Your patient has been admitted with a diagnosis of bilateral pneumonia. You have trouble communicating with this patient, who is pouty and demanding your constant attention. She talks for long periods about the smallest details of her life. Besides the pneumonia, you ask the physician if the patient has a history of which of the following personality disorders?
Borderline
Schizoid
Narcissistic
Antisocial
The Correct Answer is C
Choice A reason: Borderline personality disorder is characterized by instability in relationships, self-image, and emotions, not necessarily by being pouty and demanding attention.
Choice B reason: Schizoid personality disorder involves detachment from social relationships and a limited range of emotional expression, which does not align with the patient's behavior.
Choice C reason: Narcissistic personality disorder includes traits such as needing excessive admiration and having a sense of entitlement, which could explain the patient's behavior.
Choice D reason: Antisocial personality disorder is marked by a disregard for and violation of the rights of others, which is not described in the patient's behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Notifying the registered nurse is important but should come after initially assessing the patient's immediate needs.
Choice B reason: Raising the head of the bed may help with breathing but does not address the cause of the patient's distress.
Choice C reason: Sitting with her and listening to her concerns is supportive but should follow an initial assessment of why she is sobbing and gasping for breath.
Choice D reason: Asking the patient what is wrong is the first step in assessing the situation and providing appropriate care.
Correct Answer is ["C","D","E","F"]
Explanation
Choice A reason: LPNs are involved in developing the patient's plan of care by gathering data and collaborating with the RN to ensure the plan is tailored to the patient's needs.
Choice B reason: Providing informed consent is typically the responsibility of the physician or advanced practice nurses, not the LPN.
Choice C reason: LPNs provide emotional support to patients, helping to alleviate anxiety and offering comfort before the surgery.
Choice D reason: LPNs assist with data collection, such as gathering vital signs and medical history, which is crucial for the preoperative assessment.
Choice E reason: Including families in preoperative care is part of the holistic approach to nursing, where LPNs can provide information and support to the patient's family.
Choice F reason: LPNs reinforce patient teaching by reviewing instructions and care plans with the patient and their family to ensure understanding and compliance.
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