A nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of the teaching?

Choice A reason: Individuals with dependent personality disorder often struggle with making simple decisions without excessive advice and reassurance from others. They have a strong need for others to take responsibility for major areas of their lives and can feel helpless when alone. This indecisiveness is a hallmark of the disorder and stems from their lack of self-confidence and reliance on others for guidance and support.

Choice B reason: Enjoying spending time alone is not a characteristic of dependent personality disorder. In fact, individuals with this disorder typically avoid being alone and seek constant companionship and support from others. They may go to great lengths to be taken care of and may feel uncomfortable or distressed when they are by themselves.

Choice C reason: Extreme perfectionism is more commonly associated with obsessive-compulsive personality disorder (OCPD) rather than dependent personality disorder. While individuals with dependent personality disorder may exhibit some perfectionistic traits, it is not a defining characteristic of the disorder. The primary issues in dependent personality disorder revolve around dependency and fear of abandonment.

Choice D reason: Confrontational behavior is not typical of dependent personality disorder. Individuals with this disorder tend to be passive, submissive, and avoidant of conflict. They are more likely to acquiesce to others' demands and avoid confrontations in order to maintain relationships and ensure they are taken care of. This behavior contrasts with the confrontational tendencies seen in other personality disorders.

Choice A reason: If a nurse suspects child abuse, they are legally required to report it to the appropriate authorities. Informing the parents that the findings must be reported is necessary to comply with mandatory reporting laws. This step ensures that the child receives the necessary protection and that the situation is investigated further by child protective services or law enforcement.

Choice B reason: Completing an incident report for risk management is an internal process used by healthcare facilities to document incidents that occur within the facility. While it is important to document the findings, this action alone does not fulfill the nurse's legal obligation to report suspected abuse to the authorities.

Choice C reason: Interviewing the child about the suspected abuse with a parent present may not be appropriate, especially if there is a possibility that the parent is the abuser. The presence of the parent could influence the child's responses and prevent them from speaking freely about the abuse. It is crucial to conduct the interview in a safe and supportive environment, often with a child protection professional or a social worker.

Choice D reason: Avoiding asking the child what caused the injury is not recommended in cases of suspected abuse. It is important for the nurse to gather as much information as possible about the cause of the injury. However, the nurse should approach the questioning in a sensitive and non-leading manner to avoid further traumatizing the child.