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 ["C","E"]
Explanation
Choice A reason: Propranolol is a beta-blocker primarily used for performance-related anxiety and physical symptoms like tremors or palpitations. It is not considered first-line or standard treatment for panic disorder.
Choice B reason: Clonidine is an alpha-2 adrenergic agonist used more often for hypertension, withdrawal syndromes, and sometimes ADHD. It is not a recommended pharmacologic option for panic disorder.
Choice C reason: Alprazolam, a benzodiazepine, is effective for acute management of panic attacks by rapidly reducing anxiety. However, it is generally used short-term due to risks of tolerance, dependence, and withdrawal.
Choice D reason: Buspirone is an anxiolytic used mainly for generalized anxiety disorder. It lacks efficacy in panic disorder and is not typically prescribed for it.
Choice E reason: Clonazepam, another benzodiazepine, is often used to manage panic disorder due to its longer half-life compared to alprazolam, making it effective in reducing frequency and severity of panic attacks.
Correct Answer is A
Explanation
Choice A reason: This response acknowledges the client’s experience without reinforcing the hallucination. It demonstrates empathy, maintains reality orientation, and builds trust, which are crucial therapeutic approaches.
Choice B reason: Challenging hallucinations with logic is not effective and can increase client defensiveness or distress. It may also escalate paranoia rather than reduce it.
Choice C reason: Avoiding the client ignores their distress and can increase isolation. Engagement is necessary to provide reassurance and therapeutic support.
Choice D reason: Directly denying the hallucination can invalidate the client’s experience, leading to mistrust and further paranoia. A more supportive acknowledgment is preferred.
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