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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tell the client that there is nothing there. Dismissing the client's perception may increase distress and reduce trust in the nurse-client relationship. A therapeutic approach acknowledges the client’s experience without reinforcing or denying hallucinations.
B. Ask the client to describe what is being seen. Encouraging the client to describe the hallucination helps assess its nature and severity. Understanding the content allows the nurse to provide appropriate support, ensure safety, and guide interventions.
C. Touch the client's arm reassuringly. Touching the client without consent, especially during a distressing hallucination, may escalate fear or agitation. Maintaining a calm and non-threatening presence is more appropriate.
D. Remove the client from the room. Relocating the client without assessing the hallucination may not address the underlying distress. Identifying triggers and using therapeutic communication are more effective initial interventions.
Correct Answer is C
Explanation
A. Borderline personality disorder. Borderline personality disorder falls under Cluster B, which includes dramatic, emotional, and erratic disorders. Individuals with this disorder often exhibit impulsivity, intense emotional instability, fear of abandonment, and unstable relationships.
B. Antisocial personality disorder. Antisocial personality disorder is part of Cluster B and is characterized by a disregard for social norms, lack of empathy, and manipulative or deceitful behavior. Individuals with this disorder often engage in impulsive and irresponsible actions.
C. Dependent personality disorder. Dependent personality disorder belongs to Cluster C, which includes anxious and fearful disorders. Individuals with this disorder exhibit excessive reliance on others, difficulty making decisions, and an intense fear of abandonment, leading to submissive and clingy behavior.
D. Paranoid personality disorder. Paranoid personality disorder is categorized under Cluster A, which consists of odd and eccentric personality disorders. It is characterized by pervasive distrust, suspicion of others, and a tendency to interpret others' actions as malicious.
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