A nurse is assisting with planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?
Histrionic personality disorder
Borderline personality disorder
Antisocial personality disorder
Narcissistic personality disorder
The Correct Answer is C
A. Histrionic personality disorder: Individuals with this disorder exhibit excessive emotionality and attention-seeking behavior but are not typically aggressive or violent. Their actions are more dramatic and flirtatious rather than physically confrontational.
B. Borderline personality disorder: This condition is marked by unstable relationships, intense emotions, and impulsivity, but aggression in public settings is not a primary characteristic. Self-harm or intense emotional reactions are more common.
C. Antisocial personality disorder: This disorder involves a disregard for societal rules, impulsivity, and aggressive behavior. Clients often engage in criminal activities, violate others' rights, and show little remorse for their actions, making them more likely to have altercations requiring law enforcement intervention.
D. Narcissistic personality disorder: Individuals with this disorder display an exaggerated sense of self-importance and a need for admiration but are not typically physically aggressive. They may become verbally demeaning when their ego is challenged but do not frequently engage in law-breaking behavior.
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Related Questions
Correct Answer is D
Explanation
A. "Obsessive-compulsive disorder.": Obsessive-compulsive disorder (OCD) is more commonly associated with cluster C personality disorders, particularly obsessive-compulsive personality disorder, which involves rigid perfectionism and a preoccupation with orderliness.
B. "Schizophrenia.": Schizophrenia is not a common comorbidity of cluster B personality disorders. It is more closely linked to schizotypal personality disorder, a cluster A disorder, which involves eccentric behaviors and cognitive distortions.
C. "General anxiety disorder.": Generalized anxiety disorder (GAD) is more frequently seen in cluster C personality disorders, such as avoidant and dependent personality disorders, which are characterized by excessive fearfulness and anxiety-driven behaviors.
D. "Anorexia nervosa.": Anorexia nervosa is commonly comorbid with cluster B personality disorders, particularly borderline personality disorder, due to emotional dysregulation, impulsivity, and an intense fear of abandonment that can contribute to disordered eating behaviors.
Correct Answer is C
Explanation
A. Cyclothymic disorder: Cyclothymic disorder involves chronic mood instability with alternating hypomanic and depressive symptoms for at least two years. These mood fluctuations occur independently of the menstrual cycle and do not meet the criteria for major mood episodes.
B. Postpartum depression: Postpartum depression occurs within weeks to months after childbirth and presents with persistent sadness, fatigue, and emotional distress. It is unrelated to the menstrual cycle and requires medical treatment such as therapy and antidepressants.
C. Premenstrual dysphoric disorder: Premenstrual dysphoric disorder is marked by mood disturbances, including depressed mood, irritability, and anxiety, occurring in the luteal phase before menstruation. Symptoms resolve after menstruation begins, and treatment may include SSRIs, hormonal therapy, or lifestyle modifications.
D. Bipolar disorder: Bipolar disorder involves episodes of mania and depression that are unrelated to hormonal changes in the menstrual cycle. Manic episodes present with impulsivity and grandiosity, while depressive episodes cause low energy and anhedonia, requiring mood stabilizers.
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