A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply.)

Manipulative behaviors

Preoccupation with details

Lack of empathy

Splitting

Impulsiveness

Answer and Explanation

Correct Answer : A,C

A.   Individuals with ASPD often exhibit manipulative behaviors to exploit others for their own gain or pleasure. They may be deceitful and use charm or manipulation to achieve their goals.
B.   This finding is not typically associated with ASPD. Instead, individuals with ASPD tend to focus on immediate gratification and may have difficulty with long-term planning or sustained attention.
C.   People with ASPD typically have a reduced ability to empathize with others. They may disregard the feelings, rights, and sufferings of others, and show little remorse for their actions.
D.   Splitting refers to a defense mechanism where individuals tend to view people, situations, or events as either all good or all bad. While this can occur in personality disorders like borderline personality disorder, it is not a characteristic feature of ASPD.
E.   Impulsivity is a common trait in individuals with ASPD. They often act without considering the consequences of their actions, leading to risky behaviors such as substance abuse, reckless driving, or criminal activities.

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Correct Answer is A

Explanation

A. Cardiac arrhythmias can be a concern during ECT due to the potential cardiovascular effects of the electrical stimulation. It's crucial to ensure that the client's cardiac status is stable before proceeding with ECT. Certain arrhythmias may require management or stabilization before the procedure can be safely performed.

B. Crohn's disease, an inflammatory bowel disease, may not directly impact the safety of ECT. However, it's important to review if the client is currently experiencing an active flare-up or complications such as dehydration or electrolyte imbalances, which could affect their overall health and readiness for the procedure.
C. Asthma itself is typically not a contraindication for ECT. However, if the client has poorly controlled asthma or is experiencing an exacerbation, it could pose a risk during the procedure, especially if sedation or anesthesia is used. The nurse should ensure asthma is well-managed before proceeding with ECT.
D. Renal colic refers to pain caused by kidney stones. This condition is not typically a direct contraindication for ECT. However, pain and discomfort from renal colic could affect the client's tolerance of the procedure, especially if sedation or anesthesia is required.

A. "Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight." B. "People who have bulimia nervosa eat an average amount of food on a daily basis." C. "People who have bulimia nervosa are at risk for developing diabetes mellitus." D. "As long as a person is not vomiting after eating, they do not have bulimia nervosa."

Correct Answer is A

Explanation

A. Unlike anorexia nervosa, where individuals typically appear underweight, people with bulimia nervosa often maintain a body weight within the normal or even overweight range. This can make it challenging to identify based on physical appearance alone, as individuals may hide their binge-eating and purging behaviors.
B. Individuals with bulimia nervosa often engage in episodes of binge-eating, during which they consume large amounts of food in a short period and feel a loss of control over their eating. This is followed by compensatory behaviors such as self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise to prevent weight gain.
C. Bulimia nervosa does not directly increase the risk of developing diabetes mellitus. However, the binge-eating episodes characteristic of bulimia can lead to metabolic disturbances and insulin resistance over time. This can potentially increase the risk of developing type 2 diabetes in individuals who are predisposed or have other risk factors.
D. While self-induced vomiting is a common purging method in bulimia nervosa, there are other ways individuals may attempt to compensate for binge-eating episodes, such as excessive exercise, fasting, or misuse of laxatives or diuretics. The key diagnostic criteria for bulimia nervosa include recurrent episodes of binge-eating and inappropriate compensatory behaviors to prevent weight gain.

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A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply.)

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