A nurse in a mental health clinic is assessing a client prior to their appointment with the provider
show:
Exhibits

Complete the diagram by dragging from the choices below to specify the following:

which condition the client is most likely experiencing

Two actions for the nurse take to address this condition

Two parameters for the nurse to monitor to assess the client's progress

Answer and Explanation

The Correct Answer is []

Potential Condition: Narcissistic Personality Disorder (NPD)

The client shows classic traits of NPD, including: Grandiosity: Claims their office is "falling apart without me." Entitlement and arrogance: Shows irritation at being brought to the appointment and lacks insight into why others might be concerned. Lack of empathy: Belittles a homeless person and fails to understand the inappropriateness of the remark. Boasting: Exaggerates the achievements of their children, aligning with inflated self-image.

Actions to Take

Maintain a neutral demeanor: Helps the nurse stay objective and reduces the likelihood of reinforcing the client’s manipulative or confrontational behaviors.

Avoid becoming defensive when the client makes disparaging remarks: Clients with NPD may challenge or provoke others; staying calm avoids power struggles and maintains therapeutic boundaries.

Parameters to Monitor

Manipulative behavior: Clients with NPD may attempt to control or influence others to serve their own needs.

Lack of empathy: Key diagnostic feature of NPD; monitoring helps assess therapeutic progress or regression.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Intention tremors are not associated with Addison's disease. They are typically seen in neurological conditions such as multiple sclerosis or cerebellar disorders.
B. Hyperpigmentation is a classic and expected finding in clients with Addison's disease, especially in primary adrenal insufficiency. It results from increased secretion of adrenocorticotropic hormone (ACTH), which stimulates melanocytes to produce more melanin, leading to darkening of the skin, particularly in areas exposed to friction such as elbows, knuckles, and mucous membranes.
C. Purple striations are more commonly seen in Cushing's syndrome, which involves excessive cortisol, the opposite of Addison’s disease (which involves cortisol deficiency).
D. Hirsutism (excessive hair growth) is also more characteristic of Cushing’s syndrome, due to increased androgen levels. It is not a typical finding in Addison’s disease.

A. ECG report B. Weight C. Sodium level D. Respiratory assessment E. Temperature F. Creatinine level

Correct Answer is ["B","C","D","E","F"]

Explanation

A. ECG can detect complications like bradycardia or QT prolongation, but does not in itself indicate progress unless compared over time. It's more useful as a diagnostic tool than a treatment response marker.
B. Weight gain is one of the most reliable markers of recovery in anorexia nervosa. If the client is gaining weight steadily as part of a refeeding plan, it strongly indicates progress.
C. Sodium level: Electrolyte imbalances (such as hyponatremia) are common due to malnutrition and purging behaviors. A normalized sodium level indicates physiological recovery.
D. Respiratory assessment: Improvement in respiratory rate (from 24 → 20/min) and increased SpO2 (93% → 96%) suggest better respiratory and overall metabolic function.
E. Temperature: An increase in body temperature indicates improvement in metabolic rate and nutritional status, both of which are impaired in severe malnutrition.
F. Creatinine level reflects kidney function and muscle mass. Improvement or normalization of creatinine levels is a positive sign of physiological restoration in anorexia.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa. Exhibits A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan? Select all that apply.

Correct Answer is ["B","C","D","E","F"]

Explanation

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