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.
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 They are not typically withdrawn or anxious in social settings.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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
This location, the second intercostal space at the right sternal border, corresponds to the aortic valve area. Auscultation here allows the nurse to assess the sounds produced by the aortic valve, which are distinct from the mitral valve sounds. These sounds are generated as blood is ejected from the left ventricle into the aorta during systole.
Choice B rationale
The second intercostal space at the left sternal border is the correct anatomical location for auscultating the pulmonic valve. The pulmonic valve separates the right ventricle from the pulmonary artery, and listening here allows the nurse to assess the sounds of blood flow into the pulmonary circulation.
Choice C rationale
The fifth intercostal space at the left midclavicular line is the point of maximal impulse (PMI), also known as the apical pulse, which is the anatomical location for the mitral valve. This is the optimal site for auscultating the S1 and S2 heart sounds, as well as any murmurs or abnormal sounds associated with the mitral valve's function.
Choice D rationale
This location, the fourth intercostal space at the left sternal border, is the anatomical location for the tricuspid valve. Auscultation in this area allows the nurse to assess the sounds generated by the tricuspid valve, which regulates blood flow between the right atrium and the right ventricle. *.
Correct Answer is ["18.25"]
Explanation
Step 1: convert the height from cm to meters. 175 cm ÷ 100 = 1.75 m.
Step 2: calculate BMI using the formula $BMI = weight (kg) ÷ height (m)^2$. BMI = 55.9 kg ÷ (1.75 m × 1.75 m).
Step 3: calculate the denominator. 1.75 m × 1.75 m = 3.0625 m$^2$.
Step 4: divide the weight by the denominator. 55.9 kg ÷ 3.0625 m$^2$ = 18.25. The client's BMI is 18.3.
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