A psychiatric nurse is caring for several clients with personality disorders. The nurse understands that the DSM-5 groups these disorders into clusters based on characteristic behaviors. Which of the following client presentations is most consistent with a Cluster A personality disorder?

A client with obsessive-compulsive disorder (OCD) has been cleaning a bathroom for most of the morning. When the roommate demands that the client leave the bathroom so that the roommate can shower, the client becomes angry and says, "You can’t make me leave, everything is still dirty." What is the best nursing action?

A nurse is assessing a client diagnosed with schizophrenia who is exhibiting positive symptoms. Which of the following findings should the nurse expect? (Select all that apply.)

A client recently diagnosed with cancer continues to miss follow-up appointments and states, "The doctors must have made a mistake—there’s no way I’m that sick." According to Freud’s psychoanalytic theory, which defense mechanism is the client most likely using?

A 45-year-old client with severe schizophrenia is deemed incapable of making informed decisions about their treatment due to cognitive impairment and psychosis. The healthcare team recommends appointing a legal guardian. As the nurse, which of the following actions is most appropriate to support the client’s rights and care during this process?

A nurse is caring for a client who states, "I have no interest in sexual activity or finding a partner." The nurse should identify that this statement is consistent with which of the following personality disorders?

A client receiving a first-generation antipsychotic develops symptoms of acute dystonia, including muscle spasms and neck stiffness. Which type of medication should the nurse anticipate administering to manage these side effects?

A 52-year-old male with a long history of alcohol use disorder is admitted to the hospital and begins showing signs of Delirium Tremens, including agitation, tremors, tachycardia, and hallucinations. Which medication should the nurse anticipate administering to manage these symptoms?

A client charged with assault pleads not guilty by reason of insanity under the Durham Rule. Which statement best reflects the criteria used in this legal standard?

Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

A client recently diagnosed with schizophrenia is brought to the mental health clinic by the identical twin sibling for the first follow-up visit after hospitalization. The client’s sibling says to the nurse, "I read that schizophrenia runs in families. I guess I'm doomed." Which is the best response by the nurse?