A nurse in an emergency department is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

Personality Diagnostic Questionnaire

Toxicology test

Minnesota Multiphasic Personality Inventory (MMPI)

Eysenick Personality Inventory

Answer and Explanation

The Correct Answer is B

A. The Personality Diagnostic Questionnaire is used to assess personality disorders, not substance use.

B. A toxicology test is a standard and reliable method to determine recent use of illicit substances by detecting the presence of drugs in the body.

C. The Minnesota Multiphasic Personality Inventory (MMPI) is a psychological test assessing personality traits and psychopathology, not recent drug use.

D. The Eysenick Personality Inventory is used to assess personality traits, not recent substance use.

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Correct Answer is A

Explanation

A. Antisocial personality disorder is characterized by a disregard for rules and the rights of others, often leading to manipulative and defiant behavior.

B. Histrionic personality disorder involves excessive emotionality and attention-seeking behavior but does not typically include a refusal to follow rules.

C. Schizotypal personality disorder involves eccentric behavior and discomfort in close relationships, not necessarily a refusal to follow rules.

D. Narcissistic personality disorder involves grandiosity and a need for admiration, but it is more focused on self-importance than rule defiance.

A. "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning." B. "That is very interesting, We are not sure why people start to isolate themselves." C. "Do you think of yourself as more of an introvert? That makes a difference with how you socialize." D. "Were you avoiding your friend so that you could hear the voices more clearly?"

Correct Answer is A

Explanation

A. Explaining that social withdrawal is often an early warning sign of schizophrenia helps the client understand their condition and can validate their experiences.
B. While acknowledging the client's statement, this response does not provide useful information or support.
C. Discussing introversion does not address the specific context of schizophrenia and its early warning signs.
D. This response is not supportive or therapeutic and may be confusing or stigmatizing to the client.

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A nurse in an emergency department is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Correct Answer is A

Explanation

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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