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?

Clients demonstrate erratic behaviors.

Clients are fearful of making decisions.

Clients are dramatic.

Clients easily express disagreement with others.

Answer and Explanation

The Correct Answer is B

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

Explanation

A. Blood pressure: The client's blood pressure has increased significantly from 132/68 mm Hg to 156/92 mm Hg. This elevation may indicate a physiological response to anxiety or agitation and requires monitoring and assessment for potential cardiovascular issues.
B. Hallucinations: The client reports auditory hallucinations ("the voices are coming back") and visual hallucinations (seeing a man in the corner of the room). These symptoms indicate a need for immediate intervention and further evaluation to ensure the client's safety and address their psychotic symptoms.
C. Insomnia: The client states they cannot sleep, which is a significant concern as lack of sleep can exacerbate psychiatric symptoms, impair functioning, and increase the risk of self-harm or harm to others. Addressing sleep disturbances is critical for the client's overall treatment and well-being.
D. Delusions: While delusions (e.g., believing that people are trying to hurt the client) are concerning and require monitoring, the hallucinations reported by the client are more acute and pose a more immediate risk to the client's safety. Therefore, hallucinations take priority over delusions in this situation.
E. Appetite: The client consumed 50% of their evening meal, which indicates some level of appetite. Although changes in appetite can be relevant in the context of mental health, it is not as urgent as the other findings related to blood pressure, hallucinations, and insomnia, which directly impact the client's immediate safety and well-being.

A. Liver and pancreatic disease B. Heart disease and stroke C. Brain trauma and injury D. Bone loss and osteoporosis

Correct Answer is B

Explanation

A. Liver and pancreatic disease: While methamphetamine use can lead to various health issues, liver and pancreatic diseases are not directly linked to the acute effects of blood vessel constriction and spasming. These conditions are more commonly associated with substances like alcohol or certain prescription medications.
B. Heart disease and stroke: Methamphetamine use causes vasoconstriction and increased heart rate, significantly elevating the risk of cardiovascular complications. The combination of these factors can lead to heart disease, myocardial infarction, and stroke due to reduced blood flow and increased blood pressure, making this the most relevant risk for the client.
C. Brain trauma and injury: While methamphetamine can lead to cognitive impairment and increase the risk of accidents, blood vessel constriction specifically relates more directly to cardiovascular issues rather than immediate brain trauma or injury.
D. Bone loss and osteoporosis: Methamphetamine use can contribute to various health problems, but it is not directly associated with acute blood vessel constriction or spasming. Bone loss and osteoporosis are typically linked to chronic substance abuse, nutritional deficiencies, or hormonal changes rather than the immediate vascular effects of methamphetamine.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. Exhibits The nurse is reviewing the client's medical record. Select the "3" findings that require immediate follow-up by the nurse.

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

Explanation

A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?

Correct Answer is B

Explanation

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