The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)
Schizotypal
Avoidant
Narcissistic
Antisocial
Paranoid
Correct Answer : A,D,E
Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.
Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.
Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.
Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.
Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Forgetting people's names can be a symptom of both dementia and delirium, but it is more commonly associated with the progressive cognitive decline seen in dementia.
Choice B reason: Sudden onset of confusion after starting a new medication, such as an antidepressant, is indicative of delirium, which can be triggered by drug interactions or side effects.
Choice C reason: Increased tiredness and sleep could be associated with either condition but are not specific indicators that would distinguish delirium from dementia.
Choice D reason: A loss of interest in previously enjoyed activities is a symptom that can be seen in dementia as part of a gradual decline in engagement and is not specific to delirium.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: While sleep disorders can be associated with eating disorders, breathing-related sleep disorders are not commonly known as a direct comorbidity.
Choice B reason: Schizophrenia is a separate mental health condition and is not typically considered a comorbidity of eating disorders.
Choice C reason: OCD can be a comorbidity of eating disorders, as both involve anxiety and control issues.
Choice D reason: Anxiety is commonly comorbid with eating disorders, as anxiety can contribute to the development and maintenance of these disorders.
Choice E reason: Depression is often comorbid with eating disorders, as the psychological distress related to eating disorders can lead to depressive symptoms.
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