The nurse is observing a family member administer eye drops to the patient as part of medication teaching. Which action(s) indicate the family member is performing the skill correctly? (SELECT ALL THAT APPLY)

a. Charming, dramatic, seductive, and seeks admiration.

Explanation of Choices

Choice A Reason: Charming, Dramatic, Seductive, and Seeks Admiration

Clients with histrionic personality disorder often exhibit behaviors that are charming, dramatic, and seductive. They seek constant attention and admiration from others. These individuals may use their appearance and behavior to draw attention to themselves and can be very expressive and theatrical. Their need for approval and validation is a core feature of the disorder, and they may go to great lengths to ensure they are the center of attention.

Choice B Reason: Preoccupied with Minute Details and Is a Perfectionist

This description is more characteristic of obsessive-compulsive personality disorder (OCPD), not histrionic personality disorder. Individuals with OCPD are often preoccupied with orderliness, perfectionism, and control. They may focus excessively on details, rules, and schedules, often at the expense of flexibility and efficiency. This behavior is not typically seen in those with histrionic personality disorder.

Choice C Reason: Grandiose, Self-Important, and Has a Sense of Entitlement

These traits are more indicative of narcissistic personality disorder. Individuals with narcissistic personality disorder often have an inflated sense of their own importance, a deep need for excessive attention and admiration, and a lack of empathy for others. They may believe they are superior to others and expect special treatment. While there can be some overlap in behaviors, these traits are not the primary characteristics of histrionic personality disorder.

Choice D Reason: Describes Difficulty Being Alone and Shows Indecisiveness and Submissiveness

This description aligns more closely with dependent personality disorder. Individuals with dependent personality disorder often have difficulty making decisions without excessive advice and reassurance from others. They may feel uncomfortable or helpless when alone and may go to great lengths to avoid being alone. They often exhibit submissive and clingy behavior, seeking others to take care of them.

a. Assist the client to develop more effective coping mechanisms

c. Identify community resources for the client to use in a crisis

d. Educate the family about providing a safe and structured environment for the client

Explanation of Choices

Choice A Reason: Assist the Client to Develop More Effective Coping Mechanisms

Developing effective coping mechanisms is crucial for clients with a history of suicide attempts. Coping strategies help individuals manage stress, anxiety, and other emotional challenges that may trigger suicidal thoughts. Effective coping mechanisms can include mindfulness practices, cognitive-behavioral techniques, and stress management skills. By assisting the client in developing these skills, nurses can help reduce the risk of future suicide attempts and improve the client’s overall mental health.

Choice B Reason: Have a One-to-One Sitter for Outpatient Use

While having a one-to-one sitter can be beneficial in an inpatient setting to provide constant supervision and ensure safety, it is not typically feasible or necessary for outpatient care. Outpatient settings focus more on empowering the client with skills and resources to manage their condition independently. Continuous supervision in an outpatient setting may not be practical and could hinder the client’s sense of autonomy and self-efficacy.

Choice C Reason: Identify Community Resources for the Client to Use in a Crisis

Identifying community resources is a vital intervention for clients with a history of suicide attempts. Community resources can include crisis hotlines, support groups, mental health clinics, and emergency services. Providing the client with information about these resources ensures they have access to immediate help during a crisis. This support network can be crucial in preventing future suicide attempts and providing ongoing emotional and practical support.

Choice D Reason: Educate the Family About Providing a Safe and Structured Environment for the Client

Family education is essential in the care of clients with a history of suicide attempts. Educating the family about creating a safe and structured environment can help reduce triggers and stressors that may lead to suicidal thoughts. This education can include removing potential means of self-harm, establishing routines, and promoting open communication. A supportive family environment can significantly enhance the client’s recovery and reduce the risk of future suicide attempts.

Choice E Reason: Isolate the Client from All Stressful Situations That May Precipitate a Suicide Attempt

Isolating the client from all stressful situations is not a practical or effective intervention. While it is important to minimize exposure to significant stressors, complete isolation is neither feasible nor beneficial. Instead, the focus should be on helping the client develop resilience and coping strategies to manage stress. Learning to navigate and cope with stress is a critical part of recovery and long-term mental health management.