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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.
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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.
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 interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse?s suspicions?
- A. I have a very important position in life; everyone I know wants to be like me.
- B. My wife is poisoning my food so she can get rid of me and marry her boss.
- C. I like to work alone because then I can let my thoughts wander.
- D. I?m always the life of the party, making new friends all the time.
Correct Answer: A
Rationale: The statement about having an important position and being envied (A) reflects grandiosity and a need for admiration, core features of narcissistic personality disorder. Paranoia (B) suggests paranoid personality, solitude preference (C) aligns with schizoid, and sociability (D) is more histrionic.
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 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.