Author Question: A 35-year-old woman who is being interviewed by the advanced practice nurse indicates that she has ... (Read 31 times)

crazycityslicker · **on:** Jul 19, 2018

A 35-year-old woman who is being interviewed by the advanced practice nurse indicates that she has few friends, fears criticism from others, and withholds information about her thoughts and feelings because she anticipates a negative reaction.

Based on these data, the nurse suspects that Sarah may later be diagnosed as having:
1. Borderline personality disorder
2. Histrionic personality disorder
3. Avoidant personality disorder
4. Schizoid personality disorder

Question 2

When analyzing the behaviors of a 23-year-old who meets the criteria for antisocial personality disorder, the nurse recognizes that the following nursing diagnosis would be pertinent to his care:

1. Risk for self-mutilation
2. Disturbed personal identity
3. Impaired social interaction
4. Social isolation

Eunice618 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
These symptoms suggest an avoidant personality disorder: fear of rejection, avoidance of rela-tionships, censorship of expression of thoughts and feelings because of fear of a negative reac-tion. 1. This client would present with unstable interpersonal relationships, labile affect, and complaints of emptiness. 2. Clients with this personality disorder are overly dramatic, manipula-tive, and attention-seeking. 4. Clients with this personality disorder are indifferent to and lack concern for interpersonal contacts.

Answer to Question 2

ANS: 3
The client with antisocial personality disorder is impulsive, manipulative, and dishonest. Clients with this disorder are frequently involved in illegal matters. Options 1 and 2 are more appropriate for clients with borderline personality disorder. Option 4 would apply to more readily to Cluster A disorders.