When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include:

a. preoccupation with minute details; perfectionist.
b. charm, drama, seductiveness; seeking admiration.
c. difficulty being alone; indecisive, submissiveness.
d. grandiosity, self-importance, and a sense of entitlement.


ANS: D
The characteristics of grandiosity, self-importance, and entitlement are consistent with narcissistic personality disorder. Charm, drama, seductiveness, and admiration seeking are seen in patients with histrionic personality disorder. Preoccupation with minute details and perfectionism are seen in individuals with obsessive-compulsive personality disorder. Patients with dependent personality disorder often express difficulty being alone and are indecisive and submissive.

Nursing

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When planning patient care, the nurse utilized the five core competencies that health care professionals should possess to provide quality care in the 21st century. One of these competencies would be:

a. Work independently c. Use informatics b. Utilize standardized care plans d. Reduce quality im-provement projects

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A patient has a vitamin A deficiency. The nurse realizes that which of the following minerals would aid in the absorption of this vitamin?

a. Copper c. Iron b. Zinc d. Iodine

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A nursing instructor is working with a Native-American student nurse. When the student is late for the first clinical day, the instructor states, "I'm not surprised she's late; Native-American students are always late."

The instructor's statement is an example of a. prejudice. b. stereotyping. c. ethnocentrism. d. discrimination.

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A family is involved in an automobile accident. The father, who is unconscious, and his 14-year-old son, who has suffered life-threatening injuries, are transported by ambulance to the hospital

The hospital staff attempt to contact the mother; however, they learn from the housekeeper that the mother is out of the country and not reachable by phone. Which of the following actions would be most reasonable and prudent on the part of the hospital staff? a. Obtain informed consent from the child, if possible, and with or without it, provide life-saving procedures. b. Get a court order from a judge in case the family later has objections to some of the care, such as the use of blood products. c. Have the housekeeper give informed consent. d. Locate another relative and get informed consent.

Nursing