Nokea
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.
You may also like to solve these questions
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 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.
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 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 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.