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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.
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The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the client?s affect and behavior will most likely be which of the following?
- A. Angry and hostile
- B. Flirtatious and seductive
- C. Fearful and anxious
- D. Friendly and open
Correct Answer: A
Rationale: Paranoid personality disorder is characterized by pervasive distrust and suspicion, often leading to an angry and hostile affect (A) due to perceived threats. Flirtatious behavior (B) is more typical of histrionic personality, fearful/anxious (C) aligns with avoidant personality, and friendly/open (D) is unlikely given the mistrust.
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 developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which of the following would the nurse most likely include? Select all that apply.
- A. Developing a therapeutic relationship
- B. Bargaining about the unit rules
- C. Holding the client responsible for behavior
- D. Discouraging client from discussing thoughts
- E. Using a firm, lecture-like approach for teaching
Correct Answer: A,C
Rationale: For ASPD, developing a therapeutic relationship (A) builds trust, and holding the client responsible for behavior (C) promotes accountability. Bargaining about rules (B) undermines structure, discouraging thoughts (D) hinders therapy, and a lecture-like approach (E) may provoke resistance.
The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?
- A. Risk for Other-Directed Violence
- B. Risk for Self-Injury
- C. Risk for Suicide
- D. Risk for Self-Directed Violence
Correct Answer: A
Rationale: The client?s irritability, aggressiveness, impulsivity, and callousness suggest a high risk for other-directed violence (A), a priority due to potential harm to others. Self-injury (B), suicide (C), and self-directed violence (D) are less characteristic of ASPD.
A nursing instructor is preparing a teaching plan for a class of nursing students about antisocial personality disorder. Which of the following would the nurse include as a term often used to describe the behaviors associated with this condition? Select all that apply.
- A. Psychopath
- B. Manipulator
- C. Criminality
- D. Sociopath
- E. Psychotic
Correct Answer: A,C,D
Rationale: Antisocial personality disorder (ASPD) is often described using terms like psychopath (A), criminality (C), and sociopath (D), reflecting manipulative, rule-breaking behaviors. Manipulator (B) is a behavior, not a term, and psychotic (E) refers to psychosis, not ASPD.