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 D

Explanation

A. Dementia due to traumatic brain injury does not typically present with fluctuating cognition and visual hallucinations.

B. HIV infection can cause cognitive impairment, but it is not typically associated with visual hallucinations and fluctuating cognition.

C. Prion diseases (such as Creutzfeldt-Jakob disease) cause rapid cognitive decline but are not specifically associated with visual hallucinations and fluctuating cognition.

D. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and Parkinsonism, making it the most likely diagnosis for this client.

A. Inform the client about needle exchange programs. B. Recommend the client be screened for Hepatitis B. C. Reinforce the importance of eating a well-balanced diet. D. Provide information on drug rehabilitation facilities since the client has expressed readiness to change.

Correct Answer is D

Explanation

A. Needle exchange programs are primary prevention strategies aimed at reducing the risk of disease transmission among current users.

B. Screening for Hepatitis B is a secondary prevention strategy to detect and address issues early.

C. Reinforcing a well-balanced diet is a general health promotion activity and does not directly address substance use treatment.

D. Providing information on drug rehabilitation facilities is a tertiary prevention strategy, which focuses on treatment and rehabilitation for those already affected by the condition.

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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 caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is D

Explanation

A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client?

Correct Answer is D

Explanation

A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

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?

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A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

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A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?