A nurse is assisting with the teaching of a group of newly licensed nurses about personality disorders. Which of the following information should be included?

Strict parental guidelines contribute to the development of personality disorders.

Personality disorders often manifest from childhood emotional trauma.

Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders.

Personality disorders are often seen in children under the age of 10.

Answer and Explanation

The Correct Answer is B

A. Strict parental guidelines contribute to the development of personality disorders: While parenting style can influence personality development, strict guidelines alone do not directly cause personality disorders. Genetic, environmental, and social factors interact to contribute to their onset.
B. Personality disorders often manifest from childhood emotional trauma: Childhood emotional trauma, including neglect, abuse, and unstable relationships, is a significant risk factor for personality disorders. These experiences can lead to maladaptive coping mechanisms that persist into adulthood.
C. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders: Personality disorders occur across all socioeconomic backgrounds. Diagnosis may be influenced by access to mental health care, but the prevalence is not necessarily lower in higher socioeconomic groups.
D. Personality disorders are often seen in children under the age of 10: Personality disorders are not typically diagnosed in children because personality development is ongoing. Diagnosis usually occurs in late adolescence or early adulthood when patterns of behavior become persistent and disruptive.

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Correct Answer is A

Explanation

A. "Persistent depressive disorder is a mild chronic form of depression." PDD, previously known as dysthymia, is a long-lasting depressive condition with persistent low mood for at least two years. Symptoms are less severe than major depressive disorder but are continuous and can significantly impact daily life. While not as acute as major depression, PDD requires management through therapy, medication, and lifestyle modifications.
B. "Persistent depressive disorder is characterized by delusions and hallucinations." Psychotic features such as delusions and hallucinations are not typical of persistent depressive disorder (PDD). These symptoms are more commonly associated with major depressive disorder with psychotic features or schizophrenia. PDD primarily involves chronic low-grade depression rather than severe psychotic symptoms.
C. "Persistent depressive occurs shortly after taking or withdrawing from a substance." Substance-induced depressive disorder is a distinct diagnosis that results from drug use or withdrawal. Persistent depressive disorder is not caused by substance use but is a long-term mood disorder that lasts for at least two years. The symptoms are chronic and not directly linked to substance intake or withdrawal.
D. "Persistent depressive is characterized by both manic and depressive episodes." Bipolar disorder, not persistent depressive disorder, is characterized by alternating manic and depressive episodes. PDD involves a chronic, low-level depressive state without manic symptoms. Individuals with PDD may experience periods of worsening depression, but they do not exhibit the high-energy or euphoric states seen in bipolar disorder.

A. Lithium toxicity B. Alcohol withdrawal C. Tardive dyskinesia D. Opiate withdrawal

Correct Answer is C

Explanation

A. Lithium toxicity. The AIMS test does not assess lithium toxicity. Lithium toxicity is monitored through serum lithium levels and clinical symptoms such as tremors, nausea, confusion, and ataxia. Severe toxicity can lead to seizures, coma, and organ failure, requiring immediate intervention.
B. Alcohol withdrawal. The AIMS test does not assess alcohol withdrawal. Withdrawal symptoms include tremors, hallucinations, seizures, and autonomic instability. The Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is commonly used to assess symptom severity and guide treatment.
C. Tardive dyskinesia. The AIMS test is used to assess tardive dyskinesia, a movement disorder caused by long-term antipsychotic use. It evaluates involuntary movements of the face, tongue, and extremities, helping clinicians monitor progression and adjust medications to minimize symptoms.
D. Opiate withdrawal. The AIMS test does not assess opiate withdrawal. Symptoms include sweating, agitation, diarrhea, and muscle aches. The Clinical Opiate Withdrawal Scale (COWS) is typically used to assess withdrawal severity and guide opioid detoxification or replacement therapy.

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A nurse is assisting with the teaching of a group of newly licensed nurses about personality disorders. Which of the following information should be included?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has persistent depressive disorder. When reinforcing education to the client about their illness, which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse in a mental health facility is reinforcing teaching to a newly licensed nurse about how to perform an Abnormal Involuntary Movement Scale (AIMS) test on a client. The charge nurse should identify that the AIMS test is used for which of the following conditions?

Correct Answer is C

Explanation

A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

A nurse is reinforcing education to a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity?

A nurse at a primary care clinic is collecting data on a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?

A nurse is reinforcing discharge teaching with a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?