Page 2292 - Saunders Comprehensive Review For NCLEX-RN

Priority Concepts: Mood and Affect; Safety
Reference: Varcarolis (2017), pp. 207-208.

806. Answer: 2

Rationale: Recognizing situations that produce anxiety allows the client to
prepare to cope with anxiety or avoid a specific stimulus. Counselors will not be
available for all anxiety-producing situations, and this option does not encourage the
development of internal strengths. Suppressing feelings will not resolve anxiety.
Elimination of all anxiety from life is impossible.
Test-Taking Strategy: Focus on the strategic words, most appropriate. Eliminate any
option that contains the closed-ended word “all” or suggests that feelings should be
suppressed. Note that the correct option is more client-centered and helps prepare
the client to deal with anxiety should it occur.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Planning
Content Area: Mental Health
Health Problem: Mental Health: Anxiety Disorder
Priority Concepts: Anxiety; Health Promotion
Reference: Varcarolis (2017), p. 143.

807. Answer: 1

Rationale: The avoidant personality disorder is characterized by social
withdrawal and extreme sensitivity to potential rejection. The person retreats to
social isolation. Borderline personality disorder is characterized by unstable mood
and self-image and impulsive and unpredictable behavior. Schizotypal personality
disorder is characterized by the display of abnormal thoughts, perceptions, speech,
and behaviors. Obsessive-compulsive personality disorder is characterized by
perfectionism, the need to control others, and a devotion to work.
Test-Taking Strategy: Focus on the subject, a type of personality disorder.
Focusing on the words hypersensitivity to a reaction will direct you to the correct
option.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process—Planning
Content Area: Mental Health
Health Problem: Mental Health: Personality Disorders
Priority Concepts: Anxiety; Caregiving
Reference: Varcarolis (2017), pp. 173-174.

808. Answer: 1

Rationale: Manic clients may be talkative and can dominate group meetings or
therapy sessions by their excessive talking. If this occurs, the nurse initially would
set limits on the client’s behavior. Initially, asking the client to leave the session or

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