A general goal for a patient with a Personality Disorder is:

Demonstrate nondestructive ways to meet his/her needs.

Establish and maintain strong personal relationships.

Express understanding of his or her behavior on other people.

Find lucrative employment and become a model employee.

Answer and Explanation

The Correct Answer is A

Choice A reason: Patients with Personality Disorders often struggle with maladaptive behaviors. A general goal is to help them find nondestructive ways to fulfill their needs, promoting healthier interactions and coping mechanisms.

Choice B reason: While establishing relationships is important, the priority is to ensure that the patient's methods of interacting are healthy and nondestructive.

Choice C reason: Understanding the impact of one's behavior on others is a goal, but it is secondary to the patient learning nondestructive self-management skills.

Choice D reason: Employment is a long-term goal and, while important, it is not as immediately relevant to the therapeutic process as developing nondestructive behaviors.

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Correct Answer is C

Explanation

Choice A reason:

Calling the surgeon to talk to the patient may be helpful in some cases, but it does not directly address the patient's immediate emotional needs. The surgeon can provide detailed information about the procedure, which might alleviate some fears, but this is not always the immediate solution.

Choice B reason:

Offering to call the chaplain for the patient could provide emotional and spiritual support, which is important in holistic care. However, this should be done in addition to addressing the patient's concerns about the surgery itself.

Choice C reason:

Informing the patient that the survival rate for this surgery is very high directly addresses the patient's fear about not surviving the surgery. Providing factual reassurance about the success rate can help to alleviate anxiety and is an appropriate immediate response.

Choice D reason:

Recommending analgesics only during surgery does not address the patient's expressed fear and is not an appropriate response to the emotional concern. Analgesics are for pain management and do not provide reassurance about the outcome of the surgery.

A. Providing the patient with a pillow to brace the incision B. Instructing the patient to perform deep coughing every 30 minutes C. Having the patient sit up and lean forward D. Giving pain medication prior to coughing

Correct Answer is B

Explanation

Choice A reason: Providing a pillow to brace the incision is a recommended practice to support the incision during coughing or movement.

Choice B reason: Instructing the patient to perform deep coughing every 30 minutes is a standard postoperative care practice to prevent atelectasis.

Choice C reason: Having the patient sit up and lean forward can help with breathing and comfort after surgery.

Choice D reason: Giving pain medication prior to coughing is actually a recommended practice to reduce pain and facilitate effective coughing.

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A general goal for a patient with a Personality Disorder is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Correct Answer is C

Explanation

The nurse is assisting in the care of a patient after open-heart surgery. Which action by the other nurse would warrant intervention?

Correct Answer is B

Explanation

A client with COPD should receive only 1-2 liters per minute of oxygen, if needed, or they may lose their hypoxic drive. Which of the following statements is correct about hypoxic drive?

Which of the following responses to anxiety is a cause for concern?

Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

A nurse is reinforcing teaching with a client following surgery who has antiembolism stockings in place. Which of the following information should the nurse include in the teaching?

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

We encourage the patient to cough and deep breathe after surgery to prevent:

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?