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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.
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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.
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 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 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 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.