The nurse is caring for a client with schizotypal personality disorder who was experiencing transient psychotic episodes that led to admission. The client was unkempt and appeared not to have bathed for quite some time. When planning the care of this client, which will be the focus of the nursing interventions? Select all that apply.

Encourage the client to seek a hobby.

Establishing close relationships with others.

Improve functioning in the community.

Development of social skills.

Development of self-care skills.

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: While hobbies can be therapeutic, they are not the primary focus of nursing interventions for a client with schizotypal personality disorder and hygiene issues.

Choice B reason: Establishing close relationships is beneficial but may not be the immediate focus for a client who is struggling with basic self-care.

Choice C reason: Improving functioning in the community is a key goal for clients with schizotypal personality disorder to help them integrate better into society.

Choice D reason: Developing social skills is essential for clients with schizotypal personality disorder to interact more effectively with others.

Choice E reason: Development of self-care skills is crucial, especially given the client's unkempt appearance and lack of bathing, indicating a need for better personal hygiene practices.

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Correct Answer is C

Explanation

Choice A reason: Making significant life changes immediately after rehab can be overwhelming and might not be advisable as the client adjusts to sobriety.

Choice B reason: Focusing on long-term outcomes can be motivating, but it is also important to have short-term goals to maintain sobriety.

Choice C reason: Abstaining from alcohol is a fundamental part of maintaining sobriety and indicates an understanding of the importance of avoiding triggers.

Choice D reason: Returning to life as it was before rehab can be risky without making changes to support sobriety, such as avoiding triggers and continuing therapy.

A. Employ ongoing communication with team members. B. Solve the problems of the client. C. Identify that behavior changes in the clients can occur quickly. D. Consider the client to be a personal friend. E. Discuss feelings of anger or frustration with colleagues.

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Ongoing communication with team members is crucial in managing care for clients with personality disorders, as it ensures consistency and support among caregivers.

Choice B reason: While solving clients' problems is a goal, it is not a technique to manage the nurse's frustration.

Choice C reason: Recognizing that behavior changes can occur quickly allows the nurse to adjust care plans promptly and may reduce frustration.

Choice D reason: It is not advisable to consider clients as personal friends, as this can blur professional boundaries and potentially lead to frustration.

Choice E reason: Discussing feelings of anger or frustration with colleagues can provide a support system for the nurse, helping to manage stress and prevent burnout.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

Correct Answer is C

Explanation

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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.

A female client comes to the clinic regularly for various somatic issues that have been ruled out for any organic cause. She states that she works as one of the only women on a cybersecurity technical team. Which statement made by the client indicates that she may have suppressed anger?

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 planning the care of a client with bipolar disorder and addiction to heroin who is in a rehabilitation facility. Which outcomes will the nurse assign in the immediate phase after withdrawal symptoms are over? (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?

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?