The nurse is careful to provide a quiet, comfortable, safe ...

[darbym82]

The nurse is careful to provide a quiet, comfortable, safe environment when conducting an assessment interview.
 
  What is the reason this is particularly important when working with a patient believed to be exhibiting characteristics of a personality disorder?
  a. These patients are generally experiencing chronic depression and are severely im-paired socially.
  b. A high stimulus environment will cause the patient to exhibit exacerbated behav-iors that are loud and attention seeking.
  c. The patient is easily intimidated and may become so withdrawn that the assess-ment will be difficult if not impossible to complete.
  d. This disorder produces defensive, guarded, and impulsive behavior that is easily provoked into anger when the patient feels threatened.

Question 2

When facilitating change in the behavior of a patient diagnosed with a personality disor-der, which intervention will have the greatest impact on success?
 
  a. Collaborating with the patient when establishing treatment goals
  b. Educating the patient to the importance of complying with treatment interven-tions
  c. Evaluating the patient's understanding of the etiology of the prescribed medica-tions
  d. Conducting regular assessments so the treatment can be changed when necessary

[Kingjoffery]

Answer to Question 1

ANS: D
Individuals with these disorders are often withdrawn, defensive, guarded, and impulsive, and may demonstrate an escalation of anger or make hostile or threatening comments. The remaining options are specific to certain types of personality disorders.

Answer to Question 2

ANS: A
When planning interventions with a patient who has a personality disorder, it is important to recognize that the person has disturbed values that do not reflect the views held by the gen-eral population. Because of these disturbances, the nurse needs to collaborate with the patient regarding the goals that are identified during treatment. The remaining options although ap-propriate will not be attainable if the patient does not recognize the interventions as being useful and personally applicable.