A client diagnosed with somatic symptom disorder (SSD) is most likely to exhibit which personality disorder characteristics?

1. Experiences intense and chaotic relationships with fluctuating attitudes toward others.
2. Socially irresponsible, exploitative, guiltless, and disregards rights of others.
3. Self-dramatizing, attention seeking, overly gregarious, and seductive.
4. Uncomfortable in social situations, perceived as timid, withdrawn, cold, and strange.


3
Rationale: The nurse should anticipate that a client diagnosed with SSD would be self-dramatizing, attention seeking, and overly gregarious. It has been suggested that, in somatic symptom disorder, there may be some overlapping of personality characteristics and features associated with histrionic personality disorder. These symptoms include heightened emotionality, impressionistic thought and speech, seductiveness, strong dependency needs, and a preoccupation with symptoms and oneself.

Nursing

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A nurse manager in a trauma intensive care unit conducts a quality improvement evaluation project

During this process, she discovers that patients with adult respiratory distress syndrome almost always have better outcomes when they are placed in the five beds located further away from the nursing station. Examining the data, she discovers that the room doors in these five rooms are consistently half-closed or three-quarters closed. In addition, nurses have been documenting that these patients sleep more than the other ten patients on the unit. What are the nurse's options for generalizing the findings? a. There is no practical use for this research; no generalization is appropriate. b. Findings should be generalized immediately, and in print. These are important findings. c. The nurse can present the findings at conferences, but generalization is limited to the hospital in which the data were collected. d. The nurse manager can obtain permission from an institutional review board to conduct a formal research study, in order to formally test hypotheses, and then generalize the findings of this second study. e. Arrangements should be made immediately on the unit to keep all patients' doors half-closed or three-quarters closed.

Nursing

A nurse administers a double dose of medication to a client because the physician order was unclear. The nurse is at risk for legal liability on which of the following grounds?

1. failure to ensure safety 2. improper implementation of skills and procedures 3. medication error 4. failure to monitor and assess

Nursing

During the assessment of a postpartum client 24 hours after delivery, the nurse palpates the firm uterine fundus in the midline, at the level of the umbilicus. The nurse's first action should be to:

A) encourage the woman to void. B) press the call bell and summon help. C) let the client know that this is normal recovery. D) massage the fundus.

Nursing

The nurse is planning care for a client who is experiencing dementia. What essential concept should the nurse consider for this planning?

1. Background noise such as music will keep this client calm. 2. Activities should be scheduled at the same time each day. 3. Pain mediation will increase dementia. 4. It is important to talk with the client throughout procedures.

Nursing