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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).
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A nurse is working with the family of a client who has been diagnosed with antisocial personality disorder. Which of the following would be most important for the nurse to focus on when teaching the family about this disorder?
- A. Anger management
- B. Boundary setting
- C. Medication therapy
- D. Self-responsibility
Correct Answer: B
Rationale: Boundary setting (B) is critical for families dealing with ASPD, as it protects against manipulation and maintains healthy interactions. Anger management (A) and self-responsibility (D) are less family-focused, and medication therapy (C) is not a primary treatment for ASPD.
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.
A nurse is developing a teaching plan for a client with an impulse-control disorder. The nurse is planning to explain the emotional aspects associated with the behavior as part of the plan. Which of the following would the nurse describe as occurring first before the individual commits the act?
- A. Remorse
- B. Tension
- C. Regret
- D. Pleasure
Correct Answer: B
Rationale: In impulse-control disorders, tension (B) builds before the act, driving the impulsive behavior as a release. Remorse (A), regret (C), and pleasure (D) typically follow the act, not precede it.
A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hair ball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?
- A. Kleptomania
- B. Trichotillomania
- C. Pyromania
- D. Intermittent explosive disorder
Correct Answer: B
Rationale: Trichotillomania (B) involves compulsive hair-pulling to relieve tension, sometimes followed by ingesting hair, leading to gastrointestinal issues like hairballs. Kleptomania (A) involves stealing, pyromania (C) involves fire-setting, and intermittent explosive disorder (D) involves aggressive outbursts.
A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?
- A. Depression
- B. Substance abuse
- C. Avoidant personality disorder
- D. Anxiety
Correct Answer: A
Rationale: Depression (A) is the most common comorbid disorder with schizoid personality due to social isolation and emotional detachment increasing depressive risk. Substance abuse (B), avoidant personality (C), and anxiety (D) are less frequently associated.