A nurse is caring for a group of clients within the DSM-IV-TR cluster B category of personality disorders. Which factors should the nurse consider when planning client care? (Select all that apply.)

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Clients with personality disorders in the DSM-IV-TR cluster B category have deeply ingrained personality traits that are difficult to modify. They often use manipulation as a defense mechanism, which can make the implementation of treatment problematic. They may also struggle with poor impulse control, which can hinder their ability to comply with a plan of care. Additionally, these clients commonly have secondary diagnoses of substance abuse and depression, which can complicate their treatment. Medications are not typically used to treat underlying physiological pathology in personality disorders, as the primary focus of treatment is on psychotherapy and behavior modification.

A Nurse Is Caring for a Group of Clients Within