A nurse identifies that theA nurse is educating a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity of histrionic personality disorder?
Obsessive-Compulsive Disorder
Schizophrenia
Generalized Anxiety Disorder
Anorexia Nervosa
environment is important when caring for a client with hypomanic episodes. What should the nurse do when caring for clients with this disorder?
The Correct Answer is C
Choice A reason: Obsessive-Compulsive Disorder (OCD) is characterized by persistent, unwanted thoughts (obsessions) and behaviors (compulsions) that the individual feels the urge to repeat over and over. While OCD is a separate condition that can co-occur with many disorders, it is not commonly associated as a comorbidity with histrionic personality disorder⁴⁵.
Choice B reason: Schizophrenia is a severe mental disorder that affects how a person thinks, feels, and behaves. It is not typically associated with histrionic personality disorder, which is characterized by excessive emotionality and attention-seeking behaviors⁴⁵.
Choice C reason: Generalized Anxiety Disorder (GAD) is a common comorbidity with histrionic personality disorder. Individuals with histrionic personality disorder may experience high levels of anxiety, which can manifest as GAD. This anxiety often relates to fears of rejection or not being the center of attention⁴⁵.
Choice D reason: Anorexia Nervosa is an eating disorder characterized by an abnormally low body weight, intense fear of gaining weight, and a distorted perception of body weight. It is more commonly associated with other conditions, such as obsessive-compulsive and avoidant personality disorders, rather than histrionic personality disorder⁴⁵.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason : The symptoms described for the 40-year-old woman align closely with the clinical presentation of a pulmonary embolism. Swelling and pain in the calf may indicate deep vein thrombosis (DVT), which can lead to PE. The presence of chest pain, difficulty breathing, rapid heart rate (tachycardia), and rapid breathing (tachypnea) are hallmark signs of PE³⁴.
Choice B reason : While the 60-year-old man is experiencing fatigue, which can be a symptom of many conditions, there is no direct indication of PE. Acute kidney injury (AKI) after IV antibiotics suggests a different pathophysiology unrelated to PE.
Choice C reason : The 30-year-old man's refusal to ambulate or wear compression stockings after surgery increases his risk for DVT and subsequently PE; however, he does not currently exhibit symptoms that are as indicative of PE as the 40-year-old woman.
Choice D reason : The 55-year-old woman's symptoms could suggest a cardiac event, such as a heart attack, especially with the radiating jaw pain. While PE can present with similar symptoms, the radiating pain is more characteristic of cardiac issues³.
Correct Answer is B
Explanation
Choice A reason : Spironolactone is a potassium-sparing diuretic, which means it helps the body get rid of excess water without causing potassium loss. Therefore, a decreased potassium level would not be expected.
Choice B reason : Spironolactone can lead to hyperkalemia (increased potassium levels) and hyponatremia (decreased sodium levels) because it causes the kidneys to excrete sodium while retaining potassium.
Choice C reason : A decreased phosphate level is not a typical finding associated with spironolactone use. Phosphate levels are more commonly affected by renal function and parathyroid hormone levels.
Choice D reason : A decreased chloride level is not specifically associated with spironolactone. While electrolyte imbalances can occur, spironolactone primarily affects potassium and sodium balance.
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