A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Assertiveness training
Schema-focused therapy
Response prevention therapy
Cognitive behavioral therapy
The Correct Answer is B
Choice A reason:
The statement "Assertiveness training" is not typically recommended as a primary treatment for narcissistic personality disorder (NPD). While assertiveness training can help individuals develop better communication skills and self-confidence, it does not address the core issues of NPD, such as grandiosity, lack of empathy, and need for admiration.
Choice B reason:
The statement "Schema-focused therapy" is the correct response. Schema-focused therapy is a type of cognitive therapy that helps individuals identify and change deeply ingrained patterns or themes (schemas) that are dysfunctional. This therapy is particularly effective for personality disorders, including NPD, as it addresses the underlying cognitive and emotional patterns that contribute to the disorder.
Choice C reason:
The statement "Response prevention therapy" is not appropriate for NPD. Response prevention therapy is more commonly used for conditions like obsessive-compulsive disorder (OCD), where it helps individuals resist the urge to perform compulsive behaviors. It does not address the specific cognitive and emotional issues associated with NPD.
Choice D reason:
The statement "Cognitive behavioral therapy" (CBT) is beneficial for many mental health conditions, including NPD. CBT helps individuals recognize and change negative thought patterns and behaviors. However, while CBT can be helpful, schema-focused therapy is often more specifically tailored to address the complex and deep-seated issues seen in personality disorders like NPD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","F","G"]
Explanation
The client’s return for a follow-up examination after new onset of symptoms indicates a change in their health status that requires immediate attention.
Loss of appetite can be a sign of various health issues, including depression and other mental health disorders1. It’s important to address this symptom promptly to ensure the client is receiving proper nutrition.
Excessive sleepiness can be a symptom of several conditions, including depression, sleep disorders, and certain medical conditions1. It’s important to investigate this symptom further to determine its cause.
Becoming teary when asked about plans for activities could indicate emotional distress or depression. Mental health is a critical aspect of overall health, and this symptom should be addressed promptly.
Questioning the reason to live if not working is a serious symptom that could indicate suicidal ideation
This requires immediate attention and intervention.
While a dry, nonproductive cough can be a symptom of a respiratory condition, since breath sounds are present bilaterally, it may not require immediate attention. However, any persistent cough should be evaluated.
Occasional muscle aches and pains can be a symptom of various conditions, including fibromyalgia, influenza, and other infections1. It’s important to investigate this symptom further to determine its cause.
Reporting no energy could be a symptom of conditions such as depression, chronic fatigue syndrome, or anemia. This symptom should be addressed promptly to determine its cause and appropriate treatment.
Correct Answer is B
Explanation
Choice A reason:
The statement "Disulfiram" is not appropriate for managing acute alcohol withdrawal. Disulfiram is used as a deterrent for alcohol consumption by causing unpleasant effects when alcohol is ingested. It is not effective in treating the symptoms of acute withdrawal.
Choice B reason:
The statement "Chlordiazepoxide" is the correct response. Chlordiazepoxide is a benzodiazepine commonly used to manage acute alcohol withdrawal symptoms. It helps reduce the risk of seizures and provides sedation to alleviate withdrawal symptoms.
Choice C reason:
The statement "Bupropion" is not suitable for treating acute alcohol withdrawal. Bupropion is an antidepressant and smoking cessation aid. It does not address the symptoms of alcohol withdrawal and is not used in this context.
Choice D reason:
The statement "Buprenorphine" is not appropriate for managing acute alcohol withdrawal. Buprenorphine is used to treat opioid dependence and pain management. It does not address the symptoms of alcohol withdrawal.
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