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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.
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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.
The nurse is caring for a client with schizoid personality trait. When developing the plan of care for the client, which of the following would the nurse most likely include?
- A. Social skills training
- B. Anger management training
- C. Relaxation techniques
- D. Coping skills training
Correct Answer: C
Rationale: Schizoid personality disorder involves social detachment and restricted emotional expression, making relaxation techniques (C) appropriate to manage anxiety or stress in social settings. Social skills training (A) may overwhelm, anger management (B) is less relevant, and coping skills (D) are too broad.
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 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.
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.