A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Antisocial personality disorder

Histrionic personality disorder

Schizotypal personality disorder

Narcissistic personality disorder

Answer and Explanation

The Correct Answer is A

A. Antisocial personality disorder is characterized by a disregard for rules and the rights of others, often leading to manipulative and defiant behavior.

B. Histrionic personality disorder involves excessive emotionality and attention-seeking behavior but does not typically include a refusal to follow rules.

C. Schizotypal personality disorder involves eccentric behavior and discomfort in close relationships, not necessarily a refusal to follow rules.

D. Narcissistic personality disorder involves grandiosity and a need for admiration, but it is more focused on self-importance than rule defiance.

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Correct Answer is A

Explanation

A. Clients with bulimia nervosa often feel preoccupied with their body shape and weight, leading to behaviors like binge eating followed by purging.

B. Clients with bulimia nervosa often feel out of control, especially during binge episodes.

C. While some clients may temporarily feel relief after purging, it is typically followed by feelings of guilt and shame, not energy.

D. Clients with bulimia nervosa often struggle with low self-esteem and do not feel confident in their abilities.

A. "I feel a sense of power by restricting my food intake." B. "I feel an emotional high during my binge-purge episodes." C. "I have binged and purged for years without my family or friends knowing." D. "I only use the laxatives when I am feeling constipated."

Correct Answer is B

Explanation

A. Feeling a sense of power by restricting food intake is more indicative of anorexia nervosa rather than bulimia nervosa.

B. This statement is indicative of bulimia nervosa because individuals with this eating disorder often experience a cycle of bingeing (eating large amounts of food in a short period) and purging (attempting to rid oneself of the food consumed during the binge). The "emotional high" can be associated with the temporary relief from negative emotions that bingeing provides, followed by purging to mitigate guilt and maintain body weight.

C. While secrecy about bingeing and purging behaviors is common in bulimia nervosa, the statement does not explicitly mention the emotional aspect during these episodes, which is a key feature of the disorder.

D. Using laxatives only when constipated does not necessarily indicate bulimia nervosa. Individuals with bulimia nervosa often use laxatives as part of their purging behavior.

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A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newly admitted client who has bulimia nervosa. Which of the following client statements should the nurse expect?

Correct Answer is A

Explanation

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Correct Answer is B

Explanation

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