When working with a client diagnosed with narcissistic personality disorder, the therapeutic approach likely to be the MOST effective would:
a. appeal to the client's sense of empathy
b. display a motherly, protective, nurturing demeanor
c. maintain a critical, authoritative affect
d. an unemotional but supportive approach
D
The nurse caring for a client diagnosed with narcissistic personality disorder would use an unemotional but supportive approach. To be therapeutic, the nurse must understand the personality dynamics behind the person's anger and criticisms.
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Which of the following accurately describes a distinguishing feature that will assist you in determining whether you are palpating an enlarged right kidney or an enlarged liver?
a. The edge of the liver is sharper, and the pole of the kidney is more rounded. b. The edge of the liver can be "captured," whereas an enlarged kidney cannot. c. Dullness to percussion is heard over the liver, whereas resonance is heard over the right kidney. d. A palpable notch on the medial edge of the organ favors the kidney.
A trauma patient in the emergency department (ED) is showing signs of acute renal failure that the care team suspects are due to myoglobinuria. The ED nurse should recognize that these problems are most closely associated with what type of injury?
A) Hemorrhage B) Severe lacerations C) Crush injury D) Blunt force trauma
An 86-year-old client asks the nurse why cancer affects mostly the elderly. An accurate response would be:
A) "The elderly have more oncogenes." B) "It may take 10 to 20 years after damage to the DNA for the cancer to appear." C) "The cells of the elderly are more fragile and more susceptible to cancer." D) "The elderly have a longer time to be affected by all carcinogens."
The nurse is confident that a young adult has successfully achieved psychosocial development. What observations about the client did the nurse make to come to this conclusion?
1. Discusses plans to expand his exercise routine to include running 2. Is optimistic about finding a new job 3. Volunteers weekly at the local senior center 4. Recognizes that professional sports may be enjoyed but does not aspire to participating 5. May be "too bald" to play Santa Claus