A nurse in an emergency department is collecting data from a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

A. They do not care that they lost their job and their partner: This statement reflects a potential lack of insight or awareness regarding the impact of their behavior on their life and relationships. However, this attitude may also stem from denial, which is common in individuals with addictive behaviors. Even if the client appears indifferent, their actions indicate a compulsive engagement in gaming and gambling, highlighting the disconnect between their awareness of consequences and their inability to change the behavior.
B. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences: This behavior is characteristic of non-substance addiction. It emphasizes the compulsive nature of the client's engagement in these activities, regardless of the significant negative impacts on their life, such as job loss, financial difficulties, and relationship issues.
C. They are depressed over their current life situation: While depression may be a concurrent issue, it does not specifically reflect the compulsive behaviors associated with non-substance addiction. The focus should be on the actions that indicate addiction rather than emotional responses.
D. They filed for bankruptcy because of their debts and job loss: Filing for bankruptcy is a consequence of the client's behavior, but it does not directly indicate the compulsive nature of their gaming and gambling habits. The focus on the behavior itself is more relevant to understanding the addiction.

A. Antisocial personality disorder: This disorder is characterized by a disregard for societal rules and the rights of others. Clients with antisocial personality disorder may refuse to follow instructions and demonstrate a lack of respect for rules, indicating a pattern of behavior consistent with this diagnosis.
B. Schizotypal personality disorder: Individuals with schizotypal personality disorder typically exhibit eccentric behaviors, social anxiety, and odd beliefs but are not primarily characterized by a blatant disregard for rules or authority. Their behavior is more focused on social discomfort than defiance of rules.
C. Narcissistic personality disorder: While clients with narcissistic personality disorder may believe they are above the rules and display entitlement, their behavior is often driven by a need for admiration and self-importance rather than outright defiance of rules.
D. Histrionic personality disorder: Individuals with histrionic personality disorder typically seek attention and may be dramatic in their expressions. However, their behaviors are more focused on emotionality and attention-seeking rather than a direct refusal to follow rules or instructions.