A nurse is caring 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?

Narcissistic personality disorder

Antisocial personality disorder

Borderline personality disorder

Histrionic personality disorder

Answer and Explanation

The Correct Answer is B

A. Narcissistic personality disorder: Individuals with narcissistic personality disorder may display arrogance and entitlement but are not typically prone to aggression in this context.

B. Antisocial personality disorder: Aggressive and impulsive behavior, often involving disregard for others' rights and legal norms, is characteristic of antisocial personality disorder.

C. Borderline personality disorder: Borderline personality disorder is associated with emotional instability, impulsivity, and difficulties in relationships, but aggression in a bar setting is more suggestive of antisocial behavior.

D. Histrionic personality disorder: This disorder involves attention-seeking behavior and emotional expression, which is different from the aggressive and antisocial behavior described.

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Correct Answer is B

Explanation

A. Rotate staff to prevent caregiver role strain: Consistency in caregivers is crucial for dementia patients to minimize confusion and anxiety. Frequent changes in caregivers can be unsettling for them.

B. Limit the client's choices for daily activities: Simplifying choices helps to reduce decision-making pressure and confusion, which can be beneficial for dementia patients.

C. Provide a cognitively stimulating environment: While cognitive stimulation is beneficial, it must be balanced with the need for a calm, non-overstimulating environment to avoid overwhelming the patient.

D. Use confrontation to manage negative behavior: Confrontation is generally not effective and can increase agitation and confusion in dementia patients. Non-confrontational approaches are preferred.

A. Phase I B. Phase III C. Phase II D. Phase IV

Correct Answer is C

Explanation

A. Phase I: This is the tension-building phase, where minor incidents of abuse occur, and the victim often tries to placate the abuser to avoid escalation.

B. Phase III: This is the honeymoon phase, where the abuser may apologize, show remorse, and promise that the abuse will not happen again. The victim may also experience a period of denial and hope for change.

C. Phase II: This is the acute battering incident, where the abuse reaches a peak and the victim is physically harmed. The client's statement and the injury indicate they are in this phase.

D. Phase IV: There is no recognized "Phase IV" in the cycle of abuse. The standard model includes tension-building, acute battering, and the honeymoon phases.

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A nurse is caring 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A client comes into the Emergency Department diagnosed with a fractured right wrist and states, "I am fine, really, because it is all my fault. I knew he was in a bad mood and I got in his way." The nurse should recognize which cycle of battery is this client in?

Correct Answer is C

Explanation

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