A client diagnosed with Cluster C traits sits alone and ignores ...

[maegan_martin]

A client diagnosed with Cluster C traits sits alone and ignores other's attempts to converse. When ask to join a group the client states, No, thanks. In this situation, which should the nurse assign as an initial nursing diagnosis?
 
  A. Fear R/T hospitalization
  B. Social isolation R/T poor self-esteem
  C. Risk for suicide R/T to hopelessness
  D. Powerlessness R/T dependence issues

Question 2

Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual disability?
 
  A. The client can perform some self-care activities independently.
  B. The client has advanced speech development.
  C. Other than possible coordination problems, the client's psychomotor skills are not affected.
  D. The client communicates wants and needs by acting out behaviors.

[mirabriestensky]

Answer to Question 1

ANS: B
Clients diagnosed with Cluster C traits are described as anxious and fearful. The DSM-5 divides Cluster C personality disorders into three categories: avoidant, dependent, and obsessive-compulsive. Anxiety and fear contribute to social isolation.

Answer to Question 2

ANS: D
The nurse should identify that a client diagnosed with severe intellectual disability may communicate wants and needs by acting out behaviors. Severe intellectual disability indicates an IQ between 20 and 34. Individuals diagnosed with severe intellectual disability require complete supervision and have minimal verbal skills and poor psychomotor development.