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 C

Explanation

A. Depressive characteristics of schizophrenia: While some atypical antipsychotics may have mood-stabilizing effects, paliperidone is not primarily indicated for treating depressive symptoms. Antidepressants are more effective for depressive features rather than antipsychotic agents.

B. Negative symptoms of schizophrenia only: Paliperidone helps address negative symptoms such as social withdrawal and blunted affect, but it is not limited to these alone. Its mechanism of action also targets positive symptoms, making this option incomplete.

C. Both positive and negative symptoms of schizophrenia: Paliperidone, an atypical antipsychotic, blocks dopamine D2 receptors and serotonin 5-HT2A receptors. This dual action makes it effective for reducing hallucinations and delusions (positive symptoms) as well as improving motivation and affect (negative symptoms).

D. Low serotonin levels: Paliperidone does act on serotonin receptors, but it does not treat “low serotonin levels” as a standalone condition. Instead, the benefit is its balanced effect on both dopamine and serotonin pathways, reducing positive and negative symptoms in schizophrenia.

A. Highly self-directed people reflect low intolerance of change B. Failure to complete developmental tasks C. Cooperative people become less helpless over time D. Self-transcendence contributes to unaware self-consciousness

Correct Answer is B

Explanation

A. Highly self-directed people reflect low intolerance of change: This description does not explain the development of personality disorders. Self-direction is generally considered a positive trait that supports adaptability, not a factor leading to pathology.

B. Failure to complete developmental tasks: According to Erikson and other developmental theories, unresolved developmental stages such as trust, identity, or intimacy can lead to maladaptive coping patterns that evolve into personality disorders.

C. Cooperative people become less helpless over time: This reflects a positive growth pattern, not a factor in personality disorder development. Increased cooperation typically strengthens relationships and resilience rather than causing pathology.

D. Self-transcendence contributes to unaware self-consciousness: Self-transcendence is usually considered a positive quality associated with spirituality or meaning-making, not a cause of disordered personality development.

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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

A major advantage of giving the antipsychotic drug Invega/paliperidone is that it is effective against what symptoms?

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

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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?

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