A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?

Dual diagnosis treatment

Codependency support

Psychodrama

Crisis intervention

Answer and Explanation

The Correct Answer is A

A.   Dual diagnosis treatment programs are specifically designed for individuals who have both a mental health disorder (such as ASPD) and a substance use disorder (alcohol dependency in this case). These programs integrate treatment approaches that address both conditions concurrently. They typically involve a combination of medication management, psychotherapy, and support groups tailored to dual diagnosis clients. Encouraging the client to participate in a dual diagnosis treatment group can help address the complex interplay between ASPD and alcohol dependency.
B.   Codependency support groups focus on relationships where one person may enable or support dysfunctional behavior in another person. While relevant in certain contexts, codependency support groups may not directly address the primary issues of ASPD and alcohol dependency. Therefore, this option is less appropriate compared to dual diagnosis treatment for this client.
C.   Psychodrama is a form of therapy where clients act out real-life situations to explore and gain insights into their feelings, behaviors, and relationships. While psychodrama can be beneficial for emotional expression and role-playing, it may not directly target the core symptoms and challenges of ASPD and alcohol dependency. Therefore, it may not be the most effective intervention for this client compared to dual diagnosis treatment.
D.   Crisis intervention focuses on immediate stabilization and support during a mental health crisis or acute episode. While crisis intervention may be necessary at times, it is not a comprehensive treatment approach for ASPD and alcohol dependency. Long-term management and therapeutic interventions, such as dual diagnosis treatment, are typically needed to address these chronic conditions effectively.

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Correct Answer is B

Explanation

A. This is not typically associated with antisocial personality disorder. People with ASPD often exhibit a lack of remorse and guilt, and they may be prone to impulsive and risk-taking behaviors rather than excessive anxiety.
B. Exploitation of others is a hallmark feature of antisocial personality disorder. Individuals with ASPD may manipulate, exploit, or deceive others for personal gain without regard for others' feelings or rights.
C. Withdrawn behaviors, where individuals tend to isolate themselves or avoid social interactions, are not characteristic of antisocial personality disorder. In fact, individuals with ASPD tend to be socially charming and may seek out social situations to manipulate or exploit others.
D. Blunted affect refers to a reduced emotional expression, which is not typically a prominent feature of antisocial personality disorder. Individuals with ASPD may exhibit superficial charm and can be engaging, although they may lack empathy or genuine emotional responsiveness.

A. Absence of seizures B. Reduction in hand tremors C. Improved mood D. Decreased hallucinations

Correct Answer is C

Explanation

A. Fluoxetine is not indicated for the treatment of seizures. Its primary therapeutic effect is related to mood stabilization through serotonin reuptake inhibition in the brain. Therefore, absence of seizures would not be an expected outcome of fluoxetine therapy.
B. Hand tremors are not typically a direct symptom of depression or anxiety but can occur as a side effect of certain medications or due to anxiety-related physiological responses. Fluoxetine itself does not typically cause or treat hand tremors directly. Therefore, while tremor reduction might occur as a result of improved mood and reduced anxiety, it is not a direct therapeutic outcome of fluoxetine.
C. Improved mood is one of the primary expected outcomes of fluoxetine therapy. SSRIs like fluoxetine work by increasing serotonin levels in the brain, which helps regulate mood and alleviate symptoms of depression and anxiety. Clients typically experience a reduction in feelings of sadness, hopelessness, and anxiety, leading to an overall improvement in mood.
D. Hallucinations are not a typical symptom of depression or anxiety disorders but can occur in conditions such as schizophrenia or psychotic depression. Fluoxetine is not primarily indicated for treating hallucinations.

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A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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