Author Question: A client with personality disorder seemed intelligent to the nurse. He said all the right things but ... (Read 48 times)

charchew · **on:** Jul 19, 2018

A client with personality disorder seemed intelligent to the nurse. He said all the right things but
often failed to follow through. One evening he did not return after going out on a pass.

The police
later brought him back to the hospital acutely intoxicated. The nurse seemed dismayed and remarked
I thought he was making such good progress.. The nurse was probably experiencing
a. guilt.
b. anger.
c. helplessness.
d. disappointment.

Question 2

A client's roommate has observed the client behaving in uncharacteristic ways, but the client cannot
remember the episodes. During the assessment, which question should the nurse omit as irrelevant?

a. Are you sexually promiscuous?
b. Are your memories of childhood clear and complete, or do you have many blank
spots?
c. Have you ever found new things in your belongings that you cannot remember
buying?
d. Have you ever found yourself someplace and did not know how you got there?

Ksh22 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Inexperienced nurses often have high expectations for the progress of antisocial clients. Their initial
reaction to continuing acting-out behaviors is often disappointment. The scenario does not establish
guilt, anger, or helplessness as being experienced by the nurse.

Answer to Question 2

ANS: A
This question would probably produce defensiveness on the part of the client. If a subpersonality
acts out sexually, the main personality is probably not aware of the behavior. All other questions
would be pertinent.