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 A

Explanation

A. Echolalia: Echolalia, the repetition of words or phrases spoken by others, is a common characteristic of autism spectrum disorder. It can be part of the individual’s attempt to communicate or self-stimulate and may be indicative of difficulties in expressive language development.

B. Ambivalence: Ambivalence, the state of having mixed feelings or contradictory ideas about something or someone, is more commonly associated with conditions like schizophrenia, not ASD.

C. Expressive affect: Individuals with ASD often have difficulties with expressive affect, meaning they may show limited emotional expression, which contrasts with the term "expressive affect" suggesting full emotional expression.

D. Associative looseness: Associative looseness, a symptom where a person’s thoughts are disconnected and fragmented, is more characteristic of schizophrenia than ASD.

A. Promoting rehabilitation directed toward achievement of each individual's maximum level of functioning. B. Services aimed at reducing the residual defects that are associated with severe and persistent mental illness. C. Services aimed at reducing the incidence of mental disorders within the population. D. Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness.

Correct Answer is D

Explanation

A. Promoting rehabilitation directed toward achievement of each individual's maximum level of functioning: This describes tertiary prevention, which focuses on reducing the impact of an ongoing illness that has lasting effects by helping people manage long-term, complex health problems.

B. Services aimed at reducing the residual defects that are associated with severe and persistent mental illness: This is also an aspect of tertiary prevention, which involves managing chronic conditions to prevent further deterioration.

C. Services aimed at reducing the incidence of mental disorders within the population: This describes primary prevention, which involves efforts to prevent the onset of illness before it occurs, typically through community health initiatives and education.

D. Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness: This correctly defines secondary prevention, which involves early detection and treatment of disease to halt progression and reduce the severity and duration of the condition.

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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