When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

Just before the nurse anticipates the behavior

When the behavior is done

When the staff or family complains about the behavior

When the limit is set

Answer and Explanation

The Correct Answer is D

Choice A reason: Setting consequences just before the behavior occurs does not provide clear expectations and boundaries for the patient.

Choice B reason: Setting consequences after the behavior is done may not effectively prevent the behavior and can lead to inconsistent enforcement.

Choice C reason: Waiting for complaints before setting consequences can lead to a reactive rather than proactive approach to care.

Choice D reason: Consequences should be clearly communicated when the limit is set to establish clear boundaries and expectations, which is essential in managing patients with personality disorders.

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Correct Answer is C

Explanation

Choice A reason: Grandiosity is not typically associated with histrionic personality disorder; it is more commonly seen in narcissistic personality disorder.

Choice B reason: Being preoccupied with details is not a characteristic of histrionic personality disorder; it is more aligned with obsessive-compulsive personality disorder.

Choice C reason: Individuals with histrionic personality disorder may exhibit seductive behavior as a means of seeking attention and affirmation from others.

Choice D reason: Callousness towards others is not a typical feature of histrionic personality disorder; it is more indicative of antisocial personality disorder.

A. Urine output 18 mL/hr. B. Blood pressure 88/50 mmHg. C. Lethargy. D. Pulse 110 bpm.

Correct Answer is A

Explanation

Choice A reason: A urine output of 18 mL/hr is significantly lower than the normal range (typically around 0.5-1 mL/kg/hr), indicating possible renal hypoperfusion, an early sign of shock.

Choice B reason: While blood pressure is an important indicator, it may not drop until later stages of shock.

Choice C reason: Lethargy can be a sign of shock, but it is a more subjective and later symptom compared to the objective measure of urine output.

Choice D reason: An elevated pulse is a compensatory mechanism in shock, but it is not as specific an early indicator as a decrease in urine output.

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When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has histrionic personality disorder. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

The nurse is caring for a 52-year-old male patient with a bowel obstruction. Which of these signs would be the earliest indicator to the nurse that the patient is developing symptoms of shock?

Correct Answer is A

Explanation

Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?

The most current thinking on the cause of schizophrenia is that it is:

Lisa is a 22-year-old woman who experiences episodes of extreme muscle rigidity. She sometimes repeats a word or phrase over and over. Attempts to move her are met with increased muscle resistance. What is she exhibiting?

The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?

A nurse is collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?

Which component of the Mental Health Status Examination focuses on the way a person experiences reality?

A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?