Try Naxlex NCLEX-RN (Free-Trial)

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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. The gallbladder has become inflamed due to the cholesterol in the gallstones. While cholesterol is a common component of gallstones, the problem is not just inflammation due to cholesterol itself. Gallstones can cause inflammation (cholecystitis) when they block the bile ducts, leading to pain and potential infection, not just due to cholesterol buildup alone.
B. The gallbladder became infected by a virus and needs to be removed. This statement is not accurate because gallstones typically cause inflammation (cholecystitis) when they obstruct bile flow, not due to a viral infection. The infection typically results from the obstruction of bile flow by the stones, leading to bacterial growth, not a viral cause.
C. The gallbladder has become blocked by a tumor and is no longer working. While tumors in the bile ducts can cause similar symptoms, the most common cause for gallbladder removal (cholecystectomy) is the presence of gallstones, not a tumor. Gallstones can block bile flow, causing inflammation and requiring surgical removal.
D. The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct. This is the correct explanation. Gallstones can form in the gallbladder and, when they block the common bile duct, they can cause inflammation (cholecystitis), pain, and sometimes infection. This blockage can impair bile flow, leading to symptoms like nausea, vomiting, and jaundice. This is the typical reason for needing a cholecystectomy.

A. The client drinks 2 liters of liquids daily. B. The client eats 2 to 3 gm of sodium-containing foods daily. C. The client runs 4 miles outdoors every afternoon. D. The client avoids NSAIDS

Correct Answer is C

Explanation

A. The client drinks 2 liters of liquids daily is not a risk factor for lithium toxicity. In fact, maintaining adequate fluid intake is important when taking lithium. Dehydration is a significant risk for lithium toxicity, so drinking a sufficient amount of fluids, such as 2 liters per day, helps prevent this.
B. The client eats 2 to 3 gm of sodium-containing foods daily is not a risk factor for lithium toxicity. Sodium intake can affect lithium levels. A low sodium intake can increase the risk of lithium toxicity, while a normal or moderate intake is usually not problematic. It's important to maintain consistent sodium intake.
C. The client runs 4 miles outdoors every afternoon is the correct answer. Exercise, especially in hot weather, can lead to dehydration and excessive sweating, which can increase the risk of lithium toxicity. Dehydration causes lithium levels to rise because the kidneys are less able to excrete the medication. Therefore, it's important to avoid excessive physical exertion in hot weather and to ensure proper hydration.
D. The client avoids NSAIDs is actually a positive practice. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase lithium levels by reducing renal excretion of the drug, so avoiding NSAIDs is an appropriate measure to prevent lithium toxicity.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who needs a cholecystectomy due to a build-up of calculi or gallstones. Which of the following is the best response from the nurse to explain what caused this problem?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?

Correct Answer is C

Explanation

What is the priority of care for a patient with Cushing's syndrome?

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about me all the time and they are trying to poison my food." Which of the following statements should the nurse make?

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?