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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
A. In OCD, individuals typically experience intrusive thoughts, images, or urges (obsessions) that cause anxiety or distress, rather than a specific fear of certain objects. While individuals with OCD may engage in compulsive behaviors related to their obsessions.
B. Rule-conscious behavior refers to a strict adherence to rules or regulations. While individuals with OCD may exhibit perfectionist tendencies and a need for orderliness, rule-conscious behavior is not a defining characteristic of OCD.
C. Individuals with OCD may experience difficulty relaxing due to the persistent nature of their obsessions and compulsions. Obsessions can trigger anxiety or distress, making it challenging for individuals with OCD to relax or engage in leisure activities without intrusive thoughts interfering. However, difficulty relaxing is not specific to OCD and can occur in other anxiety disorders as well.
D. Perfectionism is a common feature of OCD. Individuals with OCD often have unrealistic standards for themselves and may engage in compulsive behaviors to achieve a sense of perfection or symmetry. They may feel compelled to repeat tasks until they are "just right" or perform rituals to prevent perceived harm or catastrophe.
E. In OCD, individuals are typically aware of their compulsive behaviors, although they may feel driven to perform them to alleviate anxiety or prevent perceived harm. Compulsions are repetitive behaviors or mental acts that individuals feel driven to perform in response to obsessions or according to rigid rules.

Correct Answer is []
Explanation
Alcohol withdrawal syndrome refers to the collection of symptoms that occur when individuals who are dependent on alcohol abruptly reduce or stop their alcohol intake.
Benzodiazepines, such as diazepam or lorazepam, are commonly used to manage symptoms such as anxiety, tremors, and seizures.
Providing a safe environment also ensures that the client does not involve in self-harming activities due to hallucinations.
Alcohol withdrawal syndrome is associated with an increased risk of seizures, particularly within the first 48 hours after cessation of alcohol consumption. Seizures can range from mild to severe and may be life-threatening if not promptly managed.
Chronic alcohol abuse can lead to dehydration and electrolyte imbalances due to increased urinary output, decreased fluid intake, and poor nutrition. Additionally, alcohol withdrawal itself can exacerbate fluid and electrolyte disturbances due to vomiting, diarrhea, diaphoresis, and increased metabolic demand.
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