nurse working on the behavioral health unit is developing a plan of care for a client. The client does not interact with others, refuses to attend group sessions, and has a history of throwing things at other clients. Which of the following is the priority nursing diagnosis for this client?

Accepted Answer

A)Risk for Other-Directed Violence would be the priority nursing diagnosis, because ensuring the safety of others is imperative. Although the other diagnoses may also be appropriate, they are not the priority.
B)Risk for Other-Directed Violence would be the priority nursing diagnosis, because ensuring the safety of others is imperative. Although the other diagnoses may also be appropriate, they are not the priority.
C)Risk for Other-Directed Violence would be the priority nursing diagnosis, because ensuring the safety of others is imperative. Although the other diagnoses may also be appropriate, they are not the priority.
D)Risk for Other-Directed Violence would be the priority nursing diagnosis, because ensuring the safety of others is imperative. Although the other diagnoses may also be appropriate, they are not the priority.

Question 6

Which of the following manifestations would the nurse least likely observe in a client with a Cluster B personality disorder?

Accepted Answer

A)Clients with Cluster A traits, which include paranoid, schizoid, and schizotypal personality disorders, may appear odd or eccentric. Clients with Cluster B traits, which include antisocial, borderline, histrionic, and narcissistic personality disorders, may display dramatic, emotional, and erratic behaviors. Finally, clients with Cluster C traits, which include avoidant, dependent, and obsessive-compulsive personality disorders, may appear as anxious or fearful. Thus, extreme fearfulness would be more likely observed in clients with Cluster C disorders than in clients with Cluster B disorders.
B)Clients with Cluster A traits, which include paranoid, schizoid, and schizotypal personality disorders, may appear odd or eccentric. Clients with Cluster B traits, which include antisocial, borderline, histrionic, and narcissistic personality disorders, may display dramatic, emotional, and erratic behaviors. Finally, clients with Cluster C traits, which include avoidant, dependent, and obsessive-disorder personality disorders, may appear as anxious or fearful. Thus, extreme fearfulness would be more likely observed in clients with Cluster C disorders than in clients with Cluster B disorders.
C)Clients with Cluster A traits, which include paranoid, schizoid, and schizotypal personality disorders, may appear odd or eccentric. Clients with Cluster B traits, which include antisocial, borderline, histrionic, and narcissistic personality disorders, may display dramatic, emotional, and erratic behaviors. Finally, clients with Cluster C traits, which include avoidant, dependent, and obsessive-disorder personality disorders, may appear as anxious or fearful. Thus, extreme fearfulness would be more likely observed in clients with Cluster C disorders than in clients with Cluster B disorders.
D)Clients with Cluster A traits, which include paranoid, schizoid, and schizotypal personality disorders, may appear odd or eccentric. Clients with Cluster B traits, which include antisocial, borderline, histrionic, and narcissistic personality disorders, may display dramatic, emotional, and erratic behaviors. Finally, clients with Cluster C traits, which include avoidant, dependent, and obsessive-disorder personality disorders, may appear as anxious or fearful. Thus, extreme fearfulness would be more likely observed in clients with Cluster C disorders than in clients with Cluster B disorders.

Question 7

A nurse is caring for a pregnant client who has a history of bulimia nervosa. Which of the following statements should the nurse include when counseling this client about the potential effects of pregnancy on eating disorder?

