A nurse is caring 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?
Narcissistic personality disorder
Antisocial personality disorder
Borderline personality disorder
Histrionic personality disorder
The Correct Answer is B
A. Narcissistic personality disorder: Individuals with narcissistic personality disorder may display arrogance and entitlement but are not typically prone to aggression in this context.
B. Antisocial personality disorder: Aggressive and impulsive behavior, often involving disregard for others' rights and legal norms, is characteristic of antisocial personality disorder.
C. Borderline personality disorder: Borderline personality disorder is associated with emotional instability, impulsivity, and difficulties in relationships, but aggression in a bar setting is more suggestive of antisocial behavior.
D. Histrionic personality disorder: This disorder involves attention-seeking behavior and emotional expression, which is different from the aggressive and antisocial behavior described.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ensuring that the client takes care of their ADLs to prevent dependence: While maintaining independence in activities of daily living (ADLs) is important, safety takes precedence because the client may not have the cognitive ability to perform ADLs safely.
B. Ensuring that the client environment is safe to prevent injury. Safety is the priority for clients with Alzheimer's disease due to their risk of confusion, disorientation, and falls. Creating a safe environment helps prevent accidents and injuries.
C. Ensuring that the client receives food they like to prevent anxiety: Providing familiar food can help reduce anxiety, but this is secondary to ensuring safety. The primary concern is to prevent injury in a client who may be disoriented or confused.
D. Ensuring that the client meets the other patients to prevent social isolation. While social interaction is beneficial, it is not the priority in the acute care setting for someone with Alzheimer's disease. The focus should first be on the client’s immediate safety and well-being.
Correct Answer is C
Explanation
A. Phase I: This is the tension-building phase, where minor incidents of abuse occur, and the victim often tries to placate the abuser to avoid escalation.
B. Phase III: This is the honeymoon phase, where the abuser may apologize, show remorse, and promise that the abuse will not happen again. The victim may also experience a period of denial and hope for change.
C. Phase II: This is the acute battering incident, where the abuse reaches a peak and the victim is physically harmed. The client's statement and the injury indicate they are in this phase.
D. Phase IV: There is no recognized "Phase IV" in the cycle of abuse. The standard model includes tension-building, acute battering, and the honeymoon phases.
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