A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Antisocial personality disorder

Histrionic personality disorder

Schizotypal personality disorder

Narcissistic personality disorder

Answer and Explanation

The Correct Answer is A

A. Antisocial personality disorder is characterized by a disregard for rules and the rights of others, often leading to manipulative and defiant behavior.

B. Histrionic personality disorder involves excessive emotionality and attention-seeking behavior but does not typically include a refusal to follow rules.

C. Schizotypal personality disorder involves eccentric behavior and discomfort in close relationships, not necessarily a refusal to follow rules.

D. Narcissistic personality disorder involves grandiosity and a need for admiration, but it is more focused on self-importance than rule defiance.

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Correct Answer is D

Explanation

A. Borderline personality disorder is part of Cluster B, which includes dramatic, emotional, or erratic behaviors.

B. Paranoid personality disorder is part of Cluster A, which includes odd or eccentric behaviors.

C. Antisocial personality disorder is part of Cluster B.

D. Dependent personality disorder is part of Cluster C, which includes anxious or fearful behaviors.

A. "You don't feel like group therapy is for you. Tell me more about what you know about group therapy". B. "I am not saying that you need therapy, but I am sure it will help you." C. "I understand that you feel like you don't need it; however, the provider thinks it will help." D. "You don't have to be afraid to go. Our therapists are very understanding."

Correct Answer is A

Explanation

A. This response validates the client's feelings and opens up a dialogue for the client to express their thoughts and concerns about group therapy, which is a key aspect of therapeutic communication.

B. This response may come across as dismissive of the client's feelings and does not encourage open communication.

C. While this response acknowledges the client's feelings, it does not encourage the client to share more about their concerns.

D. This response makes assumptions about the client's feelings and does not invite them to express their thoughts.

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A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?

Correct Answer is D

Explanation

A nurse is caring for a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it."" Which of the following responses by the nurse indicates a therapeutic response?

Correct Answer is A

Explanation

A nurse is helping a client develop a plan to stop gambling. Which of the following interventions should the nurse include in the plan to set specific measurements for this behavior change?

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A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?

A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

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