A nurse is caring for a client who has a dissociative disorder. Which of the following actions should the nurse take first?

Administer a benzodiazepine to the client.

Establish rapport with the client.

Teach the client grounding techniques.

Educate the client about their disorder.

Answer and Explanation

The Correct Answer is B

A. Administer a benzodiazepine to the client: While benzodiazepines may be useful for managing anxiety, the first step in caring for a client with a dissociative disorder is to build a trusting relationship. Medications should not be prioritized over establishing rapport.
B. Establish rapport with the client: Building rapport is crucial in creating a safe environment for the client. It allows the nurse to gain the client’s trust, facilitating effective communication and treatment. A strong therapeutic alliance is essential for the client's willingness to engage in further interventions.
C. Teach the client grounding techniques: While grounding techniques can be beneficial for clients experiencing dissociation, they are most effective when the client feels safe and supported. Establishing rapport first will help the client be more receptive to learning and practicing these techniques.
D. Educate the client about their disorder: Education is important, but it should come after establishing a trusting relationship. The client may not be open to education about their disorder until they feel comfortable with the nurse and the therapeutic process.

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Correct Answer is D

Explanation

A. Analyze and interpret laboratory and medical imaging data: The Clinical Opiate Withdrawal Scale (COWS) does not focus on analyzing laboratory or imaging data. Instead, it is a clinical tool designed specifically for assessing withdrawal symptoms in clients experiencing opiate withdrawal.
B. Determine the client's risk of developing severe manifestations: While the COWS can provide insights into the severity of withdrawal symptoms, its primary purpose is not to assess the risk of severe manifestations. It is more focused on current symptoms rather than predicting future complications.
C. Identify genetic factors that influence opiate withdrawal: The COWS does not address genetic factors related to opiate withdrawal. It is a behavioral assessment tool that evaluates observable symptoms rather than delving into the genetic underpinnings of withdrawal responses.
D. Collect data on the severity of manifestations from withdrawal and treat accordingly: The primary function of the COWS is to systematically collect data on the severity of withdrawal symptoms. This information helps healthcare providers determine appropriate treatment interventions based on the client's current condition, ensuring that care is tailored to their specific needs during withdrawal.

A. Borderline personality disorder B. Antisocial personality disorder C. Histrionic personality disorder D. Narcissistic personality disorder

Correct Answer is B

Explanation

A. Borderline personality disorder: While individuals with borderline personality disorder may exhibit impulsive and aggressive behaviors, their aggression is often related to intense emotional reactions and fear of abandonment. This does not directly align with the context of aggressive behavior in a public setting without underlying emotional distress.
B. Antisocial personality disorder: This disorder is characterized by a pervasive pattern of disregard for the rights of others, impulsivity, and aggressive behavior. The client's aggressive behavior in a bar setting is consistent with the traits associated with antisocial personality disorder, as individuals with this disorder may engage in confrontational or violent actions without remorse.
C. Histrionic personality disorder: Histrionic personality disorder involves excessive emotionality and attention-seeking behavior, but it is not typically characterized by aggression or violent outbursts. Individuals with this disorder may be dramatic but do not commonly display the kind of aggression described.
D. Narcissistic personality disorder: Individuals with narcissistic personality disorder may exhibit arrogance and a sense of entitlement, but aggression in a public setting is not a primary characteristic of this disorder. Aggressive behaviors are more commonly associated with antisocial personality disorder.

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A nurse is caring for a client who has a dissociative disorder. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing manifestations of opiate withdrawal. When collecting data on the client, which of the following purposes describes the function of the Clinical Opiate Withdrawal Scale (COWS)?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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