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: Acrophobia is the fear of heights, not water, and is considered a natural environment type of phobia.

Choice B reason: Aquaphobia is indeed the fear of water, but it is classified as a natural environment type of phobia, not situational.

Choice C reason: Acrophobia is incorrectly associated here; it is the fear of heights and not related to water.

Choice D reason: Aquaphobia is the correct term for an excessive fear of water, and it is identified as a natural environment type of phobia.

A. "My spouse had a terrible childhood, and I would probably do the same things." B. "If I don't give them money for the drugs, they will just steal it anyway." C. "I told my spouse that in order to be able to come home, they will first have to go to rehab." D. "I am so scared about my spouse getting fired; I often call in sick for them." E. "I can't keep money in the house and have to lock up jewelry in a safe."

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

Explanation

Choice A reason: This statement is an example of rationalizing the spouse's behavior, which can perpetuate the cycle of substance abuse.

Choice B reason: Providing money for drugs, even under the guise of preventing theft, is enabling because it facilitates the continuation of the substance abuse.

Choice C reason: Suggesting rehab as a condition for coming home is not enabling; it is a step towards addressing the substance use disorder.

Choice D reason: Calling in sick on behalf of the spouse to cover for their potential job loss due to substance abuse is an enabling behavior that prevents the spouse from facing the natural consequences of their actions.

Choice E reason: Securing valuables to prevent theft due to the spouse's substance abuse is also enabling because it adjusts normal routines to accommodate the substance use, rather than confronting or addressing the issue.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

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

Explanation

A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

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?

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

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?

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.