When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?

Submissive and clinging behaviors

Grandiose sense of self-importance

Pattern of intense and chaotic relationships

Odd beliefs and magical thinking

Answer and Explanation

The Correct Answer is B

B. Individuals with this disorder often have an exaggerated sense of their own importance, achievements, talents, and capabilities. They may believe they are special or unique and expect to be recognized as such without commensurate achievements.
A. Individuals with narcissistic personality disorder tend to display a sense of superiority and entitlement rather than submissive or dependent behaviors.
C. The characteristic feature is not typically intense and chaotic relationships. Instead, relationships may be characterized by exploitation, manipulation, and a lack of genuine emotional connection.
D. Odd beliefs and magical thinking are more commonly associated with other personality disorders, such as schizotypal personality disorder. In narcissistic personality disorder, individuals may have an inflated sense of self and unrealistic beliefs about their abilities.

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Correct Answer is A

Explanation

A. The client's lethargy and lack of response to verbal commands raise concerns about their level of consciousness and potential airway compromise. Assessing the client's airway and breathing involves ensuring that the airway is clear, assessing respiratory rate and effort, and monitoring oxygenation.
B. Assessing the gag reflex can provide additional information about airway protection. However, it should not delay assessment and intervention for airway and breathing concerns.
C. Contacting the physician may be necessary but it is not the priority nursing action in this situation. The nurse should first assess the client's airway and breathing to ensure their safety and stability.
D. The client's lethargy and unresponsiveness are not normal findings after an endoscopy and require immediate assessment and intervention. Delaying assessment and intervention could lead to serious complications, including respiratory compromise or airway obstruction.

A. very intelligent." B. clumsy." C. not good like my other children." D. just being a boy."

Correct Answer is C

Explanation

C. This statement raises significant concern for possible emotional or psychological abuse. Comparing the child unfavorably to siblings and implying that the child is not as "good" as others could indicate a pattern of emotional maltreatment.
A. This statement does not raise suspicion of child abuse. It merely describes the child's intelligence and does not provide any indication of potential abuse.
B. it is possible for children to sustain injuries due to clumsiness or accidents but this statement alone does not necessarily raise suspicion of child abuse.
D. This statement, on its own, does not necessarily indicate child abuse.

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When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client after an endoscopy. The client is lethargic and not responding to verbal commands. The priority nursing action is to:

Correct Answer is A

Explanation

A father brings his preschool son to the Emergency Department (ED) with multiple bruises and a fractured arm. Which statement by the father would cause the nurse to suspect child abuse? "He is:

Correct Answer is C

Explanation

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