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 C

Explanation

A. Agreeing not to report the incident is inappropriate and does not ensure the safety of patients or the integrity of the healthcare environment.

B. Reporting to other RNs on the shift is not the appropriate course of action; it needs to be reported to the proper authority.

C. The appropriate action is to report the incident to the appropriate person in the chain of command immediately. This ensures that the issue is handled according to policy and that patient safety is maintained.

D. Allowing the coworker to self-report does not ensure that the incident is handled appropriately and could compromise patient safety.

A. Traumatic brain injury B. HIV infection C. Prion disease D. Lewy body disease

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.

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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 staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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