The nurse assigned to care for the client with a diagnosis of histrionic personality disorder expects to observe which characteristics and behaviors?
Fears abandonment, agreeable, needs constant reassurance.
Seems uncomfortable around lack of close friends, indifferent to praise or criticism.
Likes to be the center of attention, exaggerated emotional expression, little tolerance for frustration.
Tries to intimidate others, manipulative, lacks empathy.
The Correct Answer is C
Choice A reason: These traits are characteristic of dependent personality disorder, where clients fear separation and rely heavily on others for decision-making and support.
Choice B reason: This describes schizoid personality disorder, in which individuals show detachment from relationships and emotional indifference.
Choice C reason: Histrionic personality disorder is marked by attention-seeking, dramatic and exaggerated emotions, and difficulty coping with delayed gratification, making this the correct description.
Choice D reason: These are traits of antisocial personality disorder, which involves manipulation, intimidation, and lack of empathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Sedative medications may be used in severe cases, but immediate nursing care focuses on nonpharmacologic interventions to ensure safety and reduce stimulation. Medication is not the first-line action.
Choice B reason: Providing a calm environment with reduced external stimuli while encouraging expression of feelings helps the client regain control and decreases anxiety during a panic episode. This is the most appropriate nursing intervention.
Choice C reason: Detailed problem-solving requires higher-level cognitive functioning, which is impaired during a panic attack. Attempting this intervention may increase the client’s distress.
Choice D reason: Allowing expression without guidance offers no therapeutic support and may leave the client overwhelmed by panic symptoms, prolonging the episode.
Correct Answer is D
Explanation
Choice A reason: Focusing only on medications neglects the interpersonal development central to Peplau’s model. The orientation phase emphasizes relationship building, not task-centered care.
Choice B reason: Allowing expression without structure or guidance does not fulfill the orientation phase, which requires the nurse to actively build trust and clarify roles.
Choice C reason: Excessive distance prevents rapport, which is essential in the orientation phase where the foundation for a therapeutic relationship must be established.
Choice D reason: Establishing trust, being consistent, and clarifying client expectations define the orientation phase of Peplau’s theory. This phase sets the groundwork for collaboration and progress in treatment.
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