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 D

Explanation

D. Acupuncture is based on the concept of Qi (pronounced "chee"), or vital energy, flowing along specific pathways or meridians in the body. The insertion of needles at specific points along these meridians is believed to regulate the flow of Qi, restoring balance and promoting healing.
A. Acupuncture primarily involves the insertion of thin needles into specific points on the body to stimulate nerve-rich areas, not the manipulation of the spinal column.
B. Acupuncture does not involve the ingestion of substances, but rather the insertion of needles into specific points on the body to stimulate energy flow.
C. Herbal remedies may be used in conjunction with acupuncture in traditional Chinese medicine but acupuncture itself does not involve the ingestion of substances.

A. assess the client's airway and breathing. B. assess the client's gag reflex. C. call the physician immediately. D. document this as normal findings and reassess in half an hour.

Correct Answer is A

Explanation

A. The client's lethargy and lack of response to verbal commands raise concerns about their level of consciousness and potential airway compromise. Assessing the client's airway and breathing involves ensuring that the airway is clear, assessing respiratory rate and effort, and monitoring oxygenation.
B. Assessing the gag reflex can provide additional information about airway protection. However, it should not delay assessment and intervention for airway and breathing concerns.
C. Contacting the physician may be necessary but it is not the priority nursing action in this situation. The nurse should first assess the client's airway and breathing to ensure their safety and stability.
D. The client's lethargy and unresponsiveness are not normal findings after an endoscopy and require immediate assessment and intervention. Delaying assessment and intervention could lead to serious complications, including respiratory compromise or airway obstruction.

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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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Naxlex Comprehensive Predictor Exams

A client plans to go to an acupuncturist for complementary treatment of alcoholism. He asks the nurse to explain how acupuncture works. The most accurate response would be "Acupuncture is a traditional Chinese medical treatment. The Chinese believe that:

Correct Answer is D

Explanation

The nurse is caring for a client after an endoscopy. The client is lethargic and not responding to verbal commands. The priority nursing action is to:

Correct Answer is A

Explanation

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