A nurse in a mental health clinic is taking a medical history on a client. The nurse should recognize that which of the following factors in the client's history increases their risk for mental illness?

A. Increased cheerfulness, increased energy, helping other nurses on the shift. While mood changes can sometimes indicate a problem, increased cheerfulness and willingness to help others are not specific red flags for substance use disorder. Substance use is more commonly associated with erratic behavior, frequent absences, or medication discrepancies.
B. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings. Frustration with workplace issues and increased engagement in staff meetings do not necessarily indicate substance use disorder. Behavioral concerns related to substance use often include impaired judgment, frequent errors, or missing narcotics.
C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications. Consistently seeking extra shifts, avoiding witnesses when handling narcotics, and needing to be alone while preparing medications suggest possible drug diversion. These behaviors align with common patterns seen in healthcare professionals struggling with substance use disorders.
D. Crying, sharing personal details of relationship problems, monopolizing conversations. Emotional distress and oversharing personal issues may indicate stress or burnout rather than substance use disorder. Substance use concerns are more closely tied to inconsistent work performance, medication discrepancies, and altered behavior related to drug access.

A. Strict parental guidelines contribute to the development of personality disorders: While parenting style can influence personality development, strict guidelines alone do not directly cause personality disorders. Genetic, environmental, and social factors interact to contribute to their onset.
B. Personality disorders often manifest from childhood emotional trauma: Childhood emotional trauma, including neglect, abuse, and unstable relationships, is a significant risk factor for personality disorders. These experiences can lead to maladaptive coping mechanisms that persist into adulthood.
C. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders: Personality disorders occur across all socioeconomic backgrounds. Diagnosis may be influenced by access to mental health care, but the prevalence is not necessarily lower in higher socioeconomic groups.
D. Personality disorders are often seen in children under the age of 10: Personality disorders are not typically diagnosed in children because personality development is ongoing. Diagnosis usually occurs in late adolescence or early adulthood when patterns of behavior become persistent and disruptive.