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
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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Related Questions
Correct Answer is C
Explanation
C. Dissociative amnesia is characterized by difficulty remembering important personal information, typically of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. The manifestation of guilt is common in individuals experiencing dissociative amnesia, as they may feel guilty about their inability to recall events or about any actions that occurred during the period of amnesia.
A. Hallucinations involve perceiving sensations that are not present in reality, such as hearing voices or seeing things that others do not. While hallucinations can occur in various psychiatric disorders, they are not a typical manifestation of dissociative amnesia.
B. Delusions are false beliefs that are firmly held despite evidence to the contrary. Like hallucinations, delusions can occur in various psychiatric disorders, but they are not characteristic of dissociative amnesia.
D. Anhedonia refers to a reduced ability to experience pleasure or interest in previously enjoyable activities. It is not directly related to dissociative amnesia.
Correct Answer is D
Explanation
D. Hyperactivity is one of the hallmark symptoms of ADHD, along with impulsivity and inattention. Therefore, the nurse should expect to observe hyperactivity in a client diagnosed with ADHD. Hyperactivity may manifest as excessive fidgeting, restlessness, difficulty remaining seated, or an inability to engage in quiet activities.
A. Hypoactivity refers to reduced levels of physical activity or diminished movement. However, ADHD is typically associated with hyperactivity rather than hypoactivity.
B. Hypohidrosis refers to decreased sweating. While sweating is not a primary symptom of ADHD, it is unrelated to the core features of the disorder, such as inattention and hyperactivity. C While sweating can occur in individuals with ADHD, it is not a defining characteristic of the disorder.
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