The nurse is preparing a plan of care for a client with dependent personality disorder and assigns an outcome to increase problem-solving skills. Which client behavior would indicate progress toward meeting that outcome?

The client requests assistance prior to attempting task independently

The client is being polite and agreeable to what the nurse says

The client is controlling emotions when talking about traumatic incidents

The client is asking questions to gain information

Answer and Explanation

The Correct Answer is D

A. The client requests assistance prior to attempting task independently: This shows continued reliance on others rather than growth in independent problem-solving. Dependent personality disorder is marked by difficulty making decisions without reassurance.

B. The client is being polite and agreeable to what the nurse says: Agreeableness reflects the client’s tendency to comply with others to avoid conflict or disapproval. While courteous behavior is positive, it does not demonstrate increased problem-solving skills or autonomy.

C. The client is controlling emotions when talking about traumatic incidents: Emotional regulation is important, but this outcome is more related to resilience and coping strategies. It does not specifically measure the client’s progress toward problem-solving independence.

D. The client is asking questions to gain information: This behavior shows initiative, curiosity, and willingness to make informed decisions. It reflects movement toward independent problem-solving by seeking knowledge rather than relying solely on others for guidance.

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Correct Answer is A

Explanation

A. "I can use a regular toothbrush but brush gently.": Clients receiving chemotherapy and radiation often develop thrombocytopenia or mucositis. A regular toothbrush can cause gum trauma and bleeding. The client should use a soft-bristled toothbrush or foam swabs to reduce oral injury and infection risk.

B. "I should balance my activities throughout the day to allow for rest periods.": Fatigue is a major side effect of cancer treatment, and conserving energy through activity pacing helps maintain independence while preventing exhaustion.

C. "I should include frequent small meals throughout the day.": Nausea, anorexia, and altered taste are common treatment side effects. Smaller meals are easier to tolerate and help maintain adequate nutrition and caloric intake.

D. "I should use an electric razor.": Due to potential thrombocytopenia and bleeding risk, electric razors are recommended instead of blades to minimize cuts and reduce complications during treatment.

A. "I can get a supply of the medication for 60 days at a time" B. "I may have a fatal response if I go outside and develop a rash” C. "I need to have monthly cytokines tests for up to a year" D. "I should call the health care provider if I develop a sore throat and fever"

Correct Answer is D

Explanation

A. "I can get a supply of the medication for 60 days at a time": Clozapine requires frequent blood monitoring because of the risk of agranulocytosis. Clients are usually dispensed only a 1–2 week supply at a time depending on lab results.

B. "I may have a fatal response if I go outside and develop a rash": Clozapine is not associated with fatal skin reactions from sunlight exposure, its most critical concern is blood dyscrasias such as agranulocytosis.

C. "I need to have monthly cytokines tests for up to a year": Clients on clozapine require weekly complete blood counts (CBCs) for the first 6 months, then every 2 weeks for the next 6 months, and monthly only after a year if stable. Cytokine testing is not part of clozapine monitoring.

D. "I should call the health care provider if I develop a sore throat and fever": Sore throat and fever may signal agranulocytosis or severe neutropenia, which are potentially life-threatening side effects of clozapine. Prompt reporting ensures early intervention.

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The nurse is preparing a plan of care for a client with dependent personality disorder and assigns an outcome to increase problem-solving skills. Which client behavior would indicate progress toward meeting that outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements by the client requires additional teaching regarding managing side effects of radiation and chemotherapy?

Correct Answer is A

Explanation

The nurse is educating a client taking Clozaril/clozapine. Which statement made by the client indicates that the education is effective?

Correct Answer is D

Explanation

Which assessment finding indicates a tension pneumothorax, a complication of untreated pneumothorax?

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Which observation by the nurse is supportive of a diagnosis of avoidant personality disorder?

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A patient with schizophrenia believes the student nurses are at the hospital to spy on them. The patient is suffering from what type of symptom?

Which is a psychosocial explanation for the development of personality disorders?

A client diagnosed with cancer is receiving chemotherapy. The nurse should assess which diagnostic laboratory value while the client is receiving chemotherapy?