A nurse is assisting with planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?
Histrionic personality disorder
Borderline personality disorder
Antisocial personality disorder
Narcissistic personality disorder
The Correct Answer is C
A. Histrionic personality disorder: Individuals with this disorder exhibit excessive emotionality and attention-seeking behavior but are not typically aggressive or violent. Their actions are more dramatic and flirtatious rather than physically confrontational.
B. Borderline personality disorder: This condition is marked by unstable relationships, intense emotions, and impulsivity, but aggression in public settings is not a primary characteristic. Self-harm or intense emotional reactions are more common.
C. Antisocial personality disorder: This disorder involves a disregard for societal rules, impulsivity, and aggressive behavior. Clients often engage in criminal activities, violate others' rights, and show little remorse for their actions, making them more likely to have altercations requiring law enforcement intervention.
D. Narcissistic personality disorder: Individuals with this disorder display an exaggerated sense of self-importance and a need for admiration but are not typically physically aggressive. They may become verbally demeaning when their ego is challenged but do not frequently engage in law-breaking behavior.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Diagnosis typically occurs after 40 years of age. Diagnosis typically occurs in late adolescence to early adulthood, not after 40 years of age. While late-onset schizophrenia can occur, it is less common. The disorder usually manifests in the late teens to early 30s, with males often presenting earlier than females.
B. Life expectancy is greater than the general population. Life expectancy is lower than the general population due to factors such as increased risk of suicide, cardiovascular disease, and reduced access to healthcare. The presence of comorbid conditions and lifestyle factors, including smoking and poor diet, further contribute to a shorter lifespan.
C. Co-occurring mental health illnesses are rarely diagnosed. Co-occurring mental health illnesses are frequently diagnosed in individuals with schizophrenia. Conditions such as depression, anxiety disorders, and substance use disorders are common. These comorbidities can complicate treatment and impact overall prognosis.
D. The need for resources increases as the disease progresses into adulthood. The need for resources increases as the disease progresses into adulthood due to worsening functional impairment. Individuals with schizophrenia often require long-term support, including medication management, social services, and rehabilitation programs to maintain stability and quality of life.
Correct Answer is B
Explanation
A. Being in a family with numerous siblings. While family dynamics can influence mental health, having multiple siblings does not inherently increase the risk for mental illness. Protective factors such as social support from siblings may actually be beneficial.
B. Early exposure to violence. Experiencing violence at a young age, such as abuse or witnessing traumatic events, can increase the risk for mental illness by altering stress responses, emotional regulation, and cognitive development.
C. Being raised by a single mother. While single-parent households may present challenges, they do not directly cause mental illness. Supportive parenting, economic stability, and social resources can mitigate potential stressors.
D. Living in a rural area. Although access to mental health care may be more limited in rural areas, residing in such an environment is not a direct risk factor for developing mental illness. Social support and lifestyle factors play a more significant role.
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