A nurse is caring for a group of clients within the DSM-5 Cluster B category of personality disorders. Which factors should the nurse consider when planning client care? Select all that apply
A. These clients have personality traits that are deeply ingrained and difficult to modify.
B. These clients need medications to treat the underlying physiological pathology.
C. These clients use manipulation, making the implementation of treatment problematic.
D. These clients have poor impulse control that hinders compliance with a plan of care.
E. These clients commonly have secondary diagnoses of substance abuse and depression.
ANS: A, C, D, E
The nurse should consider that individuals diagnosed with cluster B–type personality disorders have deeply ingrained personality traits, use manipulation, have poor impulse control, and often have secondary diagnoses of substance abuse and/or depression. This cluster includes antisocial, borderline, histrionic, and narcissistic personality disorders.
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