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 C

Explanation

Choice A reason: Storing personal items on a high shelf increases the risk of falls due to reaching or climbing. Items should be kept within easy reach.

Choice B reason: Restraints are not standard fall prevention tools and are used only when absolutely necessary. Their use can increase agitation and injury risk.

Choice C reason: Wearing a color-coded wristband is a standard fall prevention strategy. It alerts staff to the client’s fall risk and ensures appropriate precautions are taken.

Choice D reason: Keeping overhead lights on constantly can disrupt sleep and cause glare, increasing fall risk. Adequate lighting should be used appropriately based on time and activity.

A. Rotavirus B. Human papillomavirus (HPV) C. Herpes zoster D. Diphtheria, tetanus, and acellular pertussis (DTaP)

Correct Answer is C

Explanation

Choice A reason: Rotavirus vaccine is recommended for infants, not older adults. It prevents severe diarrhea in young children.

Choice B reason: HPV vaccine is primarily recommended for adolescents and young adults to prevent cervical and other cancers. It is not routinely given to older adults.

Choice C reason: Herpes zoster vaccine is recommended for adults over 50 to prevent shingles and its complications. It is a key immunization for older populations.

Choice D reason: DTaP is given to children under 7 years old. Older adults may receive the Td or Tdap booster, but DTaP is not appropriate for this age group.

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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

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Correct Answer is C

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Correct Answer is C

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