Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?
A. "The client might act seductively."
Incorrect. Acting seductively is more characteristic of histrionic personality disorder.
B. "The client is overly concerned about minor details."
Incorrect. Being overly concerned about minor details is more characteristic of obsessive- compulsive personality disorder.
C. "The client exhibits impulsive behavior."
Correct. Impulsive behavior, such as reckless spending or self-harm, is a common feature of borderline personality disorder.
D. "The client is exceptionally clingy to others."
Incorrect. Being exceptionally clingy to others is not a defining feature of borderline personality disorder.
This question is an excerpt from Nurse Dive's nursing test bank - RN Comprehensive Predictor Proctored Exam. Take the full exam now
Full Explanation
A. Incorrect. Acting seductively is more characteristic of histrionic personality disorder.
B. Incorrect. Being overly concerned about minor details is more characteristic of obsessive-compulsive personality disorder.
C. Correct. Impulsive behavior, such as reckless spending or self-harm, is a common feature of borderline personality disorder.
D. Incorrect. Being exceptionally clingy to others is not a defining feature of borderline personality disorder.
Similar Questions
A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?
A. Suspicious of others
Incorrect. Being suspicious of others is more characteristic of paranoid personality disorder.
B. Ritualistic behavior
Incorrect. Ritualistic behavior is more characteristic of obsessive-compulsive personality disorder.
C. Preoccupied with aging
Correct. Preoccupation with aging and a fear of losing their physical attractiveness or power is a common trait in individuals with narcissistic personality disorder.
D. Exhibits separation anxiety
Incorrect. Exhibiting separation anxiety is not a defining characteristic of narcissistic personality disorder.
Full Explanation
A. Incorrect. Being suspicious of others is more characteristic of paranoid personality disorder.
B. Incorrect. Ritualistic behavior is more characteristic of obsessive-compulsive personality disorder.
C. Correct. Preoccupation with aging and a fear of losing their physical attractiveness or power is a common trait in individuals with narcissistic personality disorder.
D. Incorrect. Exhibiting separation anxiety is not a defining characteristic of narcissistic personality disorder.
A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?
A. Place the client in seclusion when he exhibits signs of anxiety.
Incorrect. Placing the client in seclusion is not an appropriate intervention for managing mania.
B. Encourage the client to spend time in the dayroom.
Incorrect. Encouraging the client to spend time in the dayroom may exacerbate symptoms of mania by providing more stimulation.
C. Encourage the client to take frequent rest periods.
Correct. Encouraging the client to take frequent rest periods helps prevent overactivity and exhaustion, common in manic episodes.
D. Withdraw the client's TV privileges if he does not attend group therapy.
Incorrect. Withdrawing privileges is not directly related to managing manic symptoms and may not be therapeutic.
Full Explanation
A. Incorrect. Placing the client in seclusion is not an appropriate intervention for managing mania.
B. Incorrect. Encouraging the client to spend time in the dayroom may exacerbate symptoms of mania by providing more stimulation.
C. Correct. Encouraging the client to take frequent rest periods helps prevent overactivity and exhaustion, common in manic episodes.
D. Incorrect. Withdrawing privileges are not directly related to managing manic symptoms and may not be therapeutic.
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
A. Talk with the client during her feeding.
A. Incorrect. While it's important to maintain social interaction with the client, avoiding excessive conversation during feeding is recommended. Distractions can interfere with the client's ability to focus on swallowing and increase the risk of aspiration.
B. Discourage the client from coughing during feedings.
B. Incorrect. Coughing is a natural reflex that helps to clear the airway of any material that may have been aspirated. Discouraging coughing could potentially lead to a more serious problem.
C. Sit at or below the client's eye level during feedings.
C. Correct. Sitting at or below the client's eye level provides a clearer view of the food and helps the client maintain control over their swallowing. This can reduce the risk of aspiration.
D. Instruct the client to lift her chin when swallowing.
D. Incorrect. Lifting the chin can actually increase the risk of aspiration by narrowing the opening to the trachea (windpipe). It's generally recommended to avoid lifting the chin during swallowing.
Full Explanation
- A. Incorrect. While it's important to maintain social interaction with the client, avoiding excessive conversation during feeding is recommended. Distractions can interfere with the client's ability to focus on swallowing and increase the risk of aspiration.
- B. Incorrect. Coughing is a natural reflex that helps to clear the airway of any material that may have been aspirated. Discouraging coughing could potentially lead to a more serious problem.
- C. Correct. Sitting at or below the client's eye level provides a clearer view of the food and helps the client maintain control over their swallowing. This can reduce the risk of aspiration.
- D. Incorrect. Lifting the chin can actually increase the risk of aspiration by narrowing the opening to the trachea (windpipe). It's generally recommended to avoid lifting the chin during swallowing.