A client diagnosed with a personality disorder states, “You are the very best nurse on the unit and not at all like that mean nurse who never lets us stay up later than 9 p.m.” This statement would be associated with which personality disorder?

Paranoid personality disorder

Antisocial personality disorder

Schizoid personality disorder

Borderline personality disorder

Answer and Explanation

The Correct Answer is D

A: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, which is not reflected in the client’s statement.

B: Antisocial personality disorder involves a disregard for the rights of others and a lack of remorse, which is not indicated in the client’s statement.

C: Schizoid personality disorder is characterized by a lack of interest in social relationships and emotional coldness, which does not align with the client’s statement.

D: Borderline personality disorder is characterized by intense and unstable relationships, often involving idealization and devaluation of others. The client’s statement reflects this pattern by idealizing one nurse and devaluing another.

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Correct Answer is A

Explanation

A: This statement requires immediate attention because it indicates a basic need that must be addressed to ensure the patient’s well-being while in restraints.

B: This statement reflects the patient’s justification for their behavior but does not require immediate attention.

C: This statement indicates the patient’s intention to report the use of restraints but does not require immediate attention.

D: This statement reflects the patient’s attempt to negotiate release from restraints but does not indicate an immediate need.

A. Tells the patient their behavior is upsetting the milieu of the unit and asks them to stay in their room B. Avoids addressing the behavior, gives PRN pain medication as directed C. Listens empathetically to the patient and collaborates with them to manage pain D. Calls for the security team to make frequent rounds on the unit

Correct Answer is C

Explanation

A: Telling the patient their behavior is upsetting the milieu and asking them to stay in their room may escalate the situation by making the patient feel dismissed and isolated.

B: Avoiding addressing the behavior and giving PRN pain medication without discussing the patient’s concerns does not address the underlying issue and may reinforce the behavior.

C: Listening empathetically to the patient and collaborating with them to manage pain is the most effective approach. It shows the patient that their concerns are being heard and that the nurse is willing to work with them to find a solution, which can help de-escalate the situation.

D: Calling for the security team to make frequent rounds may increase the patient’s agitation and sense of being controlled, which can escalate the situation further.

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A client diagnosed with a personality disorder states, “You are the very best nurse on the unit and not at all like that mean nurse who never lets us stay up later than 9 p.m.” This statement would be associated with which personality disorder?

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