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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Attending all therapy sessions and utilizing services indicates cooperation but does not specifically reflect the identification phase, which is characterized by deeper emotional connections.
Choice B reason: Stating that issues have been resolved and no longer needing to come may suggest a conclusion to the therapeutic relationship rather than the development of the identification phase.
Choice C reason: Sharing feelings and emotions with the nurse is indicative of the identification phase, where the client starts to see the nurse as a supportive figure and begins to identify with them.
Choice D reason: Answering questions related to the plan of care shows engagement but does not necessarily indicate the identification phase's emotional connection.
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: Honoring commitments and punctuality are fundamental in building trust, especially with clients who may have trust issues due to paranoid personality disorder.
Choice B reason: Superficial social conversation may not be effective in fostering trust with a client who has paranoid personality disorder, as they may perceive it as insincere.
Choice C reason: Using humor can be misinterpreted and may not be appropriate when working with clients who have paranoid personality disorder, as they might suspect ulterior motives.
Choice D reason: Including the client in the development of their plan of care is crucial as it gives them a sense of control and involvement, which can foster trust.
Choice E reason: A formal businesslike approach can provide a sense of professionalism and boundaries, which can help in building trust with a client who has paranoid personality disorder.
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