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

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

A. Monitor the client's whereabouts at all times. B. Reward the client for her change in behavior. C. Ask the client why her behavior has changed. D. Encourage family to take the client out of the facility for short periods of time.

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

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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 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

Correct Answer is A

Explanation

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