Accepted Answer

A)The nurse would be correct in stating that women with a history of eating disorders are at risk for new or renewed onset of binge eating during pregnancy. Research has found that pregnancy poses a risk for the onset of binge eating disorder (BED)in vulnerable individuals, occurring in nearly 1 in every 20 women. The rest of these statements are not accurate. A substantial proportion of women who have prepregnancy eating disorders continue to engage in disordered eating while pregnant; a history of eating disorders does not appear to increase the likelihood of pica during pregnancy; and disordered eating during pregnancy can result in negative fetal outcomes, such as low birth weight.
B)The nurse would be correct in stating that women with a history of eating disorders are at risk for new or renewed onset of binge eating during pregnancy. Research has found that pregnancy poses a risk for the onset of binge eating disorder (BED)in vulnerable individuals, occurring in nearly 1 in every 20 women. The rest of these statements are not accurate. A substantial proportion of women who have prepregnancy eating disorders continue to engage in disordered eating while pregnant; a history of eating disorders does not appear to increase the likelihood of pica during pregnancy; and disordered eating during pregnancy can result in negative fetal outcomes, such as low birth weight.
C)The nurse would be correct in stating that women with a history of eating disorders are at risk for new or renewed onset of binge eating during pregnancy. Research has found that pregnancy poses a risk for the onset of binge eating disorder (BED)in vulnerable individuals, occurring in nearly 1 in every 20 women. The rest of these statements are not accurate. A substantial proportion of women who have prepregnancy eating disorders continue to engage in disordered eating while pregnant; a history of eating disorders does not appear to increase the likelihood of pica during pregnancy; and disordered eating during pregnancy can result in negative fetal outcomes, such as low birth weight.
D)The nurse would be correct in stating that women with a history of eating disorders are at risk for new or renewed onset of binge eating during pregnancy. Research has found that pregnancy poses a risk for the onset of binge eating disorder (BED)in vulnerable individuals, occurring in nearly 1 in every 20 women. The rest of these statements are not accurate. A substantial proportion of women who have prepregnancy eating disorders continue to engage in disordered eating while pregnant; a history of eating disorders does not appear to increase the likelihood of pica during pregnancy; and disordered eating during pregnancy can result in negative fetal outcomes, such as low birth weight.

Question 8

An experienced nurse is teaching a student nurse about personality disorders in the older adult population. Which of the following statements by the student nurse would indicate a need for further education?

Accepted Answer

A)In some individuals, antisocial and borderline personality disorders become less evident or remit with age; thus, the student nurse's statement about antisocial personality disorder indicates a need for further education. All of the other statements are correct.
B)In some individuals, antisocial and borderline personality disorders become less evident or remit with age; thus, the student nurse's statement about antisocial personality disorder indicates a need for further education. All of the other statements are correct.
C)In some individuals, antisocial and borderline personality disorders become less evident or remit with age; thus, the student nurse's statement about antisocial personality disorder indicates a need for further education. All of the other statements are correct.
D)In some individuals, antisocial and borderline personality disorders become less evident or remit with age; thus, the student nurse's statement about antisocial personality disorder indicates a need for further education. All of the other statements are correct.

Question 9

An adolescent client tells the nurse that she plans to fight recent charges of shoplifting because she was just taking what was rightfully hers. Which trait associated with personality disorders is this client exhibiting?

Accepted Answer

A)Clinical manifestations commonly seen in individuals with personality disorders include narcissism, manipulation, and impulsiveness. A client who states that she was only taking what was rightfully hers is demonstrating narcissism, which is the belief that one is the superior to others and therefore entitled to certain things. Manipulation is controlling behavior that exploits others for personal gain. Although this client may engage in manipulative behavior, she is not demonstrating manipulation in this statement. The client may be lying to the nurse, but lying is not a key trait associated with personality disorders. The client's statement does not indicate projection, nor is projection a common characteristic in individuals with personality disorders.
B)Clinical manifestations commonly seen in individuals with personality disorders include narcissism, manipulation, and impulsiveness. A client who states that she was only taking what was rightfully hers is demonstrating narcissism, which is the belief that one is the superior to others and therefore entitled to certain things. Manipulation is controlling behavior that exploits others for personal gain. Although this client may engage in manipulative behavior, she is not demonstrating manipulation in this statement. The client may be lying to the nurse, but lying is not a key trait associated with personality disorders. The client's statement does not indicate projection, nor is projection a common characteristic in individuals with personality disorders.
C)Clinical manifestations commonly seen in individuals with personality disorders include narcissism, manipulation, and impulsiveness. A client who states that she was only taking what was rightfully hers is demonstrating narcissism, which is the belief that one is the superior to others and therefore entitled to certain things. Manipulation is controlling behavior that exploits others for personal gain. Although this client may engage in manipulative behavior, she is not demonstrating manipulation in this statement. The client may be lying to the nurse, but lying is not a key trait associated with personality disorders. The client's statement does not indicate projection, nor is projection a common characteristic in individuals with personality disorders.
D)Clinical manifestations commonly seen in individuals with personality disorders include narcissism, manipulation, and impulsiveness. A client who states that she was only taking what was rightfully hers is demonstrating narcissism, which is the belief that one is the superior to others and therefore entitled to certain things. Manipulation is controlling behavior that exploits others for personal gain. Although this client may engage in manipulative behavior, she is not demonstrating manipulation in this statement. The client may be lying to the nurse, but lying is not a key trait associated with personality disorders. The client's statement does not indicate projection, nor is projection a common characteristic in individuals with personality disorders.

