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. Somatic symptom disorder is typically not diagnosed in early childhood; it is more common in adolescents and adults.

B. The onset of somatic symptom disorder can occur at any age, but it is not specifically associated with older adulthood.

C. Somatic symptom disorder can be diagnosed at any age; there is no age restriction for diagnosis.

D. Somatic symptom disorder is often underdiagnosed in the older population due to the overlap with physical health conditions and the tendency to attribute symptoms to aging or existing medical conditions.

A. Continuous rocking of the body B. Difficulties in remembering facts and numbers C. Difficulties in mastering the rules of spelling D. Difficulty reading instructions for a game.

Correct Answer is A

Explanation

A. Continuous rocking of the body is a common repetitive behavior in children with autism spectrum disorder.

B. Difficulties in remembering facts and numbers are not specifically associated with autism.

C. Difficulties in mastering the rules of spelling may occur but are not a core feature of autism spectrum disorder.

D. Difficulty reading instructions for a game may happen but is not as specifically characteristic as repetitive behaviors like rocking.

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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 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?

Correct Answer is D

Explanation

A nurse is assessing a 10-year-old child who has an autism spectrum disorder. Which of the following findings are expected?

Correct Answer is A

Explanation

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