During an interview, which client statement indicates to a nurse that a potential diagnosis of schizotypal personality disorder should be considered?
A. "I really don't have a problem. My family is inflexible, and every relative is out to get me."
B. "I am so excited about working with you. Have you noticed my new nail polish, ‘Ruby Red Roses'?"
C. "I spend all my time tending my bees. I know a whole lot of information about bees."
D. "I am getting a message from the beyond that we have been involved with each other in a previous life."
ANS: D
The nurse should assess that a client who states that he or she is getting a message from the beyond indicates a potential diagnosis of schizotypal personality disorder. Individuals with schizotypal personality disorder are aloof and isolated and behave in a bland and apathetic manner. The individual experiences magical thinking, ideas of reference, illusions, and depersonalization as part of daily life.
You might also like to view...
A nurse decided that a high-risk aggregate most needed education about diabetes. Which of the following would be the best approach when teaching the group?
a. Involve participants in small group activities applying the information. b. Organize the information into a visual presentation such as a PowerPoint presentation. c. Share the nurse's expertise directly with the group at a meeting for that purpose. d. Use handouts and pamphlets with pictures consistent with the local cultural groups throughout.
When a patient asks if he can keep the hot application on his leg all the time, the nurse reminds him that long-term heat can:
a. cause extreme vasoconstriction. b. increase possibility of infection. c. cause the blood pressure to increase. d. damage epithelial cells.
Which of the following best describes a nursing intervention for the nursing diagnosis Risk for Infection which is congruent with the holistic model of gerontological nursing care?
A) Assist in the selection of foods to improve nutritional status B) Prevent complications associated with immobility C) Observe for and detect respiratory problems early D) Teach the importance of cleansing the perineal region after elimination
The nurse in a long-term-care facility is aware of the importance of preventing upper respiratory infections (URIs) among the residents of the facility. How is this best accomplished?
A) Vigilant handwashing by staff and residents B) Providing a high-calorie diet for residents C) Encouraging residents' fluid intake D) Providing topical decongestants to residents