A pessimistic client expresses low self-worth, has much ...

[sheilaspns]

A pessimistic client expresses low self-worth, has much difficulty making decisions, avoids positions of responsibility, and has a behavioral pattern of suffering in silence.
 
  Which underlying cause of this client's personality disorder should a nurse recognize?
 
  A. Nurturance was provided from many sources, and independent behaviors were encouraged.
  B. Nurturance was provided exclusively from one source, and independent behaviors were discouraged.
  C. Nurturance was provided exclusively from one source, and independent behaviors were encouraged.
  D. Nurturance was provided from many sources, and independent behaviors were discouraged.

Question 2

Family members of a client ask a nurse to explain the difference between schizoid and avoidant personality disorders. Which is the appropriate nursing reply?
 
  A. Clients diagnosed with avoidant personality disorder desire intimacy but fear it, and clients diagnosed with schizoid personality disorder prefer to be alone.
  B. Clients diagnosed with schizoid personality disorder exhibit odd, bizarre, and eccentric behavior, whereas clients diagnosed with avoidant personality disorder do not.
  C. Clients diagnosed with avoidant personality disorder are eccentric, and clients diagnosed with schizoid personality disorder are dull and vacant.
  D. Clients diagnosed with schizoid personality disorder have a history of psychotic thought processes, whereas clients diagnosed with avoidant personality disorder remain based in reality.

[Danny Ewald]

Answer to Question 1

ANS: B
Nurturance provided from one source and discouragement of independent behaviors can attribute to the etiology of dependent personality disorder. Dependent behaviors may be rewarded by a parent who is overprotective and discourages autonomy.

Answer to Question 2

ANS: A
The nurse should educate the family that clients diagnosed with avoidant personality disorder desire intimacy but fear it, whereas clients diagnosed with schizoid personality disorder prefer to be alone. Avoidant personality disorder is characterized by an extreme sensitivity to rejection, which leads to social isolation. Schizoid personality disorder is characterized by a profound deficit in the ability to form personal relationships.

[sheilaspns]

Excellent

[nyrave]

Gracias!