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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. This statement indicates an understanding of the needs of clients who are part of vulnerable populations because it demonstrates an awareness of the importance of client-centered care. Addressing the problem that the client believes is the most significant acknowledges the client's autonomy, respects their perspective, and ensures that their needs are prioritized.
A. This statement suggests a narrow focus on the immediate reason for the client's visit. While addressing the client's presenting concern is important, a limited assessment may overlook underlying issues or social determinants of health that could impact the client's well-being.
B. While privacy is important, asking clients for income or financial information may be necessary to assess their eligibility for financial assistance programs or to understand socioeconomic factors that may impact their health and access to care.
D. This statement suggests overlooking the importance of cultural competence in nursing practice. Cultural traditions, beliefs, and practices can significantly influence a client's health beliefs, behaviors, and preferences for care.
Correct Answer is D
Explanation
D. Telehealth can greatly benefit homebound clients or those who have difficulty accessing a physician's office due to various reasons such as mobility issues, geographical distance, or lack of transportation. It allows them to communicate with their primary care providers remotely, facilitating access to necessary healthcare services.
A. Telehealth is particularly beneficial for certain types of consultations, follow-up appointments, monitoring chronic conditions, mental health counseling, and providing education and support. B Telehealth is not necessarily a separate program but rather an alternative mode of delivering healthcare services.
C. Telehealth consultations may result in the issuance of prescriptions or recommendations for medical equipment or services, which would then be subject to the individual's health insurance coverage or out-of-pocket expenses.
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