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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.
A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.
B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.
D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication
Correct Answer is C
Explanation
C. Reinforcing teaching with vulnerable clients about strategies to prevent illness and promote health is the most immediate and direct action the nurse can take. Education empowers
individuals to make informed decisions about their health and well-being, potentially preventing illness and reducing the need for healthcare services.
A. This action focuses on improving access to care but may not directly address the immediate health needs of vulnerable clients.
B. Protecting the rights and well-being of clients without housing is important, but it may take time to implement legislative changes and see the effects.
D. While advocating for policy change and advising elected officials on the needs of vulnerable populations is important for systemic change, it may not directly address the immediate health needs of vulnerable clients
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