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 ["B","C","D"]

Explanation

B. Individuals experiencing depression may have negative thoughts about themselves, feelings of worthlessness, and a diminished sense of self-esteem. These negative self-perceptions can contribute to feelings of hopelessness and despair.

C. Insomnia is a common sleep disturbance associated with depression. Sleep disturbances are prevalent among individuals with depression and can exacerbate other symptoms such as fatigue, irritability, and difficulty concentrating.

D. Individuals with depression may experience irritability, mood swings, and a low tolerance for frustration. Irritability can be a manifestation of the emotional distress and dysregulation often experienced in depression.

A. While some individuals with depression may experience physical symptoms such as headaches and digestive disturbances, these symptoms are not specific to depression

E Euphoria is not a typical finding in depression. Instead, euphoria is more commonly associated with mood disorders such as bipolar disorder

A. Provide a structured environment for the client. B. Identify the client's nutritional status. C. Plan a therapeutic diet for the client. D. Request a mental health consult.

Correct Answer is B

Explanation

A. A structured environment can include regular meal times, consistent routines, and clear expectations. While providing a structured environment is important in the overall management of eating disorders, it may not address the immediate concerns related to the client's severe weight loss and distorted body image.
B. Given the client's significant weight loss and distorted body image, assessing their nutritional status is crucial in understanding the extent of the problem and determining appropriateinterventions.
interventions. However, the client’s symptoms point to a mental health problem.
C. While planning a therapeutic diet is an essential component of the client's long-term treatment plan, it may not be the first priority given the client's current medical and psychological status.

D.Given the client's distorted body image, severe weight loss, and belief that she is fat, requesting a mental health consult is not the first priority. The physiological needs should be addressed first

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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

A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply.)

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

Explanation

A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?

Correct Answer is B

Explanation

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