When working with a client with a personality disorder, the nurse would expect to find:
High self awareness
Impaired relationships
Empathy for others
Motivation to change
The Correct Answer is B
A. High self-awareness: Clients with personality disorders often have limited insight into their behaviors and how these affect others. They may not recognize their maladaptive patterns, making high self-awareness uncommon in this population.
B. Impaired relationships: Personality disorders are marked by enduring maladaptive patterns of behavior and cognition, which significantly disrupt interpersonal functioning and lead to unstable, strained, or impaired relationships.
C. Empathy for others: Many personality disorders, especially antisocial or narcissistic types, involve difficulty with empathy. Even in other types, clients may be so preoccupied with their own distress that empathy is diminished.
D. Motivation to change: Clients with personality disorders often lack motivation to change because they do not perceive their behavior as problematic. Change typically occurs only when external pressures, such as legal, social, or health consequences, force them to seek help.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A. Non-adherence to medications: Antipsychotic medications are essential for symptom control, and missing doses or discontinuing treatment often leads to exacerbation of psychotic symptoms and the need for hospitalization.
B. Non-attendance of treatment programs: While skipping therapy or support groups can negatively affect progress, it is not the main cause of relapse. Medication adherence remains the most critical component in preventing symptom recurrence and maintaining stability.
C. Lack of social activities: Social isolation can worsen negative symptoms and impact overall quality of life, but it does not directly cause acute relapse requiring hospitalization. The client may remain stable on medications even with limited social interactions.
D. Substance use to self medicate: Substance use can complicate treatment and increase relapse risk, but it is not the primary factor. Even clients without substance use issues frequently relapse if they stop taking prescribed antipsychotics.
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