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?

Antisocial personality disorder

Histrionic personality disorder

Schizotypal personality disorder

Narcissistic personality disorder

Answer and Explanation

The Correct Answer is A

A. Antisocial personality disorder is characterized by a disregard for rules and the rights of others, often leading to manipulative and defiant behavior.

B. Histrionic personality disorder involves excessive emotionality and attention-seeking behavior but does not typically include a refusal to follow rules.

C. Schizotypal personality disorder involves eccentric behavior and discomfort in close relationships, not necessarily a refusal to follow rules.

D. Narcissistic personality disorder involves grandiosity and a need for admiration, but it is more focused on self-importance than rule defiance.

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Correct Answer is A

Explanation

A. The Clinical Opiate Withdrawal Scale (COWS) is used to assess the severity of withdrawal symptoms in clients. This assessment helps guide treatment decisions based on the intensity of symptoms.

B. The COWS does not identify genetic factors but focuses on the clinical presentation of withdrawal symptoms.

C. The COWS does not specifically determine the risk of developing severe manifestations but rather assesses current symptom severity.

D. The COWS does not involve analyzing laboratory or imaging data but rather evaluates withdrawal symptoms through clinical observation.

A. Dialectical behavior therapy B. Antipsychotic medications C. Antidepressant medications D. Interpersonal therapy

Correct Answer is D

Explanation

A. Dialectical behavior therapy is typically used for borderline personality disorder, not avoidant personality disorder.

B. Antipsychotic medications are not typically used for avoidant personality disorder.

C. Antidepressant medications may be used to treat co-occurring conditions like depression or anxiety but are not the primary treatment for avoidant personality disorder.

D. Interpersonal therapy is effective for individuals with avoidant personality disorder as it focuses on improving interpersonal skills and increasing social interactions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

Correct Answer is D

Explanation

A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client?

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