While the nurse at the personality disorders clinic is ...

[chandani]

While the nurse at the personality disorders clinic is interviewing a client, the client constantly scans
  the environment and frequently interrupts to ask what the nurse means by certain words or phrases.
 
  The nurse notes that the client is very sensitive to the nurse's nonverbal behavior. His responses are
  often argumentative, sarcastic, and hostile. He suggests that he is being hospitalized so they can
  exploit me.. The nurse can make the assessment that the client's behaviors are most consistent with
  the clinical picture of
  a. paranoid personality disorder.
  b. histrionic personality disorder.
  c. avoidant personality disorder.
  d. narcissistic personality disorder.

Question 2

The nursing care plan contains the direction observe for refeeding syndrome. The nurse should
  closely monitor for complications associated with
 
  a. renal dysfunction.
  b. central nervous system dysfunction.
  c. endocrine dysfunction.
  d. cardiovascular dysfunction.

[bpool94]

Answer to Question 1

A
The behaviors described are consistent with the clinical picture given in the DSM-IV-TR. Option B:
The client with histrionic personality disorder would be flamboyant and attention seeking. Option C:
The client with avoidant personality disorder would be excessively anxious and hypersensitive.
Option D: The client with narcissistic personality disorder would be grandiose and disparaging of
others.

Answer to Question 2

D
Refeeding resulting in too-rapid weight gain can overwhelm the heart, resulting in cardiovascular
collapse; thus focused assessment becomes a necessity to ensure client physiological integrity. The
other body systems are not initially involved in the refeeding syndrome.

[chandani]

TY

[bpool94]

Happy to Help