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    Ati Nsg 335 Psychiatric Mental Health Proctored Exam

    A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?

    Explanation & Rationale

    Choice A rationale Antisocial personality disorder is characterized by a pervasive pattern of disregard for and violation of the rights of others, often involving deceit, impulsivity, irritability, aggression, and a lack of remorse. Individuals with this disorder typically exhibit an exaggerated sense of self-reliance or manipulate others, rather than demonstrating an inability to make decisions or needing constant reassurance. Choice B rationale Schizoid personality disorder is defined by a pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings. Individuals with this disorder tend to be solitary, indifferent to praise or criticism, and emotionally cold. They do not typically seek or require constant reassurance, as they are often disengaged from close relationships. Choice C rationale Dependent personality disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior and fears of separation. Individuals with this disorder often struggle to make everyday decisions without an excessive amount of advice and reassurance from others and fear disagreeing with others because they are afraid of losing support or approval. Choice D rationale Avoidant personality disorder involves a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Individuals with this disorder desire social interaction but avoid it due to fear of rejection or criticism. While they may seek reassurance, their primary issue is avoidance of social situations rather than a fundamental inability to make decisions and needing constant reassurance as seen in dependent personality disorder.

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