A nurse is caring for a young adult client who is being evaluated for antisocial personality disorder.
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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. ECG report –. On June 1, the client had sinus bradycardia (HR 48/min), which is common in severe malnutrition. By June 15, the ECG shows a normal sinus rhythm with a HR of 68/min, indicating cardiovascular improvement and a therapeutic response.
B. BUN level –The BUN remains elevated at 30 mg/dL, above the normal range (10–20 mg/dL). Persistent elevation suggests ongoing dehydration or impaired renal perfusion, indicating this is not yet a therapeutic response.
C. BMI –The BMI increased from 12.8 to 13.5, showing gradual weight gain, which is a positive therapeutic response in the treatment of anorexia nervosa.
D. Temperature –The client’s temperature increased from 35.6°C (96°F) to 36.1°C (97°F). Though still slightly low, this is an improvement, indicating better metabolic function and progress in treatment.
E. Potassium level – The potassium level rose slightly from 3.1 to 3.3 mEq/L, but it remains below the normal range (3.5–5 mEq/L). This reflects an ongoing electrolyte imbalance, which is not yet a therapeutic response.
Correct Answer is ["B","D","E"]
Explanation
A. Blood pressure: A blood pressure reading (especially an isolated one) is not a psychiatric symptom and not related to schizophrenia symptomatology unless associated with medication side effects.
B. Lack of motivation: Also known as avolition, this is a hallmark negative symptom—reflected in the client's refusal to eat, drink, or attend therapy.
C. Change in behavior: This is too vague. While behavior changes are characteristic of schizophrenia, they could reflect either positive or negative symptoms and require clarification.
D. Lack of energy: Also referred to as anergia, it’s seen in the client's desire to sleep instead of engaging in activities and their slowed movements.
E. Withdrawn: Social withdrawal and isolation are common negative symptoms. The client avoids conversation and stays in bed, demonstrating a diminished interest in social interaction.
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