Question 10

The nurse is planning care for a client who has been diagnosed with antisocial personality disorder. Which goals address the client's antisocial behavior? Select all that apply.

Accepted Answer

A)This client is demonstrating antisocial behavior. Goals that address antisocial behavior are for the client to interact socially with others and to share meals in the community dining area. The other goals would not specifically measure the effectiveness of interventions to address the client's antisocial behavior.
B)This client is demonstrating antisocial behavior. Goals that address antisocial behavior are for the client to interact socially with others and to share meals in the community dining area. The other goals would not specifically measure the effectiveness of interventions to address the client's antisocial behavior.
C)This client is demonstrating antisocial behavior. Goals that address antisocial behavior are for the client to interact socially with others and to share meals in the community dining area. The other goals would not specifically measure the effectiveness of interventions to address the client's antisocial behavior.
D)This client is demonstrating antisocial behavior. Goals that address antisocial behavior are for the client to interact socially with others and to share meals in the community dining area. The other goals would not specifically measure the effectiveness of interventions to address the client's antisocial behavior.
E)This client is demonstrating antisocial behavior. Goals that address antisocial behavior are for the client to interact socially with others and to share meals in the community dining area. The other goals would not specifically measure the effectiveness of interventions to address the client's antisocial behavior.

Question 11

A college student tells the nurse about being "out of control" with eating. The client states, "I am trying to keep my weight down so my mom doesn't call me fat. Usually, I make myself throw up after eating." Based on this data, the nurse should plan on providing care for which of the following disorders?

Accepted Answer

A)In bulimia nervosa, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating disorder is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with binge-eating disorder. In purging disorder, purging is done without the ingestion of food beforehand.
B)In bulimia nervosa, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating disorder is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with binge-eating disorder. In purging disorder, purging is done without the ingestion of food beforehand.
C)In bulimia nervosa, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating disorder is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with binge-eating disorder. In purging disorder, purging is done without the ingestion of food beforehand.
D)In bulimia nervosa, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating disorder is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with binge-eating disorder. In purging disorder, purging is done without the ingestion of food beforehand.

Question 12

An experienced nurse practitioner is teaching a student nurse about feeding and eating disorders in the pediatric population. Which of the following statements from the student nurse indicates that more education is necessary?

