David, a 30-year-old, comes to your unit for treatment of multiple broken bones following a car accident. He is friendly and flirtatious but very demanding. As you gather data from him, you learn that the police have been looking for him for petty theft. He laughs and says, "Like they don't have better things to do!" He states he has changed jobs three times in the past year and has just broken off his second engagement. His former fiancée is visiting and privately tells you that you need to be careful because "He doesn't always tell the truth." You suspect which of the following personality disorders?

Paranoid

Dependent

Antisocial

Schizoid

Answer and Explanation

The Correct Answer is C

Choice A reason: Paranoid personality disorder is characterized by distrust and suspicion, not the behaviors described.

Choice B reason: Dependent personality disorder involves a need to be taken care of and a fear of separation, which does not align with David's behaviors.

Choice C reason: Antisocial personality disorder includes a disregard for and violation of the rights of others, deceitfulness, and impulsivity, which aligns with David's behaviors.

Choice D reason: Schizoid personality disorder is characterized by detachment from social relationships and a restricted range of emotional expression, not matching David's behaviors.

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Correct Answer is B

Explanation

Choice A reason: Opioid analgesics do not typically increase coughing; they may actually suppress cough reflexes.

Choice B reason: Opioid analgesics are known to have a calming effect, which can help reduce anxiety in postoperative patients.

Choice C reason: Opioids can lead to decreased blood pressure, not an increase.

Choice D reason: Opioids typically decrease the respiratory rate, which is a potential side effect that needs to be monitored.

A. Forms new relationships easily B. Chemical dependency C. Feelings of low self-esteem D. Social integration E. Flashbacks F. Irritability

Correct Answer is ["B","C","E","F"]

Explanation

Choice A reason: Forming new relationships easily is not typically associated with PTSD.

Choice B reason: Chemical dependency can be a coping mechanism for those with PTSD.

Choice C reason: Feelings of low self-esteem are common in individuals with PTSD.

Choice D reason: Social integration is not a symptom of PTSD; rather, individuals may struggle with social interactions.

Choice E reason: Flashbacks are a hallmark symptom of PTSD, where individuals relive the traumatic event.

Choice F reason: Irritability is a common symptom of PTSD, often due to heightened arousal and anxiety.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

Correct Answer is B

Explanation

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)

Correct Answer is ["B","C","E","F"]

Explanation

A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)

The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago. What should the nurse include in the daily care?

The nurse is assisting in the care of a patient after open-heart surgery. Which action by the other nurse would warrant intervention?

Audrey is a veteran who served in Afghanistan. She finds it very difficult to drive through a parking ramp because she perceives that "There are people hiding behind the pillars! They have guns! Be careful." Audrey is most likely experiencing which of the following?

Effective coping skills are described as:

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

The mental status examination takes place during which part of the nursing process?

The nurse is collecting data on a patient with minor chronic venous disease. What findings are anticipated?