Author Question: A nurse is planning the care of a client whose personality disorder has progressed to the point ... (Read 59 times)

Davideckstein7

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A nurse is planning the care of a client whose personality disorder has progressed to the point which she requires treatment. When implementing care with this client, the nurse should do which of the following?
 
  A) Frequently remind the client of the pathology underlying her behavior
  B) Adopt a clear, direct, and respectful demeanor
  C) Attempt to generate sympathy for the client's circumstances
  D) Cultivate an authoritative, directive dynamic when interacting with the client

Question 2

Jocelyn is a woman who is having a great deal of difficulty with her job. She has been unable to make decisions on her own and feels overwhelmed when she needs to begin a new project.
 
  She often relies on one of her coworkers to help her with her decisions and projects. What condition is Jocelyn possibly suffering from?
  A) Narcissistic personality disorder
  B) Dependent personality disorder
  C) Schizotypal personality disorder
  D) Histrionic personality disorder



mistyjohnson

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Answer to Question 1

Ans: B
Feedback:
Nurses help clients develop trust in themselves, others, and the environment. They use a straightforward, matter-of-fact manner while avoiding an overly warm approach. Nurses avoid interpreting the behavior of clients with personality disorders, who may experience interpretations as intrusive and controlling. Sympathy is not a therapeutic goal and the nurse does not seek to become dictatorial or overly directive.

Answer to Question 2

Ans: B
Feedback:
Clients with dependent personality disorder have a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior and fears of separation (APA, 2000). In addition, they need so much approval from others that they have tremendous difficulty making independent decisions or starting projects. In effect, they do not trust their own judgment and often believe that others have better ideas.



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