Population Specific Care

Population Specific Care Related

Review Population Specific Care related questions and content

Which of the following should the nurse consider when planning care for a client with antisocial personality disorder? Clients with antisocial personality disorder:

  • A. Demand constant attention
  • B. Tolerate frustration well
  • C. Have well-developed superegos
  • D. Are initially often charming
Correct Answer: D

Rationale: The correct answer is D: Are initially often charming. This is because individuals with antisocial personality disorder often exhibit charm and charisma to manipulate others for personal gain. This behavior is known as "charm offensive" and can be used to deceive and exploit others. This initial charm can make it difficult for others to recognize their true motives and manipulative nature.

Incorrect options:
A: Demand constant attention - Individuals with antisocial personality disorder may appear self-centered and manipulative but not necessarily demand constant attention.
B: Tolerate frustration well - Clients with antisocial personality disorder often have difficulty managing frustration and may resort to aggressive or impulsive behavior.
C: Have well-developed superegos - Individuals with antisocial personality disorder typically lack empathy and have a weak or underdeveloped superego, leading to a disregard for social norms and the rights of others.

You may also like to solve these questions

Which of the following is the main neurological birth syndrome caused by anoxia?

  • A. Down Syndrome
  • B. Fragile X syndrome
  • C. Cerebral palsy
  • D. Cerebral Vascular accident
Correct Answer: C

Rationale: Cerebral Palsy: The main neurological birth syndrome caused by anoxia, characterized by motor symptoms affecting strength and coordination.

According to statistical research data, which of these children currently being followed by the pediatric nurse practitioner is at the greatest risk for fatal abuse?

  • A. A child who is 2 years old and has cerebral palsy
  • B. A child who is 5 years old and has measles
  • C. A child who is 8 years old and has appendicitis
  • D. A child who is 11 years old and has a fractured humerus
Correct Answer: A

Rationale: The correct answer is A because young children with disabilities, like cerebral palsy, are at the highest risk for fatal abuse based on statistical research. These children may be more vulnerable due to their dependency on caregivers and communication challenges. Choice B is incorrect as measles, although serious, is not associated with fatal abuse. Choice C is incorrect as appendicitis is a medical condition and not a risk factor for abuse. Choice D is incorrect as a fractured humerus, while concerning, does not indicate a higher risk for fatal abuse compared to a child with cerebral palsy.

A 14-year-old client on the eating disorders unit refuses to eat her meals and says to the nurse on the unit, 'You can't make me eat! There is nothing wrong with me.' The nurse will assess this as use of which defense mechanism?

  • A. Repression.
  • B. Rationalization.
  • C. Sublimation.
  • D. Denial.
Correct Answer: D

Rationale: The correct answer is D: Denial. Denial is a defense mechanism where an individual refuses to acknowledge reality to avoid discomfort. In this scenario, the client is denying the seriousness of their situation by refusing to eat and claiming there is nothing wrong. Repression (A) involves unconsciously blocking out unpleasant thoughts or feelings. Rationalization (B) is creating logical explanations to justify behavior. Sublimation (C) is redirecting negative impulses into positive behaviors. In this case, denial is the most fitting defense mechanism as the client is refusing to accept the reality of their eating disorder.

The wife of a client newly diagnosed with paranoid schizophrenia asks the nurse, 'My husband was well adjusted until a month ago, and then, after a lot of work stress, he got sick. What can I expect? Will he be this sick for the rest of his life?' What information can the nurse provide about prognosis?

  • A. This disorder responds well to treatment and, with follow-up, may not recur.'
  • B. All types of schizophrenia are chronic relapsing disorders.'
  • C. Outcomes are poor related to client prehospital disorganization.'
  • D. The usual outcome is that only partial remission is achieved.'
Correct Answer: A

Rationale: Step 1: Paranoid schizophrenia is a subtype that tends to have a better prognosis compared to other types.
Step 2: The statement that the disorder responds well to treatment and may not recur aligns with the typical course of paranoid schizophrenia.
Step 3: With proper medication and therapy, individuals with paranoid schizophrenia can experience significant improvement and have periods of stability.
Step 4: Recurrence of symptoms is less likely compared to other types of schizophrenia.
Step 5: Therefore, choice A is correct as it provides accurate information about the prognosis of paranoid schizophrenia.
Summary: Choice B is incorrect because not all types of schizophrenia are chronic relapsing disorders. Choice C is incorrect as outcomes are not solely determined by prehospital disorganization. Choice D is incorrect as partial remission is not the usual outcome for paranoid schizophrenia.

A 32-year-old client with an admitting diagnosis of catatonic schizophrenia has been mute and motionless for 2 days. The priority nursing diagnosis is:

  • A. Risk for deficient fluid volume
  • B. Impaired physical mobility
  • C. Impaired social interaction
  • D. Ineffective coping
Correct Answer: A

Rationale: The correct answer is A: Risk for deficient fluid volume. The priority nursing diagnosis in this case is to address the client's physical needs to ensure their safety and well-being. The client's mutism and immobility put them at risk for dehydration and malnutrition. By prioritizing the risk for deficient fluid volume, the nurse can address the immediate physiological needs of the client.

Choice B: Impaired physical mobility is incorrect because while the client is motionless, the immediate concern is addressing the risk of dehydration.

Choice C: Impaired social interaction is incorrect as addressing social interaction is not the priority when the client's physical needs are not being met.

Choice D: Ineffective coping is incorrect because the client's presentation is indicative of a more urgent physical need for hydration and nutrition.

Copyright © 2025 Nokea. All rights reserved.