Accepted Answer

A)ARFID is the most significant eating disorder diagnosis among children. The ARFID diagnosis eliminates picky eaters by identifying only those children with clinically significant restrictive eating problems that result in persistent failure to meet the child's nutritional and/or energy needs. In recent years, higher rates of eating disorders have been observed in younger children, boys, and minority groups than in years past. Still, eating disorders remain underdiagnosed in the pediatric population. Thus, the nurse's statement that eating disorders are overdiagnosed in children indicates the need for further education.
B)ARFID is the most significant eating disorder diagnosis among children. The ARFID diagnosis eliminates picky eaters by identifying only those children with clinically significant restrictive eating problems that result in persistent failure to meet the child's nutritional and/or energy needs. In recent years, higher rates of eating disorders have been observed in younger children, boys, and minority groups than in years past. Still, eating disorders remain underdiagnosed in the pediatric population. Thus, the nurse's statement that eating disorders are overdiagnosed in children indicates the need for further education.
C)ARFID is the most significant eating disorder diagnosis among children. The ARFID diagnosis eliminates picky eaters by identifying only those children with clinically significant restrictive eating problems that result in persistent failure to meet the child's nutritional and/or energy needs. In recent years, higher rates of eating disorders have been observed in younger children, boys, and minority groups than in years past. Still, eating disorders remain underdiagnosed in the pediatric population. Thus, the nurse's statement that eating disorders are overdiagnosed in children indicates the need for further education.
D)ARFID is the most significant eating disorder diagnosis among children. The ARFID diagnosis eliminates picky eaters by identifying only those children with clinically significant restrictive eating problems that result in persistent failure to meet the child's nutritional and/or energy needs. In recent years, higher rates of eating disorders have been observed in younger children, boys, and minority groups than in years past. Still, eating disorders remain underdiagnosed in the pediatric population. Thus, the nurse's statement that eating disorders are overdiagnosed in children indicates the need for further education.

Question 13

The nurse is providing care to a client who has been diagnosed with a personality disorder. Which treatment options should the nurse anticipate for this client? Select all that apply.

Accepted Answer

A)For a client who has been diagnosed with a personality disorder, the nurse would anticipate antipsychotic medication, antidepressant medication, and cognitive-behavioral therapy. Nutritional counseling and a weight management program would be more appropriate for a client with an eating disorder.
B)For a client who has been diagnosed with a personality disorder, the nurse would anticipate antipsychotic medication, antidepressant medication, and cognitive-behavioral therapy. Nutritional counseling and a weight management program would be more appropriate for a client with an eating disorder.
C)For a client who has been diagnosed with a personality disorder, the nurse would anticipate antipsychotic medication, antidepressant medication, and cognitive-behavioral therapy. Nutritional counseling and a weight management program would be more appropriate for a client with an eating disorder.
D)For a client who has been diagnosed with a personality disorder, the nurse would anticipate antipsychotic medication, antidepressant medication, and cognitive-behavioral therapy. Nutritional counseling and a weight management program would be more appropriate for a client with an eating disorder.
E)For a client who has been diagnosed with a personality disorder, the nurse would anticipate antipsychotic medication, antidepressant medication, and cognitive-behavioral therapy. Nutritional counseling and a weight management program would be more appropriate for a client with an eating disorder.

Question 14

Which of the following personality disorders is characterized by an inability to trust others; a rigid worldview that often conspiratorial in nature; and the belief that other people's actions are based on ulterior motives?

Accepted Answer

A)Individuals with paranoid personality disorder (PPD)tend to demonstrate an inability to trust others. Actions and intentions of others are perceived as having an underlying theme of malevolence. From the suspicious, mistrusting vantage point of the individual with PPD, others are viewed as being deceptive and disloyal. Individuals with PPD often maintain rigid, inflexible worldviews and will reject logic or proof that contradicts their beliefs. Hypervigilance combined with certainty that others' actions are prompted by hidden motives can lead to isolation.
B)Individuals with paranoid personality disorder (PPD)tend to demonstrate an inability to trust others. Actions and intentions of others are perceived as having an underlying theme of malevolence. From the suspicious, mistrusting vantage point of the individual with PPD, others are viewed as being deceptive and disloyal. Individuals with PPD often maintain rigid, inflexible worldviews and will reject logic or proof that contradicts their beliefs. Hypervigilance combined with certainty that others' actions are prompted by hidden motives can lead to isolation.
C)Individuals with paranoid personality disorder (PPD)tend to demonstrate an inability to trust others. Actions and intentions of others are perceived as having an underlying theme of malevolence. From the suspicious, mistrusting vantage point of the individual with PPD, others are viewed as being deceptive and disloyal. Individuals with PPD often maintain rigid, inflexible worldviews and will reject logic or proof that contradicts their beliefs. Hypervigilance combined with certainty that others' actions are prompted by hidden motives can lead to isolation.
D)Individuals with paranoid personality disorder (PPD)tend to demonstrate an inability to trust others. Actions and intentions of others are perceived as having an underlying theme of malevolence. From the suspicious, mistrusting vantage point of the individual with PPD, others are viewed as being deceptive and disloyal. Individuals with PPD often maintain rigid, inflexible worldviews and will reject logic or proof that contradicts their beliefs. Hypervigilance combined with certainty that others' actions are prompted by hidden motives can lead to isolation.

