The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.
It is difficult to change personality traits since they are deeply embedded.
Clients with personality disorders are always receptive to treatment.
There is slow progress and clients stop seeking help for issues.
Clients fail to understand the need to change their behavior.
The clients may take pride in some of the personality traits they have.
Correct Answer : A,C,D,E
Choice A reason: Personality traits are enduring and can be resistant to change, making treatment challenging.
Choice B reason: This statement is not accurate; clients with personality disorders may not always be receptive to treatment.
Choice C reason: Slow progress and clients discontinuing treatment are common barriers in treating personality disorders.
Choice D reason: Clients may not recognize the need for change, which can hinder the therapeutic process.
Choice E reason: Clients may identify with their personality traits, even if they are maladaptive, and may resist changing them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.
Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.
Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.
Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.
Correct Answer is D
Explanation
Choice A reason: Seclusion may be considered for an adult client following a suicide attempt if they are a danger to themselves or others, but it must be used with caution and as a last resort.
Choice B reason: Seclusion could be used for a school-age client who attempts to repeatedly bite staff as a means to prevent harm to others.
Choice C reason: An adolescent client who throws objects at other clients may also be secluded to prevent harm to others, but again, it should be a last resort.
Choice D reason: Seclusion is contraindicated for an older adult client who is manic and crying due to overstimulation as it may exacerbate their distress and agitation.
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