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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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Observing nonverbal communication is a valid nursing intervention for assessing a patient's anxiety level.

Choice B reason: Maximizing stimuli can overwhelm a patient with anxiety and is not a recommended intervention.

Choice C reason: Discouraging activities is not recommended as activities can be a form of therapy for anxiety disorders.

Choice D reason: Documenting only positive changes is not appropriate as all changes, positive or negative, should be documented for a comprehensive understanding of the patient's condition.

Choice E reason: Encouraging patients to verbalize thoughts and feelings is a therapeutic intervention that can help manage anxiety.

Choice F reason: Observing for signs of suicidal thoughts is crucial as anxiety disorders can increase the risk of suicide.

A. "I should hold my insulin the day before surgery." B. "I should take a vitamin with zinc and vitamin C after surgery." C. "I don't have to quit smoking before surgery." D. "I should eat a meal high in fat 2 hours before surgery."

Correct Answer is B

Explanation

Choice A reason: Patients should not hold their insulin unless instructed by a physician, as it can lead to uncontrolled blood sugar levels.

Choice B reason: Taking vitamins with zinc and vitamin C can help with wound healing and immune function after surgery.

Choice C reason: Smoking should be stopped before surgery as it can impair wound healing and increase the risk of complications.

Choice D reason: Patients are typically advised to fast before surgery to reduce the risk of aspiration during anesthesia.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A nurse is assisting with the care of a malnourished patient being prepared for surgery. Which statement by the patient regarding nutrition would indicate adequate teaching?

Correct Answer is B

Explanation

Audrey is a veteran who served in Afghanistan. She finds it very difficult to drive through a parking ramp because she perceives that "There are people hiding behind the pillars! They have guns! Be careful." Audrey is most likely experiencing which of the following?

A client with COPD should receive only 1-2 liters per minute of oxygen, if needed, or they may lose their hypoxic drive. Which of the following statements is correct about hypoxic drive?

A general goal for a patient with a Personality Disorder is:

The 3 main types of Phobias as identified by DSM-5 include: (select all that apply)

The term "appendectomy" means:

Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

The mental status examination takes place during which part of the nursing process?