When told that he is scheduled to interview a client with narcissistic personality disorder, the nurse
can anticipate the assessment findings will include the following: client
a. is charming, dramatic, seductive; seeks admiration.
b. is preoccupied with minute details; is a perfectionist.
c. describes difficulty being alone; shows indecision, submissiveness.
d. is grandiose, self-important, and has a sense of entitlement.
D
According to the DSM-IV-TR, the characteristics described in option D are consistent with
narcissistic personality disorder. Option A describes a client with histrionic personality disorder.
Option B describes an individual with obsessive-compulsive personality disorder. Option C
describes an individual with dependent personality disorder.
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When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The nurse's next action should be to:
a. Immediately notify the patient's physician. b. Document the sound exactly as it was heard. c. Validate the data by asking a coworker to listen to the breath sounds. d. Assess again in 20 minutes to note whether the sound is still present.
The nurse is explaining the mechanics of collecting a 24-hour urine urea nitrogen test to the patient. The nurse would also explain which purpose of this test?
1. Fluid status 2. Kidney function 3. Blood volume 4. Nitrogen balance
The parents of a 12-month-old inform the nurse that the child can now walk without assistance. The nurse would offer which of the following to provide guidance for this event:
a. Allow the child to explore freely in order to provide learning b. Allow tablecloths to hang low so that child can grasp them to prevent falling c. Cover all electrical outlets within reach of the child d. Place child in a walker when the parent needs a moment alone
A nurse is trying to ensure a student nurse's understanding of drug interactions with receptor binding. Which statement made by the student indicates a need for further teaching?
a. Drugs can bind to receptors and cause activation. b. Drugs can bind to receptors and block receptor activation by other agents. c. Drugs can bind receptor components and enhance receptor activation by the natural transmitter at the site. d. Drugs bind to receptors and thereby alter a cell's function.