The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?
"All of the other clients on this unit must follow the rules of the unit."
"No one is paying attention to me, and I am so angry!"
"Why do you think others on the unit are being friendly to me?"
"I am just not sure what activity to do; will you tell me?"
The Correct Answer is B
Choice A reason: This statement does not typically correlate with histrionic personality disorder, which is characterized by attention-seeking behavior rather than a focus on rules.
Choice B reason: This statement reflects the attention-seeking and emotional behavior often associated with histrionic personality disorder.
Choice C reason: While this statement could indicate a need for validation, it is not as directly related to the dramatic or attention-seeking behaviors typical of histrionic personality disorder.
Choice D reason: Indecisiveness can be a trait of histrionic personality disorder, but the statement does not directly reflect the characteristic patterns of behavior such as the need for attention.
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 A
Explanation
Choice A reason: Dialectical behavior therapy (DBT) is a well-established treatment for borderline personality disorder, focusing on skills like mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness.
Choice B reason: While behavioral contracts can be part of treatment, they are not as central or evidence-based as DBT for borderline personality disorder.
Choice C reason: Bibliotherapy can be a supportive tool but is not a primary intervention for the complex needs of someone with borderline personality disorder.
Choice D reason: A safety plan is important, especially if there are concerns about self-harm or suicidal ideation, but it is not a comprehensive treatment approach like DBT.
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