The nurse admits a client who is a university student. The ...

[clmills979]

The nurse admits a client who is a university student. The student immediately announces that she has been studying for final examinations in several courses.
 
  The student is pacing and expresses concern that this time in the hospital away from studies will cause a drop in grades and the parents will be angry if As are not attained in each course. Which statement represents the MOST appropriate nursing diagnosis for this client? a. Panic Disorder with Suicidal Ideation, secondary to panic disorder
  b. Violence Directed toward Others, related to confusion and impaired impulse control as evidenced by depression
  c. Traumatic Experience, related to feelings of unreality as evidenced by unmet needs
  d. Ineffective Individual Coping, related to fear of failure as evidenced by inability to meet role expectations

Question 2

Which of the dramatic and emotional cluster of personality characteristics is least prevalent?
 
  a. antisocial personality disorder
  b. borderline personality disorder
  c. histrionic personality disorder
  d. narcissistic personality disorder

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Answer to Question 1

D
The most appropriate diagnosis is Ineffective Individual Coping. The client is experiencing stress over the possibility of not meeting role expectations. This stress causes anxiety as demonstrated by her pacing. The anxiety is beginning to interfere with her ability to cope effectively. Because previous coping strategies are ineffective, new coping strategies must be developed to address this challenging situation and reduce the anxiety it has caused.

Answer to Question 2

D
In comparison to other personality disorders, narcissistic personality disorder is relatively rare. The prevalence of this disorder in the general population is estimated to be less than 1, with a majority of those diagnosed being male.