When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?

Submissive and clinging behaviors

Grandiose sense of self-importance

Pattern of intense and chaotic relationships

Odd beliefs and magical thinking

Answer and Explanation

The Correct Answer is B

B. Individuals with this disorder often have an exaggerated sense of their own importance, achievements, talents, and capabilities. They may believe they are special or unique and expect to be recognized as such without commensurate achievements.
A. Individuals with narcissistic personality disorder tend to display a sense of superiority and entitlement rather than submissive or dependent behaviors.
C. The characteristic feature is not typically intense and chaotic relationships. Instead, relationships may be characterized by exploitation, manipulation, and a lack of genuine emotional connection.
D. Odd beliefs and magical thinking are more commonly associated with other personality disorders, such as schizotypal personality disorder. In narcissistic personality disorder, individuals may have an inflated sense of self and unrealistic beliefs about their abilities.

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Correct Answer is C

Explanation

C. Individuals with BPD often experience intense fears of abandonment and may go to great lengths to avoid being alone. They may also have difficulties being alone due to chronic feelings of emptiness and the need for others to help manage emotions. This characteristic is consistent with the known symptoms of BPD, which include efforts to avoid real or perceived abandonment and a pattern of intense and unstable relationships.
A. Individuals with borderline personality disorder (BPD) often struggle with regulating their emotions, including anger. While they may experience intense emotions such as anger, they typically have difficulty controlling or expressing it in a healthy and adaptive manner.
B. Stable and satisfactory relationships: Stability in relationships is often a challenge for individuals with BPD. They may experience intense and unstable interpersonal relationships characterized by idealization and devaluation of others.
D. Predictability is generally lacking in individuals with BPD due to their emotional instability, impulsivity, and difficulty regulating their behaviors and responses to situations.

A. a 1-year-old child who has a dislocated shoulder from arm swinging. B. several visits of the same child with varied injuries. C. a 5-year-old child who broke his arm and clings to mother crying D. repeated visits of the same child with middle ear infections.

Correct Answer is B

Explanation

B. Multiple visits of the same child with different injuries could be a significant red flag for possible child abuse. Patterns of repeated injuries or injuries inconsistent with the child's developmental stage or reported activities may indicate a pattern of maltreatment.
A. While accidental injuries can occur, a dislocated shoulder in a 1-year-old child from arm swinging seems unlikely and may warrant further investigation.
C. Breaking a bone, such as an arm, can occur accidentally during childhood play or activities and the behavior of the child clinging to the mother is expected in moments of pain.
D. Middle ear infections are common in childhood and typically do not raise suspicion of abuse on their own.

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When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?

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In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

Correct Answer is C

Explanation

Several children are seen in the ER for treatment of illnesses and injuries daily. The situation that would cause the nurse to have a high suspicion of child abuse would be:

Correct Answer is B

Explanation

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