A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

Narcissistic personality disorder

Borderline personality disorder

Histrionic personality disorder

Antisocial personality disorder

Answer and Explanation

The Correct Answer is D

D. Antisocial personality disorder (ASPD) is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with ASPD often engage in impulsive and aggressive behaviors, such as physical fights, reckless disregard for safety, and criminal activities. A Narcissistic personality disorder: Individuals with narcissistic personality disorder may display grandiosity, a need for admiration, and a lack of empathy, but they typically do not engage in aggressive or impulsive behavior.

B. While aggression can occur in individuals with borderline personality disorder, it is often directed towards themselves rather than others, and the presentation described in the scenario is more indicative of ASPD.

C. Individuals with histrionic personality disorder may seek attention, display exaggerated emotions, and have a strong desire to be the center of attention, but they are not typically associated with aggressive or violent behavior as described in the scenario.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Delusions, hallucinations, and alterations in speech are characteristic symptoms of psychosis, which can occur in various psychiatric disorders such as schizophrenia. Dopamine antagonists, also known as antipsychotic medications, are the primary pharmacological treatment for psychosis.

A Mood stabilizers are primarily used to manage mood swings in conditions like bipolar disorder. While they can help stabilize mood, they are not typically the first-line treatment for psychotic symptoms like delusions and hallucinations.

B. SSRIs are antidepressant medications that primarily target serotonin levels in the brain. They are used to treat conditions such as depression, anxiety, and some other mood disorders.

D. Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures.

A. To treat pain and ease anxiety B. To promote sleep and rest C. Because they witnessed their parents using drugs or alcohol to cope D. To treat hallucinations and perform better at work

Correct Answer is A

Explanation

A. Opioids are often prescribed for pain management, and individuals with chronic pain conditions may be at increased risk for developing opioid use disorder if they misuse or become dependent on these medications.

B. While opioids can have sedating effects and may be used by some individuals to promote sleep, it is less likely to be a primary reason for starting opioid use, especially in the context of other significant factors such as chronic pain and anxiety.

C. While exposure to parental substance use can contribute to an individual's risk of developing substance use disorders, there is no indication in the scenario provided that the client's parents used opioids specifically or that their parents' substance use directly influenced the client's opioid use.

D. Opioids are not typically used to treat hallucinations, and their use for performance enhancement in the workplace is uncommon.

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A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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