Question 15

A nurse working on the behavioral health unit is caring for a client with histrionic personality disorder. Which types of behaviors should the nurse anticipate when assessing this client? Select all that apply.

Accepted Answer

A)Clients with histrionic personality disorder tend to be flamboyant and dramatic, and they seek to be the center of attention. Competitiveness, arrogance, and manipulative behaviors are more commonly associated with narcissistic personality disorder.
B)Clients with histrionic personality disorder tend to be flamboyant and dramatic, and they seek to be the center of attention. Competitiveness, arrogance, and manipulative behaviors are more commonly associated with narcissistic personality disorder.
C)Clients with histrionic personality disorder tend to be flamboyant and dramatic, and they seek to be the center of attention. Competitiveness, arrogance, and manipulative behaviors are more commonly associated with narcissistic personality disorder.
D)Clients with histrionic personality disorder tend to be flamboyant and dramatic, and they seek to be the center of attention. Competitiveness, arrogance, and manipulative behaviors are more commonly associated with narcissistic personality disorder.
E)Clients with histrionic personality disorder tend to be flamboyant and dramatic, and they seek to be the center of attention. Competitiveness, arrogance, and manipulative behaviors are more commonly associated with narcissistic personality disorder.

Question 16

A client tells the nurse, "My mother spent many years in a mental institution, and my father would abuse me when my mother was not around." Based on this information, the client is at greatest risk for developing which of the following conditions?

Accepted Answer

A)Risk factors for the development of personality disorders include a family history of mental illness, a history of abuse, instability in family life, and a personal history of other mental illnesses. The client's statement mentions several of these risk factors. Based on the information presented, this client is not necessarily at high risk for an eating disorder, poor relationships with individuals of the opposite sex, or substance abuse.
B)Risk factors for the development of personality disorders include a family history of mental illness, a history of abuse, instability in family life, and a personal history of other mental illnesses. The client's statement mentions several of these risk factors. Based on the information presented, this client is not necessarily at high risk for an eating disorder, poor relationships with individuals of the opposite sex, or substance abuse.
C)Risk factors for the development of personality disorders include a family history of mental illness, a history of abuse, instability in family life, and a personal history of other mental illnesses. The client's statement mentions several of these risk factors. Based on the information presented, this client is not necessarily at high risk for an eating disorder, poor relationships with individuals of the opposite sex, or substance abuse.
D)Risk factors for the development of personality disorders include a family history of mental illness, a history of abuse, instability in family life, and a personal history of other mental illnesses. The client's statement mentions several of these risk factors. Based on the information presented, this client is not necessarily at high risk for an eating disorder, poor relationships with individuals of the opposite sex, or substance abuse.

Question 17

The parents of an adolescent client tell the nurse that their daughter is very shy, exhibits intense anxiety about new people and situations, and tends to internalize negative comments from her peers. They ask the nurse whether they should be concerned about this behavior. What is the nurse's best response?

