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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.
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A nursing instructor is describing depressive and negativistic personality traits to a group of nursing students. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of negativistic personality traits? Select all that apply.
- A. Anhedonia
- B. Hostility
- C. Pessimism
- D. Oppositionality
- E. Guilt
Correct Answer: B,C,D
Rationale: Negativistic (passive-aggressive) personality traits include hostility (B), pessimism (C), and oppositionality (D), reflecting resistance and negativity toward others. Anhedonia (A) and guilt (E) are more characteristic of depressive traits.
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.
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 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 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).