A nurse is caring for a client who has a dissociative disorder. Which of the following actions should the nurse take first?

Administer a benzodiazepine to the client.

Establish rapport with the client.

Teach the client grounding techniques.

Educate the client about their disorder.

Answer and Explanation

The Correct Answer is B

A. Administer a benzodiazepine to the client: While benzodiazepines may be useful for managing anxiety, the first step in caring for a client with a dissociative disorder is to build a trusting relationship. Medications should not be prioritized over establishing rapport.
B. Establish rapport with the client: Building rapport is crucial in creating a safe environment for the client. It allows the nurse to gain the client’s trust, facilitating effective communication and treatment. A strong therapeutic alliance is essential for the client's willingness to engage in further interventions.
C. Teach the client grounding techniques: While grounding techniques can be beneficial for clients experiencing dissociation, they are most effective when the client feels safe and supported. Establishing rapport first will help the client be more receptive to learning and practicing these techniques.
D. Educate the client about their disorder: Education is important, but it should come after establishing a trusting relationship. The client may not be open to education about their disorder until they feel comfortable with the nurse and the therapeutic process.

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Correct Answer is D

Explanation

A. Paranoid personality disorder: Individuals with paranoid personality disorder often exhibit pervasive distrust and suspicion of others. While they may struggle with relationships, their lack of interest in sexual activity is not a defining characteristic of this disorder.
B. Antisocial personality disorder: People with antisocial personality disorder may engage in manipulative or harmful behaviors towards others and may not express concern for social norms or relationships. However, a lack of interest in sexual activity is not a typical feature of this disorder.
C. Schizotypal personality disorder: This disorder is characterized by eccentric behaviors, odd beliefs, and discomfort in close relationships. Although individuals with schizotypal personality disorder may struggle with intimacy, their lack of interest in sexual activity is not a primary feature of the disorder.
D. Schizoid personality disorder: A hallmark of schizoid personality disorder is a pervasive pattern of detachment from social relationships and a restricted range of emotional expression. Individuals with this disorder typically show little interest in sexual activity or forming romantic relationships, which aligns with the client's statement about having no interest in sexual activity or finding a partner.

A. Clients demonstrate erratic behaviors. B. Clients are fearful of making decisions. C. Clients are dramatic. D. Clients easily express disagreement with others.

Correct Answer is B

Explanation

A. Clients demonstrate erratic behaviors: Erratic behaviors are more characteristic of personality disorders such as borderline personality disorder. Clients with dependent personality disorder typically exhibit more submissive and clingy behaviors rather than erratic ones.
B. Clients are fearful of making decisions: This finding is a hallmark of dependent personality disorder. Individuals with this disorder often have difficulty making decisions without excessive advice and reassurance from others. They may fear losing support or approval, leading to indecisiveness and reliance on others for direction.
C. Clients are dramatic: Dramatic behaviors are more commonly associated with histrionic personality disorder. Clients with dependent personality disorder tend to be more passive and compliant rather than dramatic.
D. Clients easily express disagreement with others: Individuals with dependent personality disorder often struggle to express disagreement due to their fear of disapproval and desire for acceptance. They may avoid conflict and prioritize maintaining relationships over voicing their opinions.

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A nurse is caring for a client who has a dissociative disorder. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "I have no interest in sexual activity or finding a partner. The nurse should identify that this statement is consistent with which of the following personality disorders?

Correct Answer is D

Explanation

A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have dependent personality disorder?

Correct Answer is B

Explanation

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