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A nurse is caring for a young adult client who is being evaluated for antisocial personality disorder.

Exhibits

Click to highlight the findings in the client's medical record that are indicators of conduct disorder (CD) that can lead to antisocial personality disorder. To deselect a finding, click on the finding again.

Substance use

Comorbidities in childhood

Living with grandmother in childhood

Treatment of animals

School history

Parental history

Employment history

Living arrangements

Interactions with other clients

Engagement in physical activity

Substance use

Comorbidities in childhood

Living with grandmother in childhood

Treatment of animals

School history

Parental history

Employment history

Living arrangements

Interactions with other clients

Engagement in physical activity

Answer and Explanation

The Correct Answer is ["A","B","D","E","F"]

Rationale for Correct Options:

Substance use: Early and recurrent substance use is a common behavior in conduct disorder and is also seen in adults with ASPD.

Comorbidities in childhood: Childhood conditions like ADHD, oppositional defiant disorder (ODD), or depression are often comorbid with CD and may contribute to antisocial behaviors later.

Treatment of animals: Cruelty to animals is one of the hallmark symptoms of conduct disorder per DSM-5 and a strong predictor of ASPD.

School history: A history of truancy, expulsion, or academic problems due to behavior issues is often present in CD and may indicate early defiance of societal norms.

Parental history: A family history of antisocial behavior, criminal activity, or substance use increases the risk of conduct problems and eventual ASPD.

Rationale for Incorrect Options:

Living with grandmother in childhood: May indicate instability, but not in itself a diagnostic indicator.

Employment history: Relevant in adults with ASPD (e.g., poor work history), but not a hallmark of CD.

Living arrangements: Doesn’t directly relate to conduct or antisocial behaviors.

Interactions with other clients: Social withdrawal may be seen, but ASPD typically features aggressive or manipulative interaction, not isolation.

Engagement in physical activity: This is an irrelevant to diagnosis.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "I give the insulin injections in my abdominal area." is correct. The abdomen is a common and recommended site for insulin injections, as it allows for faster absorption compared to other areas like the arms or thighs. It is important for clients with diabetes to rotate injection sites within the recommended areas to avoid tissue damage.
B. "A weight reduction program will make me hypoglycemic." is incorrect. While weight reduction is important for overall health, especially in individuals with type 2 diabetes, it is not typically associated with hypoglycemia. In type 1 diabetes, hypoglycemia is more related to insulin dosage, meal timing, and physical activity levels, not weight loss.
C. "Insulin allows me to eat ice cream at bedtime." is incorrect. While insulin helps regulate blood sugar, it does not mean the client can eat high-sugar foods, like ice cream, without considering its effect on blood glucose. Insulin therapy requires careful monitoring of carbohydrate intake, meal planning, and adjusting insulin doses accordingly.
D. "I am to take my blood sugar reading after meals." is incorrect. Blood sugar levels should generally be checked before meals, especially when managing type 1 diabetes. Checking after meals is useful to evaluate postprandial blood sugar control, but the primary goal is to manage blood glucose before eating.

A. "If you take too many showers you are more susceptible to getting a UTI because you are washing off the protective bacteria." B. "At your age, you have more sexual intercourse than older females making you more likely to get a UTI." C. "As a female, you have a shorter urethra creating an easier way for bacteria to invade your bladder." D. "As a female, you have more E. coli in your gastrointestinal system that can enter the bladder through your urethra."

Correct Answer is C

Explanation

A. “If you take too many showers...” is incorrect. Showering does not significantly increase UTI risk. In fact, proper hygiene can help prevent UTIs. Overwashing or using harsh soaps may cause irritation, but regular showers are not a primary cause.
B. “At your age, you have more sexual intercourse...” is a generalization and not necessarily accurate. While sexual activity can increase UTI risk, the statement makes an assumption based on age rather than addressing anatomy or physiology.
C. “As a female, you have a shorter urethra creating an easier way for bacteria to invade your bladder” is correct. Women have a shorter urethra than men, and it is located closer to the anus, which makes it easier for bacteria (especially E. coli) to enter the bladder, increasing the risk of UTIs.
D. “As a female, you have more E. coli in your gastrointestinal system...” is incorrect. Both males and females have similar GI flora, including E. coli. The difference lies in anatomical proximity and urethral length, not in the amount of bacteria.

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Correct Answer is A

Explanation

Correct Answer is C

Explanation

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