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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Grandiosity is not typically associated with histrionic personality disorder; it is more commonly seen in narcissistic personality disorder.

Choice B reason: Being preoccupied with details is not a characteristic of histrionic personality disorder; it is more aligned with obsessive-compulsive personality disorder.

Choice C reason: Individuals with histrionic personality disorder may exhibit seductive behavior as a means of seeking attention and affirmation from others.

Choice D reason: Callousness towards others is not a typical feature of histrionic personality disorder; it is more indicative of antisocial personality disorder.

A. Adjust the thermostat so that the environment is warm. B. Rest with the legs above heart level. C. Apply a heating pad on a low setting to help relieve leg pain. D. Wear antiembolic stockings during the day.

Correct Answer is A

Explanation

Choice A reason: Keeping the environment warm can help prevent the vasoconstriction that can exacerbate PAD symptoms.

Choice B reason: Resting with the legs above heart level is not typically recommended for PAD as it can reduce arterial blood flow to the legs.

Choice C reason: Applying a heating pad is not recommended for clients with PAD because they may have decreased sensation and could suffer burns.

Choice D reason: Wearing antiembolic stockings during the day can help improve circulation, which is beneficial for clients with PAD.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has histrionic personality disorder. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms should be considered negative? (select all that apply)

Debridement is:

A nurse is assisting with the plan of care for a client who is newly diagnosed with borderline personality disorder. Which of the following interventions is the nurse's priority?

Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?