A client with antisocial personality disorder has a history of responding to frustration by being verbally abusive. How would the nurse manage this behavior? Select all that apply.

Expose the client to frustrating scenarios at least once a day so they can work up a tolerance.

Assign the client to stay in a seclusion room in order to limit the number of people the client interacts with.

Determine clear boundaries on what the client can and cannot say to hospital staff.

Recognize when the patient is feeling frustrated and intervene quickly.

Educate the client on how staff will respond to verbal abuse, including consequences for the client.

Answer and Explanation

Correct Answer : C,D,E

A: Exposing the client to frustrating scenarios intentionally is not a therapeutic approach and can exacerbate the client’s frustration and abusive behavior.

B: Seclusion should be used as a last resort and not as a primary strategy for managing verbal abuse. It can increase feelings of isolation and frustration.

C: Setting clear boundaries helps the client understand acceptable behavior and the consequences of verbal abuse. This approach promotes a structured and predictable environment.

D: Early intervention when the patient shows signs of frustration can prevent escalation to verbal abuse. Recognizing triggers and addressing them promptly is crucial in managing antisocial behavior.

E: Educating the client about the consequences of their actions and how staff will respond to verbal abuse helps in setting expectations and promoting accountability.

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Correct Answer is A

Explanation

A: Devoting extended 1:1 time with the client to vent about their feelings is not appropriate because it can reinforce the behavior by providing attention. It is important to provide support without reinforcing maladaptive behaviors.

B: Asking the client to write down feelings prior to injury is an appropriate intervention as it encourages the patient to express emotions in a non-harmful way.

C: Maintaining a neutral tone when assessing the injury is important to avoid reinforcing the behavior through emotional reactions.

D: Helping the patient identify healthy ways to respond to negative emotions is a key intervention in managing borderline personality disorder and preventing self-harm.

A. “I would expect alcohol withdrawal symptoms to begin about 6-8 hours after the client’s last drink.” B. “It is important that I give my client vitamin C to prevent cirrhosis or other liver damage.” C. “The process of withdrawal should last about 10-12 days once the first symptoms appear.” D. “This is the third time the client has gone through detox, so I would expect the symptoms to be less severe.”

Correct Answer is A

Explanation

A: This statement is accurate. Alcohol withdrawal symptoms typically begin within 6-8 hours after the last drink. Early symptoms can include anxiety, tremors, and nausea, which can escalate if not properly managed.

B: While vitamins, including thiamine (vitamin B1), are important in managing alcohol withdrawal to prevent complications like Wernicke-Korsakoff syndrome, vitamin C is not specifically used to prevent cirrhosis or liver damage. This statement reflects a misunderstanding of the appropriate vitamin supplementation for alcohol withdrawal.

C: The duration of alcohol withdrawal symptoms can vary, but they usually peak within 24-72 hours and can last up to a week. Severe symptoms like delirium tremens can last longer, but the general withdrawal process does not typically last 10-12 days.

D: The severity of withdrawal symptoms can actually increase with repeated detoxifications due to a phenomenon known as kindling. Therefore, it is incorrect to assume that symptoms would be less severe with subsequent detoxifications.

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A client with antisocial personality disorder has a history of responding to frustration by being verbally abusive. How would the nurse manage this behavior? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with borderline personality disorder has cut her wrists while on the unit. Which of the following is NOT an appropriate nursing intervention?

Correct Answer is A

Explanation

A new nurse is planning on working with a client who is admitted for alcohol detox. Which of the following statements indicates the nurse understands alcohol withdrawal?

Correct Answer is A

Explanation

A patient with schizophrenia has been admitted to an inpatient facility. Since admission, the patient has been either refusing medication or cheeking their medications. What interventions should the nurse implement? Select all that apply.

A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?

A nurse is performing an assessment on a 9-year-old child who had been diagnosed with Autism Spectrum Disorder. Which of the following findings would the nurse expect to observe?

A nurse is caring for an adolescent who fainted at school. When interviewing the family, which statement by the mother best aligns with the diagnosis of bulimia?

A nurse is preparing to assess their client for alcohol use or abuse. Which of the following questions should the nurse ask?

A patient was placed in restraints after punching a staff member. Which statement by the patient requires the nurse’s immediate attention?

A new nurse is preparing to assess a patient who is experiencing auditory hallucinations. Which statement by the nurse requires follow-up?