A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?

Encourage client input in the treatment plan.

Communicate with the client using concrete language.

Demonstrate assertive behavior.

Promote appropriate behavior during group therapy sessions.

Answer and Explanation

The Correct Answer is D

A. Encouraging client input in the treatment plan is important for promoting client autonomy and engagement in their care. However, while it is a valuable intervention, it may not address the immediate needs or safety concerns of the client with histrionic personality disorder.

B. Clients with HPD may interpret vague or ambiguous communication in exaggerated ways. Concrete language helps prevent misunderstandings and maintains a therapeutic relationship. However, this is not the prority.

C. While assertiveness is valuable, it is not the primary focus at this stage.

D. Managing the clients behavior within the group is the priority intervention for the client who has histrionic personality disorder because these clients display extreme attention seeking behaviors and are often impulsive.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Providing frequent meals and snacks is generally beneficial, it’s essential to focus on nutritious options.

C. Manic episodes can lead to impulsive behavior, increased activity, and risk-taking. Close monitoring ensures early detection of any safety concerns, such as self-harm or aggression.
D. Manic clients are often hypersensitive to stimuli, and a calm, low-stimulation environment can help reduce agitation and prevent exacerbation of symptoms.
E. While adequate rest is essential, discouraging daytime naps may help regulate the client’s sleep patterns and prevent excessive energy levels associated with mania.

B. Regular weight monitoring is essential for assessing overall health, but it may not be a priority specifically related to mania.

A. Manipulate others. B. Decrease the time available for interaction with people. C. Prevent aggressive and impulsive behaviors. D. Decrease anxiety.

Correct Answer is D

Explanation

D. The constant repetitive cleaning behavior observed in the client with OCD is likely an attempt to decrease anxiety associated with obsessive thoughts or fears of contamination.

A. While individuals with OCD may engage in compulsive behaviors to gain a sense of control over their environment, the primary motivation behind these behaviors is not to manipulate others.

B. While engaging in repetitive cleaning behaviors may occupy the client's time and attention, the primary purpose of these behaviors is not necessarily to decrease the time available for interaction with people.

C. While individuals with OCD may experience distress or anxiety related to their obsessions and may engage in compulsive behaviors to reduce these feelings, the goal is typically to alleviate anxiety

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A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

Correct Answer is D

Explanation

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