Accepted Answer

A)All of the behaviors described here are associated with avoidant personality disorder, which cannot be accurately diagnosed until a client has reached adulthood. Some individuals who are later diagnosed with Cluster C personality disorders (avoidant personality disorder and dependent personality disorder)will become increasingly shy during adolescence and early adulthood and avoid developing the social relationships characteristic of that developmental stage. However, these behaviors may actually be developmentally appropriate, so the nurse should not prematurely or inappropriately suggest that the client has a Cluster C disorder.
B)All of the behaviors described here are associated with avoidant personality disorder, which cannot be accurately diagnosed until a client has reached adulthood. Some individuals who are later diagnosed with Cluster C personality disorders (avoidant personality disorder and dependent personality disorder)will become increasingly shy during adolescence and early adulthood and avoid developing the social relationships characteristic of that developmental stage. However, these behaviors may actually be developmentally appropriate, so the nurse should not prematurely or inappropriately suggest that the client has a Cluster C disorder.
C)All of the behaviors described here are associated with avoidant personality disorder, which cannot be accurately diagnosed until a client has reached adulthood. Some individuals who are later diagnosed with Cluster C personality disorders (avoidant personality disorder and dependent personality disorder)will become increasingly shy during adolescence and early adulthood and avoid developing the social relationships characteristic of that developmental stage. However, these behaviors may actually be developmentally appropriate, so the nurse should not prematurely or inappropriately suggest that the client has a Cluster C disorder.
D)All of the behaviors described here are associated with avoidant personality disorder, which cannot be accurately diagnosed until a client has reached adulthood. Some individuals who are later diagnosed with Cluster C personality disorders (avoidant personality disorder and dependent personality disorder)will become increasingly shy during adolescence and early adulthood and avoid developing the social relationships characteristic of that developmental stage. However, these behaviors may actually be developmentally appropriate, so the nurse should not prematurely or inappropriately suggest that the client has a Cluster C disorder.

Question 18

The nurse is providing care to a client who has been diagnosed with a personality disorder. Which finding indicates that the treatment plan has been beneficial for this client?

Accepted Answer

A)For clients with personality disorders, improvement will be achieved slowly. The client who is observed sitting with others in the lounge area conversing about current affairs is showing indications that treatment has been beneficial. The other observed behaviors would all indicate that treatment needs to be continued.
B)For clients with personality disorders, improvement will be achieved slowly. The client who is observed sitting with others in the lounge area conversing about current affairs is showing indications that treatment has been beneficial. The other observed behaviors would all indicate that treatment needs to be continued.
C)For clients with personality disorders, improvement will be achieved slowly. The client who is observed sitting with others in the lounge area conversing about current affairs is showing indications that treatment has been beneficial. The other observed behaviors would all indicate that treatment needs to be continued.
D)For clients with personality disorders, improvement will be achieved slowly. The client who is observed sitting with others in the lounge area conversing about current affairs is showing indications that treatment has been beneficial. The other observed behaviors would all indicate that treatment needs to be continued.

Question 19

In an adult client, the presence of lanugo and dry, brittle nails is suggestive of which of the following conditions?

Accepted Answer

A)On physical assessment, patients with anorexia nervosa will appear emaciated. Their skin may be dry and covered by a fine layer of hair called lanugo, and their nails will appear to be dry and brittle. Although lanugo is a normal finding in newborn clients, it is nearly always associated with anorexia nervosa in adults.
B)On physical assessment, patients with anorexia nervosa will appear emaciated. Their skin may be dry and covered by a fine layer of hair called lanugo, and their nails will appear to be dry and brittle. Although lanugo is a normal finding in newborn clients, it is nearly always associated with anorexia nervosa in adults.
C)On physical assessment, patients with anorexia nervosa will appear emaciated. Their skin may be dry and covered by a fine layer of hair called lanugo, and their nails will appear to be dry and brittle. Although lanugo is a normal finding in newborn clients, it is nearly always associated with anorexia nervosa in adults.
D)On physical assessment, patients with anorexia nervosa will appear emaciated. Their skin may be dry and covered by a fine layer of hair called lanugo, and their nails will appear to be dry and brittle. Although lanugo is a normal finding in newborn clients, it is nearly always associated with anorexia nervosa in adults.

Quiz 29: Self