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 D

Explanation

Choice A reason: OCD behaviors are not typically aimed at preventing aggressive and impulsive behaviors but are a response to anxiety-provoking obsessions.

Choice B reason: The repetitive behaviors associated with OCD, such as cleaning, are not intended to manipulate others but are compulsions that the individual feels driven to perform.

Choice C reason: The goal of repetitive cleaning in OCD is not to decrease social interaction time but to alleviate the distress caused by obsessive thoughts, often related to cleanliness or contamination.

Choice D reason: Repetitive cleaning in OCD is a compulsion that aims to decrease the anxiety caused by obsessive thoughts. It is a way for the individual to manage their anxiety and gain a sense of control over their environment.

A. Projection. B. Displacement. C. Rationalization. D. Denial.

Correct Answer is A

Explanation

Choice A reason: Projection involves attributing one's own unacceptable feelings or thoughts to others, which may be the case when the student blames the teacher for their own failure.

Choice B reason: Displacement involves shifting negative feelings to a less threatening object or person, which is not clearly indicated in this scenario.

Choice C reason: Rationalization involves justifying behaviors or feelings with logical reasons, often avoiding the true reasons, which does not seem to apply here.

Choice D reason: Denial involves refusing to accept reality or facts, which is not the defense mechanism being demonstrated by the student's behavior of blaming the teacher.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client engages in constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

Correct Answer is D

Explanation

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?

Correct Answer is A

Explanation

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? Select all that apply.

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

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 female client comes to the clinic regularly for various somatic issues that have been ruled out for any organic cause. She states that she works as one of the only women on a cybersecurity technical team. Which statement made by the client indicates that she may have suppressed anger?

The nurse is educating a client and family about strategies to minimize the side effects of antipsychotic drugs. Which will be included in the plan? 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?