Which of the following information must be included for the family of a client diagnosed with dependent personality disorder?
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Solution
Address coping skills.
The family needs information about coping skills to help the client learn to handle stress.
Option B: They don’t tend to have panic attacks.
Option C: Exercise is a health promotion activity for all clients. Clients with a dependent personality disorder wouldn’t need exercise promoted more than other people.
Option D: Clients with a dependent personality disorder don’t have aggressive outbursts; they tend to be passive and submit to others.
A nurse is assessing a client diagnosed with dependent personality disorder. Which of the following characteristics is a major component to this disorder?
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Solution
Over-reliance on others.
Clients with dependent personality disorder are extremely over-reliant on others; they aren’t abrasive or assertive. They’re clinging and demanding of others; they don’t manipulate.
Which of the following nursing interventions has priority for a client with borderline personality disorder?
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Solution
Maintain consistent and realistic limits.
Clients with borderline who are needy, dependent, and manipulative will benefit greatly from maintaining consistent and realistic limits.
Option B: They don’t tend to have difficulty meeting their self-care needs.
Option C: They don’t tend to have sleeping difficulties.
Option D: They enjoy attending group therapy because they often attempt to use the opportunity to become the center of attention.
Which of the following conditions is likely to coexist in clients with a diagnosis of borderline personality disorder?
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Solution
Depression.
Chronic feelings of emptiness and sadness predispose a client to depression. About 40% of the clients with borderline struggle with depression.
Which of the following statements is expected from a client with borderline personality disorder with a history of dysfunctional relationships?
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Solution
“I’m determined to look for the perfect partner.”
Clients with borderline personality disorder would decide to look for a perfect partner. This characteristic is a result of the dichotomous manner in which these clients view the world. They go from relationship to relationship without taking responsibility for their behavior.
Option A: It’s unlikely that an unsuccessful relationship will cause clients to make a change. They tend to be demanding and impulsive in relationships.
Option C: There’s no thought given to what one wants or needs from a relationship. Because they tend to blame others for problems, it’s unlikely they would express a desire to learn communication skills.
Option D: Because they tend to blame others for problems, it’s unlikely they would express a desire to learn communication skills.
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?
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Solution
Binge eating.
Clients with borderline personality disorder are likely to develop dysfunctional coping and act out in self-destructive ways such as binge eating.
Which of the following assessment findings is seen in a client diagnosed with borderline personality disorder?
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Solution
Abrasions in various healing stages.
Clients with borderline personality disorder tend to self-mutilate and have abrasions in various stages of healing.
Which of the following characteristics or situations is indicated when a client with borderline personality disorder has a crisis?
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Solution
Relationship problems.
Relationship problems can precipitate a crisis because they bring up issues of abandonment. Clients with borderline personality disorder aren’t usually suspicious; they’re more likely to be depressed or highly anxious.
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?
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Solution
Establish a therapeutic relationship with the client.
After promoting safety, the nurse establishes a rapport with the client to facilitate appropriate expression of feelings. At this time, the client isn’t ready to address the unhealthy behavior. A therapeutic relationship must be established before the nurse can effectively work with the client on self-destructive tendencies and the issues of splitting.
Which of the following characteristics or client histories substantiates a diagnosis of antisocial personality disorder?
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Solution
Multiple criminal charges.
Clients with antisocial personality disorder are often sent for treatment by the court after multiple crimes or for the use of illegal substances.