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A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely. The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply.
- A. Magical beliefs
- B. Hallucinations
- C. Paranoia
- D. Avoidance of eye contact
- E. Meticulous dress
Correct Answer: A,C,D
Rationale: Schizotypal personality disorder involves magical beliefs (A), paranoia (C), and social awkwardness like avoiding eye contact (D). Hallucinations (B) are more typical of schizophrenia, and meticulous dress (E) is not characteristic.
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A nurse is reading a journal article about the various theories associated with the development of antisocial personality disorder. The article mentions difficult temperament as a possible theory. The nurse demonstrates understanding of this concept when identifying which of the following as a key behavior associated with a difficult temperament? Select all that apply.
- A. Aggression
- B. Inattention
- C. Hyperactivity
- D. Impulsivity
- E. Depression
- F. Paranoia
Correct Answer: A,B,C,D
Rationale: Difficult temperament in ASPD development includes aggression (A), inattention (B), hyperactivity (C), and impulsivity (D), often seen in childhood conduct issues. Depression (E) and paranoia (F) are not typically part of this temperament profile.
A nurse is assessing a client diagnosed with avoidant personality disorder. Which of the following would the nurse most likely expect to find? Select all that apply.
- A. Shyness
- B. Feelings of inadequacy
- C. Feelings of superiority
- D. Perfectionism
- E. Detail oriented
Correct Answer: A,B
Rationale: Avoidant personality disorder is characterized by shyness (A) and feelings of inadequacy (B) due to fear of rejection. Feelings of superiority (C) align with narcissistic personality, and perfectionism (D) and detail-oriented behavior (E) are more typical of obsessive-compulsive personality.
A nurse is working with a client who is a compulsive gambler. Which of the following would the nurse emphasize as crucial for relapse prevention? Select all that apply
- A. Medication therapy
- B. Family involvement
- C. Identification of triggers
- D. Anger management
- E. Milieu management
Correct Answer: B,C
Rationale: Family involvement (B) supports accountability and a supportive environment, and identifying triggers (C) helps the client avoid situations that prompt gambling. Medication therapy (A) is not standard, anger management (D) is less relevant, and milieu management (E) is too vague for relapse prevention.
A group of nursing students is reviewing information about antisocial personality disorder. The students demonstrate understanding of this disorder when they state which of the following?
- A. The disorder occurs more frequently in women.
- B. The individual must be at least 18 years of age.
- C. The disorder is found primarily in Asian individuals.
- D. Alcohol abuse disorder rarely accompanies this disorder.
Correct Answer: B
Rationale: ASPD requires a diagnosis at age 18 or older (B), with evidence of conduct disorder before age 15. It is more common in men (A), not specific to Asian individuals (C), and frequently co-occurs with alcohol abuse (D).
A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?
- A. It requires the client to develop attachments.
- B. It sets up specific boundaries for the client.
- C. It helps reinforce self-responsibility.
- D. It avoids confrontation about dysfunctional patterns.
Correct Answer: C
Rationale: Problem-solving groups for ASPD reinforce self-responsibility (C) by encouraging accountability and constructive decision-making. Developing attachments (A) is less relevant, boundaries (B) are set elsewhere, and avoiding confrontation (D) is not the goal, as addressing patterns is key.