Nursing care for people with personality disorders includes all the following except:

Nurse self-awareness.

Trust.

Limit setting.

Vague communication to decrease feelings of inferiority.

Answer and Explanation

The Correct Answer is D

Choice A reason: Nurse self-awareness is crucial in providing care for individuals with personality disorders to avoid countertransference.

Choice B reason: Trust is a fundamental component of the nurse-client relationship and is necessary for effective care.

Choice C reason: Limit setting is essential for maintaining professional boundaries and providing structure in the therapeutic relationship.

Choice D reason: Vague communication is not therapeutic and can lead to misunderstandings and increased feelings of inferiority, which is not conducive to treatment.

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Correct Answer is A

Explanation

Choice A reason: Serving food in sealed packaging can help alleviate the client's fears of poisoning, as the intact seals provide visual assurance that the food has not been tampered with.

Choice B reason: While serving warm foods with lids may keep the food warm, it does not necessarily provide the same level of reassurance against the fear of poisoning as sealed packaging does.

Choice C reason: Serving the same food as others may not be effective if the client's delusions include beliefs that they are being specifically targeted.

Choice D reason: Although serving the client's favorite foods in an attractive arrangement may be appealing, it does not address the specific paranoid delusion of food being poisoned.

A. Call the surgeon to talk to the patient. B. Offer to call the chaplain for this patient. C. Inform the patient that the survival rate for this surgery is very high. D. Recommend analgesics only during surgery.

Correct Answer is C

Explanation

Choice A reason: Direct communication with the surgeon can provide the patient with reassurance and specific information about the surgery, which may alleviate fears.

Choice B reason: Offering spiritual support may be helpful, but it does not directly address the patient's concern about the surgery itself.

Choice C reason: Providing statistics may be reassuring, but it may not fully address the patient's individual fears.

Choice D reason: Recommending analgesics only addresses pain management and not the patient's expressed fear regarding the surgery.

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Nursing care for people with personality disorders includes all the following except:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?

Correct Answer is A

Explanation

The nurse is assisting in the care of a preoperative patient who states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating, "The muxtranks are coming. The muxtranks are coming." The nurse correctly recognizes the client's use of the word "muxtranks" as an example of which of the following alterations in speech?

A nurse is assisting with the care of a client who is receiving a blood transfusion. The nurse should monitor for which of the following findings as an indication the client is having an acute hemolytic reaction?

A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

After positioning the patient on the surgical table and applying the safety strap, the surgical team pauses and verifies the patient and surgical information. What is this called?

The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

A nurse is contributing to the plan of care for a client who has obsessive-compulsive disorder (OCD) regarding brushing his teeth. The client brushes his tongue several times a day and has developed several ulcerations. Which of the following interventions should the nurse identify as a priority?

Debridement is:

A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?