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.

Histrionic.

Avoidant.

Obsessive-compulsive.

Borderline.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Histrionic personality disorder is characterized by a pervasive pattern of excessive emotionality and attention-seeking behavior. Individuals with this disorder often feel uncomfortable when not the center of attention and may use dramatic, theatrical, or seductive behaviors to attract others. They are not typically withdrawn or anxious in social settings.

Choice B rationale

Avoidant personality disorder is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. The client's statements of becoming "extremely anxious in social gatherings" and never feeling "good enough" for coworkers are hallmark symptoms of this disorder. They actively avoid social situations to prevent rejection.

Choice C rationale

Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness, perfectionism, and mental and interpersonal control. Individuals with this disorder are often rigid and inflexible. They are not typically described as being socially anxious due to feelings of inadequacy, but rather due to a need for control.

Choice D rationale

Borderline personality disorder is characterized by a pervasive pattern of instability in interpersonal relationships, self-image, and emotions, and marked impulsivity. While individuals with this disorder may experience intense anxiety and fear of abandonment, their core features are related to instability, not a pervasive feeling of not being "good enough" in social settings. .

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Correct Answer is A

Explanation

Choice A rationale

Flumazenil is a competitive antagonist for benzodiazepine receptors in the central nervous system. It works by blocking the effects of benzodiazepines, effectively reversing their sedative and anxiolytic effects. It is a specific antidote for benzodiazepine overdose and is indicated for the reversal of conscious sedation or for managing a benzodiazepine overdose. It should be used with caution due to the risk of seizures in long-term users.

Choice B rationale

Atropine is an anticholinergic medication primarily used to treat bradycardia (slow heart rate) and as an antidote for nerve agent or pesticide poisoning. It acts on muscarinic receptors to block the action of acetylcholine. It does not have any effect on benzodiazepine receptors and is therefore not the appropriate medication for treating benzodiazepine toxicity.

Choice C rationale

Activated charcoal is a general adsorbent used to treat certain oral poisonings and overdoses. It binds to the drug in the gastrointestinal tract, preventing its absorption into the bloodstream. It is only effective if administered early after ingestion of the drug. It is not a specific antidote for benzodiazepine toxicity, but a general measure to prevent absorption. Flumazenil is the specific antidote.

Choice D rationale

Naloxone is a narcotic antagonist that reverses the effects of opioid overdose by competing for the same receptor sites. It is specifically used for opioid toxicity and is ineffective for benzodiazepine overdose. Administering naloxone would not alter the effects of benzodiazepines and would be a completely inappropriate intervention for this type of toxicity.

A. Chill the lavage fluid before instilling it. B. Position the client on his right side. C. Withdraw the fluid manually until it is clear. D. Insert a small-bore NG tube.

Correct Answer is C

Explanation

Choice A rationale

Chilling the lavage fluid causes vasoconstriction of the gastric blood vessels, which helps to slow or stop the bleeding. The cold temperature directly constricts the capillaries and arterioles in the stomach lining, reducing blood flow to the bleeding site. This action is a primary goal of gastric lavage in cases of upper gastrointestinal hemorrhage.

Choice B rationale

Positioning the client on their left side is the appropriate action. This position allows the lavage fluid to pool in the greater curvature of the stomach, where it can be most effective at washing over the bleeding site. Placing the client on their right side would cause the fluid to quickly pass into the duodenum, which is less effective for gastric lavage.

Choice C rationale

Gastric lavage is performed to remove blood and clots from the stomach. The procedure involves instilling a fluid, typically saline, and then withdrawing it. The nurse continues this process, manually withdrawing the fluid, until the return fluid is clear or only slightly pink, which indicates that the bleeding has been controlled or significantly reduced.

Choice D rationale

A large-bore NG tube (16-18 French or larger) is preferred for gastric lavage in cases of upper gastrointestinal bleeding. A large-bore tube is necessary to effectively remove blood clots and viscous fluid from the stomach. A small-bore tube would easily become occluded by clots, rendering the lavage procedure ineffective. *.

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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 planning care for a client who is experiencing benzodiazepine toxicity. The nurse should plan to administer which of the following medications?

Correct Answer is A

Explanation

A nurse is planning to perform gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following actions should the nurse take.

Correct Answer is C

Explanation

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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.