You are caring for a client who displays very little range of ...

[audie]

You are caring for a client who displays very little range of emotions, seems indifferent to emotional connections with others, and describes being content leading a very solitary, asexual life.
 
  The description of this client is most consistent with which personality disorder? a. obsessive-compulsive personality disorder
  b. paranoid personality disorder
  c. schizoid personality disorder
  d. schizotypal personality disorder

Question 2

A young adult patient is alienated by others who are offended by the patient's poor hygiene and body odor. Which nursing intervention should occur first for this patient?
 
  a. Assessing the patient's understanding of good hygiene practices
  b. Assigning the patient a scheduled shower and personal grooming time
  c. Instructing the patient regarding the need for daily showering and shampooing
  d. Having two mental health workers shower and dress the patient every morning

[annierak]

Answer to Question 1

C
The description of the client is most consistent with schizoid personality disorder. Compared with other disorders in the dramatic and emotional cluster, schizoid personality disorder is relatively rare. In addition to the mentioned traits, individuals with schizoid personality disorder display a distinct lack of concern about criticism or praise by others.

Answer to Question 2

D
Poor hygiene in any patient is a concern. A few of the variables that may be affecting the situation are physical illness associated with this age (e.g., yeast infections, sexually transmitted diseases, urinary tract infections), sociocultural factors, and gender-related issues. The first step in identifying a problem is to explore the underlying knowledge and factors that contribute to it and then to work with the patient to solve the problem. The other answers, such as teaching or mandating grooming, should be used only after a nonjudgmental assessment has been performed.