The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

It is difficult to change personality traits since they are deeply embedded.

Clients with personality disorders are always receptive to treatment.

There is slow progress and clients stop seeking help for issues.

Clients fail to understand the need to change their behavior.

The clients may take pride in some of the personality traits they have.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: Personality traits are enduring and can be resistant to change, making treatment challenging.

Choice B reason: This statement is not accurate; clients with personality disorders may not always be receptive to treatment.

Choice C reason: Slow progress and clients discontinuing treatment are common barriers in treating personality disorders.

Choice D reason: Clients may not recognize the need for change, which can hinder the therapeutic process.

Choice E reason: Clients may identify with their personality traits, even if they are maladaptive, and may resist changing them.

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Correct Answer is D

Explanation

Choice A reason: Frequent brief interactions can help build trust with a suspicious client by showing consistent and predictable behavior from the nurse.

Choice B reason: Disclosing personal information is not typically recommended as it can blur professional boundaries and may not be effective in establishing trust.

Choice C reason: This choice is a repetition of choice A and therefore does not provide a new approach.

Choice D reason: Waiting for the client to initiate interaction might lead to missed opportunities for engagement and could reinforce the client's suspicions.

A. Talk the client through tasks one step at a time. B. Assign the same caregivers daily. C. Provide a consistent daily activity schedule. D. Allow ample time for the client to perform activities.

Correct Answer is A

Explanation

Choice A reason: For a client with Alzheimer's disease, it is beneficial to talk them through tasks one step at a time to help maintain their cognitive function and independence for as long as possible. This approach can reduce confusion and frustration.

Choice B reason: While rotating caregivers might provide variety, it can be confusing for a client with Alzheimer's disease. Consistency in caregivers can help establish a routine and sense of familiarity, which is comforting and can reduce anxiety.

Choice C reason: A consistent daily activity schedule is crucial for clients with Alzheimer's disease. It helps to maintain a sense of normalcy and can reduce stress and confusion. Changing the schedule daily could lead to increased anxiety and disorientation.

Choice D reason: Allowing ample time for activities is important as rushing can cause stress and agitation in clients with Alzheimer's disease. They often require more time to process information and complete tasks due to cognitive impairments.

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The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Correct Answer is D

Explanation

A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

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