A nurse is discussing with a client the potential for involuntary admission to prevent harm to themselves and their newborn. The nurse is also preparing for the administration of an IV neuroactive steroid over a 60-hour period of time. Which approach will be most effective in developing a therapeutic relationship with a client diagnosed with which of the following disorders? (Select all that apply.)

Schizotypal

Avoidant

Narcissistic

Antisocial

Paranoid

Answer and Explanation

Correct Answer : A,D,E

Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.

Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.

Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.

Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.

Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.

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Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Honoring commitments and punctuality are fundamental in building trust, especially with clients who may have trust issues due to paranoid personality disorder.

Choice B reason: Superficial social conversation may not be effective in fostering trust with a client who has paranoid personality disorder, as they may perceive it as insincere.

Choice C reason: Using humor can be misinterpreted and may not be appropriate when working with clients who have paranoid personality disorder, as they might suspect ulterior motives.

Choice D reason: Including the client in the development of their plan of care is crucial as it gives them a sense of control and involvement, which can foster trust.

Choice E reason: A formal businesslike approach can provide a sense of professionalism and boundaries, which can help in building trust with a client who has paranoid personality disorder.

A. Coping patterns B. Alcohol use C. Socioeconomic status D. Support systems E. Suicide risk

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Coping patterns can influence an individual's ability to handle stress and may contribute to suicide risk if they are maladaptive.

Choice B reason: Alcohol use can increase impulsivity and lower inhibitions, potentially increasing the risk of suicide.

Choice C reason: Socioeconomic status can impact access to resources and support, which may affect an individual's suicide risk.

Choice D reason: Support systems can provide emotional support and connection, which are protective factors against suicide.

Choice E reason: Identifying suicide risk is essential in assessing the immediate danger and the need for interventions.

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Naxlex Comprehensive Predictor Exams

The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

A nurse is assessing risk factors for suicide. Which of the following should the nurse consider? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? (Select all that apply.)

A nurse in the emergency department is creating a plan of care for a client experiencing alcohol intoxication. Which of the following interventions should the nurse plan to include? Select all that apply.

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

When engaging with clients, which techniques should the nurse avoid using to foster more therapeutic responses? Select all that apply.

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.