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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Reprimand the client about the potential damage that has occurred due to overexercising her body. Reprimanding the client is not therapeutic and can increase feelings of guilt or shame, potentially exacerbating the condition. A more supportive and understanding approach is needed to address the behavior. Therefore, this choice is incorrect.
B. Praise the client for looking at herself in a mirror. Praising the client for looking at herself in the mirror is not specifically relevant to managing the overexerting behavior and does not address the core issues of anorexia nervosa. It may also reinforce body image concerns. Therefore, this choice is incorrect.
C. Restrict the client from being weighed. Weighing restrictions are common in the treatment of anorexia nervosa to reduce anxiety around weight gain. However, this action alone does not directly address the overexercising behavior. Instead, comprehensive behavioral and therapeutic strategies should be employed. Therefore, this choice is incorrect.
D. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. Encouraging the client to discuss her urges to exercise with a nurse provides an opportunity for therapeutic intervention and support. It helps in addressing the behavior in a constructive manner and provides a means for the client to seek help when struggling with their impulses. This choice is correct.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
To effectively manage the client's care in moderate Alzheimer's disease and assign appropriate tasks to an assistive personnel (AP), the nurse should consider the following tasks:
Target 1: administer memantine: Memantine is a medication commonly used in the management of Alzheimer's disease to help improve cognitive function and behavior. Administering medications falls within the scope of practice for an assistive personnel under the supervision and direction of a nurse.
Target 2: continue bowel training program: The client started a bowel training program, which involves specific protocols to manage bowel movements and maintain regularity. Assistive personnel can assist in ensuring the program is continued consistently, including documenting bowel movements and any associated issues, which supports continuity of care and adherence to prescribed therapies.
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