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A nurse is working with a client who is a compulsive gambler. Which of the following would the nurse emphasize as crucial for relapse prevention? Select all that apply
- A. Medication therapy
- B. Family involvement
- C. Identification of triggers
- D. Anger management
- E. Milieu management
Correct Answer: B,C
Rationale: Family involvement (B) supports accountability and a supportive environment, and identifying triggers (C) helps the client avoid situations that prompt gambling. Medication therapy (A) is not standard, anger management (D) is less relevant, and milieu management (E) is too vague for relapse prevention.
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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.
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 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.
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.
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.