A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?

Encourage client input in the treatment plan.

Communicate with the client using concrete language.

Demonstrate assertive behavior.

Promote appropriate behavior during group therapy sessions.

Answer and Explanation

The Correct Answer is D

A. Encouraging client input in the treatment plan is important for promoting client autonomy and engagement in their care. However, while it is a valuable intervention, it may not address the immediate needs or safety concerns of the client with histrionic personality disorder.

B. Clients with HPD may interpret vague or ambiguous communication in exaggerated ways. Concrete language helps prevent misunderstandings and maintains a therapeutic relationship. However, this is not the prority.

C. While assertiveness is valuable, it is not the primary focus at this stage.

D. Managing the clients behavior within the group is the priority intervention for the client who has histrionic personality disorder because these clients display extreme attention seeking behaviors and are often impulsive.

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Correct Answer is A

Explanation

A. Sudden change in the client's behavior increases the risk of suicidal behavior and hence requires observation and exploration.
B. Reward the client for her change in behavior: Positive reinforcement can be helpful, but it’s
essential to focus on evidence-based interventions rather than rewards.
C. Open communication is valuable, but it’s essential to approach this conversation with sensitivity. The client may not fully understand the reasons for their sudden change in behavior.

D. Sudden change in the client's behavior increases the risk of suicidal behavior and hence requires observation and exploration. It is therefore, not safe to discharge teh client at this point

A. Check the client's belongings for additional drugs. B. Pad the side rails of the bed because seizures are likely. C. Prepare a dose of ipecac, an emetic. D. Monitor respiratory function.

Correct Answer is D

Explanation

D. Barbiturates can cause respiratory depression, hypoventilation, and potentially respiratory arrest, which can lead to hypoxia and cardiac arrest if not promptly recognized and managed.

A. While it's important to assess for any additional drugs or substances that the client may have ingested, this action is not the priority when managing a client with a barbiturate overdose.

B. Seizures can occur as a result of barbiturate overdose, but respiratory depression is the more immediate and life-threatening concern.

C. Ipecac is no longer recommended for the induction of vomiting in cases of drug overdose due to the risk of complications such as aspiration pneumonia and delayed treatment.

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A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

Correct Answer is D

Explanation

A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse. "I should have died because I am totally worthless." Which of the following responses should the nurse make?

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