Which personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy?

Borderline

Schizoid

Narcissistic

Histrionic

Answer and Explanation

The Correct Answer is C

A. Borderline: Borderline personality disorder is associated with unstable mood, intense fear of abandonment, impulsivity, and self-destructive behaviors. While these clients may struggle with relationships, they do not exhibit grandiosity or an excessive need for admiration.

B. Schizoid: Schizoid personality disorder involves emotional detachment, preference for solitary activities, and limited expression of emotions. Clients with this disorder avoid social interactions but do not display traits of grandiosity or admiration-seeking.

C. Narcissistic: Narcissistic personality disorder is characterized by an inflated sense of self-importance, constant need for admiration, and lack of empathy toward others. These clients often exploit relationships for personal gain and require recognition to maintain self-esteem.

D. Histrionic: Histrionic personality disorder is marked by excessive emotionality, attention-seeking behavior, and dramatic expression. While they crave approval, they do not exhibit the pervasive grandiosity and lack of empathy that define narcissistic personality disorder.

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Correct Answer is A

Explanation

A. Client fears criticism from others, including staff: This supports a diagnosis of avoidant personality disorder. Individuals with this disorder are highly sensitive to criticism or rejection, which leads them to avoid social situations despite often desiring close relationships.

B. Client shows no remorse when accidentally breaking another client’s television: This aligns more closely with antisocial personality disorder, which is characterized by disregard for others and lack of empathy or remorse.

C. Client cries loudly whenever requests are denied: This is more consistent with borderline personality disorder, where emotional regulation is poor, and reactions to perceived rejection or frustration are intense and disproportionate.

D. Client talks about three failed marriages: Multiple failed relationships are more suggestive of borderline personality disorder, which is marked by instability in interpersonal relationships, not the avoidance and fear of rejection typical of avoidant personality disorder.

A. "I can use a regular toothbrush but brush gently." B. "I should balance my activities throughout the day to allow for rest periods." C. "I should include frequent small meals throughout the day." D. "I should use an electric razor."

Correct Answer is A

Explanation

A. "I can use a regular toothbrush but brush gently.": Clients receiving chemotherapy and radiation often develop thrombocytopenia or mucositis. A regular toothbrush can cause gum trauma and bleeding. The client should use a soft-bristled toothbrush or foam swabs to reduce oral injury and infection risk.

B. "I should balance my activities throughout the day to allow for rest periods.": Fatigue is a major side effect of cancer treatment, and conserving energy through activity pacing helps maintain independence while preventing exhaustion.

C. "I should include frequent small meals throughout the day.": Nausea, anorexia, and altered taste are common treatment side effects. Smaller meals are easier to tolerate and help maintain adequate nutrition and caloric intake.

D. "I should use an electric razor.": Due to potential thrombocytopenia and bleeding risk, electric razors are recommended instead of blades to minimize cuts and reduce complications during treatment.

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Which personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which observation by the nurse is supportive of a diagnosis of avoidant personality disorder?

Correct Answer is A

Explanation

Which of the following statements by the client requires additional teaching regarding managing side effects of radiation and chemotherapy?

Correct Answer is A

Explanation

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

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