A nurse is discussing with a client the potential for involuntary admission to prevent harm to themselves and their newborn. The nurse is also preparing for the administration of an IV neuroactive steroid over a 60-hour period of time. Which approach will be most effective in developing a therapeutic relationship with a client diagnosed with which of the following disorders? (Select all that apply.)

Schizotypal

Avoidant

Narcissistic

Antisocial

Paranoid

Answer and Explanation

Correct Answer : A,D,E

Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.

Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.

Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.

Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.

Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.

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

Explanation

Choice A reason: Drinking alcohol to excess is a behavior that can be influenced by growing up in a home with alcoholic parents, as it may become a learned coping mechanism.

Choice B reason: Hanging on to bad relationships due to fear of being alone can be a behavior stemming from the instability and insecurity experienced in a home with alcoholic parents.

Choice C reason: Returning to college to complete a degree does not directly correlate with the influence of growing up in a home with alcoholic parents and is more indicative of personal ambition and goals.

Choice D reason: Having multiple divorces with tumultuous relationships could be related to the dysfunctional relationship dynamics observed in a home with alcoholic parents.

Choice E reason: Forming several trusting relationships with friends does not necessarily correlate with growing up in a home with alcoholic parents and is generally a positive social behavior.

A. Sleeping 12 hours or more each day. B. Constant need to talk about the event. C. Increasing sense of attachment to others. D. Increasing feelings of anger.

Correct Answer is D

Explanation

Choice A reason: Sleeping excessively can be a response to depression or trauma, but it is not a specific symptom of PTSD.

Choice B reason: A constant need to talk about the event is not typical for PTSD, as individuals with PTSD often avoid reminders of the trauma.

Choice C reason: An increasing sense of attachment to others is not commonly associated with PTSD, which often involves feelings of detachment.

Choice D reason: Increasing feelings of anger are common in PTSD as individuals may have difficulty managing their emotions related to the trauma.

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Naxlex Comprehensive Predictor Exams

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

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

Explanation

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

Correct Answer is D

Explanation

A nurse is caring for a client who has been a victim of abuse since childhood. Which actions by the nurse are important to ensure that the client feels safe, secure, and in control of their own body? Select all that apply.

A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.

The nurse is evaluating several clients with a diagnosis of schizophrenia. Which client will be assessed as having the worst potential outcomes?

The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa, what family dynamic is most likely contributing to the client's condition?