A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have dependent personality disorder?

Clients demonstrate erratic behaviors.

Clients are fearful of making decisions.

Clients are dramatic.

Clients easily express disagreement with others.

Answer and Explanation

The Correct Answer is B

A. Clients demonstrate erratic behaviors: Erratic behaviors are more characteristic of personality disorders such as borderline personality disorder. Clients with dependent personality disorder typically exhibit more submissive and clingy behaviors rather than erratic ones.
B. Clients are fearful of making decisions: This finding is a hallmark of dependent personality disorder. Individuals with this disorder often have difficulty making decisions without excessive advice and reassurance from others. They may fear losing support or approval, leading to indecisiveness and reliance on others for direction.
C. Clients are dramatic: Dramatic behaviors are more commonly associated with histrionic personality disorder. Clients with dependent personality disorder tend to be more passive and compliant rather than dramatic.
D. Clients easily express disagreement with others: Individuals with dependent personality disorder often struggle to express disagreement due to their fear of disapproval and desire for acceptance. They may avoid conflict and prioritize maintaining relationships over voicing their opinions.

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Correct Answer is A

Explanation

A. Antisocial personality disorder: This disorder is characterized by a disregard for societal rules and the rights of others. Clients with antisocial personality disorder may refuse to follow instructions and demonstrate a lack of respect for rules, indicating a pattern of behavior consistent with this diagnosis.
B. Schizotypal personality disorder: Individuals with schizotypal personality disorder typically exhibit eccentric behaviors, social anxiety, and odd beliefs but are not primarily characterized by a blatant disregard for rules or authority. Their behavior is more focused on social discomfort than defiance of rules.
C. Narcissistic personality disorder: While clients with narcissistic personality disorder may believe they are above the rules and display entitlement, their behavior is often driven by a need for admiration and self-importance rather than outright defiance of rules.
D. Histrionic personality disorder: Individuals with histrionic personality disorder typically seek attention and may be dramatic in their expressions. However, their behaviors are more focused on emotionality and attention-seeking rather than a direct refusal to follow rules or instructions.

A. ‘I have lost 15 pounds! I just don't want to eat lately." B. "I have been hanging out with friends who are my support system." C. "I am so focused right now. I have a lot of goals." D. "I am taking art lessons to relieve stress."

Correct Answer is A

Explanation

A. “I have lost 15 pounds! I just don’t want to eat lately.”: Significant weight loss and a loss of appetite can indicate the development of a substance use disorder, as these symptoms may reflect the prioritization of alcohol consumption over proper nutrition. The client’s decreased interest in eating raises concerns about potential alcohol misuse or dependence.
B. “I have been hanging out with friends who are my support system.”: Engaging with a supportive social network is generally a positive indicator and can assist in recovery. Having supportive friends does not indicate a substance use disorder and may even help the client address their drinking behavior.
C. “I am so focused right now. I have a lot of goals.”: A focused and ambitious mindset reflects a positive attitude towards life and managing responsibilities. This perspective does not suggest substance use disorder and may indicate effective coping and life management, despite issues with alcohol.
D. “I am taking art lessons to relieve stress.”: Participating in art lessons demonstrates a constructive approach to managing stress through creativity. This behavior indicates healthy coping mechanisms and does not suggest a substance use disorder.

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A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have dependent personality disorder?

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Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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