A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?

Excessively anxious

Exploitive of others

Withdrawn behaviors

Blunted affect

Answer and Explanation

The Correct Answer is B

A.   This is not typically associated with antisocial personality disorder. People with ASPD often exhibit a lack of remorse and guilt, and they may be prone to impulsive and risk-taking behaviors rather than excessive anxiety.
B.   Exploitation of others is a hallmark feature of antisocial personality disorder. Individuals with ASPD may manipulate, exploit, or deceive others for personal gain without regard for others' feelings or rights.
C.   Withdrawn behaviors, where individuals tend to isolate themselves or avoid social interactions, are not characteristic of antisocial personality disorder. In fact, individuals with ASPD tend to be socially charming and may seek out social situations to manipulate or exploit others.
D.   Blunted affect refers to a reduced emotional expression, which is not typically a prominent feature of antisocial personality disorder. Individuals with ASPD may exhibit superficial charm and can be engaging, although they may lack empathy or genuine emotional responsiveness.

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Correct Answer is B

Explanation

A. This statement is incorrect. Under the Health Insurance Portability and Accountability Act (HIPAA) in the United States and similar privacy laws in other countries, healthcare providers are generally prohibited from disclosing a client's health information to their employer without the client's explicit consent.
B. This statement is correct. HIPAA and other privacy laws extend confidentiality protections beyond a client's death. Healthcare providers are still obligated to protect the confidentiality of deceased individuals' health information, unless certain exceptions apply (e.g., public health reasons or legal requirements).
C. Consent from a provider is not sufficient for discussing health information with a client's family; the consent must come from the client or their legal representative.
D. While it is generally good practice to obtain consent from the client before disclosing health information to their family members, there are circumstances where healthcare providers can share information with family members without consent.

A. "The PSDA becomes applicable when a client reaches 65 years of age." B. "A witness is legally required to sign a client's living will." C. "Advance directives do not apply to clients receiving mental health care." D. "A client can verbally designate a durable power of attorney."

Correct Answer is D

Explanation

A. The PSDA applies to all adult clients regardless of age. It ensures that adults have the right to make decisions about their medical care, including the right to accept or refuse treatment, regardless of whether they are elderly or not. Age is not a factor in the applicability of the PSDA.
B. While it's common for a living will to be witnessed, it is not a legal requirement under the PSDA.
C. Advance directives are applicable to all clients, including those receiving mental health care.
D. The Patient Self-Determination Act (PSDA) ensures that adult patients are informed about their rights to make decisions regarding their medical care, including the right to accept or refuse treatment and to prepare an advance directive.

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A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

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