A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?

Paranoid

Histrionic

Narcissistic

Antisocial

Answer and Explanation

The Correct Answer is B

Choice A reason:

Paranoid personality disorder is characterized by pervasive distrust and suspicion of others. Individuals with this disorder often believe that others are out to harm or deceive them, and they may be reluctant to confide in others due to fear that the information will be used against them. They may also bear grudges and be quick to perceive attacks on their character that are not apparent to others. This disorder does not typically involve attention-seeking behaviors or flirtatious and seductive actions.

Choice B reason:

Histrionic personality disorder is marked by a pattern of excessive emotionality and attention-seeking behavior. Individuals with this disorder often feel uncomfortable when they are not the center of attention and may engage in inappropriate sexually seductive or provocative behavior to draw attention to themselves. They may also exhibit rapidly shifting and shallow expressions of emotions, use their physical appearance to attract attention, and have a style of speech that is excessively impressionistic and lacking in detail. These characteristics align with the behaviors described in the scenario.

Choice C reason:

Narcissistic personality disorder involves a pervasive pattern of grandiosity, need for admiration, and a lack of empathy for others. Individuals with this disorder often have an inflated sense of their own importance and a deep need for excessive attention and admiration. They may exploit others to achieve their own ends and believe they are superior to others. While they do seek attention, their behaviors are more focused on achieving admiration and recognition rather than the flirtatious and seductive behaviors described in the scenario.

Choice D reason:

Antisocial personality disorder is characterized by a disregard for and violation of the rights of others. Individuals with this disorder may engage in deceitful, manipulative, or aggressive behavior and often have a history of criminal activity. They may also show a lack of remorse for their actions. This disorder does not typically involve attention-seeking behaviors or flirtatious and seductive actions.

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Correct Answer is D

Explanation

Choice A reason:

An illusion is a misinterpretation of a real external stimulus. The client’s statement does not indicate a misinterpretation of reality but rather a direct expression of intent to harm themselves.

Choice B reason:

A hallucination is a perception of something that is not present, such as hearing voices or seeing things that are not there. The client’s statement does not suggest they are experiencing a hallucination but rather expressing a desire to self-harm.

Choice C reason:

Attention-seeking behavior involves actions taken to gain attention from others. While the client’s statement may draw attention, it is more indicative of a serious risk of self-harm rather than merely seeking attention.

Choice D reason:

Self-mutilation refers to deliberate self-injury without suicidal intent. The client’s statement about using a pen to cut the pain out of their chest indicates a risk of self-harm, which requires immediate intervention to ensure their safety.

A. “Have you thought about taking a sleeping pill?” B. “Your fatigue will pass, and everything will be just fine.” C. “Do you have a family member who can assist you?” D. “Let’s discuss how to get you the help you need.”

Correct Answer is D

Explanation

Choice A reason:

Suggesting a sleeping pill is not an example of therapeutic communication as it does not address the underlying issues or provide support. It may also imply a quick fix rather than exploring the client’s feelings and needs.

Choice B reason:

Telling the client that their fatigue will pass and everything will be fine is dismissive and does not validate their feelings. It fails to engage the client in a meaningful conversation about their concerns.

Choice C reason:

Asking if the client has a family member who can assist them is practical but does not fully engage in therapeutic communication. It may be helpful, but it does not explore the client’s feelings or provide emotional support.

Choice D reason:

“Let’s discuss how to get you the help you need” is an example of therapeutic communication. It shows empathy, validates the client’s feelings, and opens a dialogue to explore solutions and support options.

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A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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