The nurse is talking with a client in the day room when another client marches in and changes the TV station. The client refuses to change the station channel back because "I am the most important person here."
The nurse determines that this behavior supports a diagnosis of:
1. schizoid personality.
2. borderline personality.
3. narcissistic personality.
4. antisocial personality.
Answer: 3
1. A client with schizoid personality would not be in the day room, as such clients do not interact well with others.
2. The borderline client focuses more on negative happenings and emotions. A decreased self-image would not allow this client to think of monopolizing the television.
3. The narcissistic person believes that her wants and needs are paramount, and that her exalted opinion of herself is the same belief that everyone around her shares.
4. The antisocial person might try to change the channel in the TV room, but out of spite and because she can, not because she thinks it is her right to do so.
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