Which of the following interventions is important for a client with paranoid personality disorder taking olanzapine (Zyprexa)? A. Explain effects of serotonin syndrome. B. Teach the client to watch for extrapyramidal adverse reactions. C. Explain that the drug is less effective if the client smokes. D. Discuss the need to report… Read More »
A client with antisocial personality is trying to convince a nurse that he deserves special privileges and that an exception to the rules should be made for him. Which of the following responses is the most appropriate? A. “I believe we need to sit down and talk about this.” B. “Don’t you know better than… Read More »
A psychiatrist prescribes an anti-obsessional agent for a client who is using ritualistic behavior. A common anti-anxiety medication used for this type of client would be: A. fluvoxamine (Luvox) B. benztropine (Cogentin) C. amantadine (Symmetrel) D. diphenhydramine (Benadryl) Correct Answer: A. fluvoxamine (Luvox). This drug blocks the… Read More »
A nurse notices other clients on the unit avoiding a client diagnosed with antisocial personality disorder. When discussing appropriate behavior in group therapy, which of the following comments is expected about this client by his peers? A. Lack of honesty B. Belief in superstitions C. Show of temper tantrums D. Constant… Read More »
Which of the following characteristics or client histories substantiates a diagnosis of antisocial personality disorder? A. Delusional thinking B. Feelings of inferiority C. Disorganized thinking D. Multiple criminal charges Correct Answer: D. Multiple criminal charges Clients with antisocial personality disorder are often sent for treatment by the… Read More »
A client with borderline personality disorder is admitted to the unit after slashing his wrist. Which of the following goals is most important after promoting safety? A. Establish a therapeutic relationship with the client. B. Identify whether splitting is present in the client’s thoughts. C. Talk about the client’s acting out and self-destructive tendencies.… Read More »
Which of the following characteristics or situations is indicated when a client with borderline personality disorder has a crisis? A. Antisocial behavior B. Suspicious behavior C. Relationship problems D. Auditory hallucinations Correct Answer: C. Relationship problems Relationship problems can precipitate a crisis because they bring up issues… Read More »
Which of the following assessment findings is seen in a client diagnosed with borderline personality disorder? A. Abrasions in various healing stages. B. Intermittent episodes of hypertension. C. Alternating tachycardia and bradycardia. D. Mild state of euphoria with disorientation. Correct Answer: A. Abrasions in various healing stages.… Read More »
In planning care for a client with borderline personality disorder, a nurse must be aware that this client is prone to develop which of the following conditions? A. Binge eating B. Memory loss C. Cult membership D. Delusional thinking Correct Answer: A. Binge eating Clients with borderline… Read More »
Which of the following statements is expected from a client with borderline personality disorder with a history of dysfunctional relationships? A. “I won’t get involved in another relationship.” B. “I’m determined to look for the perfect partner.” C. “I’ve decided to use better communication skills.” D. “I’m going to be an… Read More »