A nurse is collecting data from a client who has antisocial personality disorder.
Which of the following findings should the nurse expect? (Select all that apply.) .

Preoccupation with details.

Manipulative behaviors.

Splitting.

Impulsiveness.

Lack of empathy.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale:

Preoccupation with details is more commonly associated with obsessive-compulsive personality disorder, not antisocial personality disorder.

Choice B rationale:

Manipulative behaviors are a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate others for personal gain.

Choice C rationale:

Splitting, or viewing others as all good or all bad, is a defense mechanism often used by individuals with antisocial personality disorder.

Choice D rationale:

Impulsiveness is a common characteristic of antisocial personality disorder. Individuals with this disorder often act without considering the consequences.

Choice E rationale:

Lack of empathy is a common characteristic of antisocial personality disorder. Individuals with this disorder often have difficulty understanding or sharing the feelings of others.

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Correct Answer is []

Explanation

Condition Most Likely Experiencing:

Delirium

The client's acute confusion, restlessness, disorientation, and inability to perform basic tasks suggest delirium rather than dementia or normal aging. Delirium often has an underlying cause, such as infection or medication side effects, and requires immediate intervention.

Actions to Take:

Monitor for an underlying infection.

Explanation: Infections, particularly urinary tract infections (UTIs) in older adults, are a common cause of delirium. Since the client has been incontinent, an infection could be contributing to the confusion. Identifying and treating the infection can help resolve symptoms.

Use symbols rather than written signs for directions.

Explanation: Since the client is confused and struggling to recognize basic instructions (e.g., confusing the call light with the TV remote), visual cues like symbols can help them navigate their environment and follow instructions more easily.

Parameters to Monitor:

Presence of agnosia.

Explanation: Agnosia (difficulty recognizing objects or their use) can indicate cognitive decline. The client mistaking a washcloth for something that belongs in a dryer suggests possible cognitive impairment, and tracking this symptom will help assess changes in mental status.

Ability to complete familiar tasks.

Explanation: Monitoring whether the client can complete daily activities (e.g., using the call light correctly, self-care) will help determine if their confusion is improving or worsening over time.

Incorrect Choices and Explanations:

Anticipate a prescription for donepezil.

Why Incorrect? Donepezil is used for Alzheimer’s disease, which develops gradually, unlike delirium, which is sudden and reversible if the cause is treated.

Anticipate a prescription for duloxetine.

Why Incorrect? Duloxetine is an antidepressant. While depression can cause confusion, this case strongly suggests acute delirium rather than major depressive disorder.

Determine the date of the client’s last eye examination.

Why Incorrect? Vision problems are not the primary concern in this case. The client's confusion is more likely related to delirium rather than visual impairment.

Night vision.

Why Incorrect? While vision problems can impact safety, the client’s confusion is the main issue here, not their ability to see at night.

Attendance at group therapy.

Why Incorrect? Group therapy is useful for conditions like depression or dementia but does not address the immediate, acute nature of delirium.

Oxygen saturation.

Why Incorrect? The client’s oxygen saturation is already normal (97%), making it an unlikely cause of the delirium. The focus should be on potential infection or other triggers.

A. Ensure the teaching sessions occur right before bedtime B. Assist the clients with establishing long-term goals. C. Schedule the teaching sessions for a long time to promote participation. D. Use "I" statements rather than "you" statements.

Correct Answer is D

Explanation

Choice A rationale:

Teaching sessions right before bedtime may not be effective as older adults may be tired and less able to concentrate.

Choice B rationale:

Establishing long-term goals can be overwhelming for older adults. Short-term goals are more manageable and achievable.

Choice C rationale:

Long teaching sessions may lead to fatigue and decreased concentration. Short, frequent sessions are more effective.

Choice D rationale:

Using “I” statements rather than “you” statements can help create a more positive and collaborative learning environment.

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A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply.) .

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A nurse is collecting data from a client who has antisocial personality disorder.
Which of the following findings should the nurse expect? (Select all that apply.) .