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. Tinnitus and jerking movements are not typical signs of serotonin syndrome.
B. Pill rolling movements and drooling are more characteristic of Parkinsonian symptoms, not serotonin syndrome.
C. Suicidal ideations, while a serious mental health concern, are not specific to serotonin syndrome.
D. Dilated pupils and loss of muscle coordination are consistent with serotonin syndrome, which is a potentially life-threatening condition caused by excessive serotonin activity in the central nervous system. Other symptoms may include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity.

A. Negative symptoms of psychosis B. Prolonged hallucinations C. Severe hallucinations D. Prolonged delusions

Correct Answer is C

Explanation

A. Negative symptoms of psychosis include affective flattening, alogia, and avolition, which are less commonly associated with acute toxicity from sedatives.

B. Prolonged hallucinations can occur with certain substances, but severe, acute hallucinations are more typical of acute sedative toxicity.

C. Severe hallucinations are a common symptom of acute toxicity from sedatives and other substances, indicating significant neurological impact.

D. Prolonged delusions are more typical of chronic psychotic disorders rather than acute substance toxicity.

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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 ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?

Correct Answer is D

Explanation

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

Correct Answer is C

Explanation

A nurse is speaking with the parent of a client who is experiencing manifestations of psychosis. The parent states, "I don't understand how a child can experience psychosis." Which of the following responses should the nurse make?

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