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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Impaired ability to regulate body temperature: This condition is not characterized by jerking movements and twitching of the face and tongue. Impaired temperature regulation is more associated with conditions like neuroleptic malignant syndrome but does not specifically relate to the movements described.
B. Neuroleptic malignant syndrome: Neuroleptic malignant syndrome is a serious and potentially life-threatening condition that includes symptoms such as muscle rigidity, fever, autonomic instability, and altered mental status. While it can occur in patients taking antipsychotic medications, the movements described do not fit this diagnosis.
C. Extrapyramidal symptoms: Extrapyramidal symptoms (EPS) refer to a range of movement disorders caused by antipsychotic medications, including tremors, rigidity, and bradykinesia. However, the specific symptoms of jerking movements and twitching of the face and tongue are more characteristic of tardive dyskinesia rather than general EPS.
D. Tardive dyskinesia: Tardive dyskinesia is a condition often seen in individuals taking first-generation antipsychotic medications for an extended period. It is characterized by involuntary, repetitive movements, particularly in the face, tongue, and extremities. The client's symptoms of jerking movements and twitching align with this diagnosis.
Correct Answer is B
Explanation
A. Selective serotonin reuptake inhibitor: SSRIs are primarily used to treat depression and anxiety disorders. They are not effective in addressing symptoms such as delusions and hallucinations, which are often associated with psychotic disorders.
B. Dopamine antagonist: Dopamine antagonists, often referred to as antipsychotic medications, are the primary treatment for managing delusions and hallucinations. These medications work by blocking dopamine receptors in the brain, helping to reduce the severity of psychotic symptoms.
C. Benzodiazepine: While benzodiazepines may be used to manage anxiety or agitation, they do not directly treat delusions or hallucinations. Using them in clients with psychotic symptoms could potentially mask underlying issues without addressing the core problems.
D. Mood stabilizer: Mood stabilizers are primarily indicated for mood disorders, such as bipolar disorder. Although they can help manage mood swings and irritability, they do not specifically target the psychotic symptoms of delusions and hallucinations, making them less appropriate in this context.
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