A nurse is assessing a client who states that she becomes extremely anxious in social gatherings. She tells the nurse that she never feels "good enough" for her coworkers. The nurse should identify that these findings can indicate which of the following personality disorders?

Borderline

Obsessive-compulsive

Histrionic

Avoidant

Answer and Explanation

The Correct Answer is D

Choice A reason: Borderline personality disorder is characterized by emotional instability, fear of abandonment, and impulsive behavior. While self-esteem issues may be present, social avoidance is not a defining feature.

Choice B reason: Obsessive-compulsive personality disorder involves preoccupation with orderliness, perfectionism, and control. It does not typically include social anxiety or feelings of inadequacy in social settings.

Choice C reason: Histrionic personality disorder is marked by attention-seeking behavior and excessive emotionality. Individuals often crave social interaction rather than avoid it.

Choice D reason: Avoidant personality disorder is defined by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. The client’s anxiety in social settings and belief of not being “good enough” align with this diagnosis.

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Correct Answer is D

Explanation

Choice A reason: Allowing visitors, even healthy children, increases the risk of infection for neutropenic clients. Strict visitor screening and limitations are essential to protect immunocompromised individuals.

Choice B reason: Clean technique is insufficient for invasive procedures in neutropenic clients. Sterile technique is required to minimize the risk of introducing pathogens.

Choice C reason: The client’s room should be cleaned daily, not every two days. Frequent cleaning reduces environmental contamination and lowers infection risk.

Choice D reason: Monitoring temperature every 4 hours is critical for early detection of infection in neutropenic clients. Fever may be the only sign of infection due to suppressed immune responses.

A. Tomato soup B. Hot cocoa C. White fish D. Decaffeinated coffee

Correct Answer is C

Explanation

Choice A reason: Tomato soup is acidic and can exacerbate GERD symptoms. Acidic foods should be avoided.

Choice B reason: Hot cocoa contains caffeine and fat, both of which can relax the lower esophageal sphincter and worsen reflux.

Choice C reason: White fish is low in fat and non-acidic, making it a safe and appropriate choice for clients with GERD.

Choice D reason: Even decaffeinated coffee can stimulate acid production and may trigger symptoms in sensitive individuals.

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A nurse is assessing a client who states that she becomes extremely anxious in social gatherings. She tells the nurse that she never feels "good enough" for her coworkers. The nurse should identify that these findings can indicate which of the following personality disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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