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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.
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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 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 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 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.
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.