A nurse is caring for a young adult client who is being evaluated for antisocial personality disorder.

Exhibits

Click to highlight the findings in the client's medical record that are indicators of conduct disorder (CD) that can lead to antisocial personality disorder. To deselect a finding, click on the finding again.

Substance use

Comorbidities in childhood

Living with grandmother in childhood

Treatment of animals

School history

Parental history

Employment history

Living arrangements

Interactions with other clients

Engagement in physical activity

A. Restricting airplane travel is not typically a restriction for clients undergoing hemodialysis. With appropriate planning, travel can still be possible, though it may require adjustments such as scheduling dialysis treatments while traveling. Therefore, it may not have a major impact on quality of life for most clients.
B. Limiting social activities to twice a week is not a typical restriction associated with hemodialysis. Although dialysis treatments may limit the time available for activities, it does not specifically limit social interactions to twice a week unless the client’s health deteriorates.
C. Time constraints are a significant concern. Hemodialysis typically requires the client to spend several hours (usually 3-5 hours) per session, 3 times a week, which can disrupt daily routines, work, and personal activities. This can impact the client’s quality of life.
D. Driving restrictions may apply. Many clients on hemodialysis are advised not to drive immediately after dialysis treatments due to potential fatigue, dizziness, or changes in blood pressure. This can impact the client's ability to travel independently and manage daily activities.
E. Restricting fluid intake is a common and critical aspect of hemodialysis. Clients with end-stage kidney disease need to be very careful about how much fluid they consume because their kidneys cannot excrete excess fluid effectively. This restriction can lead to discomfort and can significantly impact quality of life.
F. Restricting foods high in potassium, sodium, and phosphorus is important for clients with end-stage kidney disease undergoing hemodialysis. These dietary restrictions help maintain electrolyte balance and prevent complications like hyperkalemia and hyperphosphatemia, which can be life-threatening. However, adhering to these dietary restrictions can impact social and cultural aspects of the client's life and overall enjoyment of food.

A. Sensitivity to cold is not a typical manifestation of hyperthyroidism. Clients with hyperthyroidism generally experience an increase in metabolism, which can lead to symptoms such as heat intolerance and sweating. Sensitivity to cold is more commonly associated with hypothyroidism.
B. Constipation is also more commonly associated with hypothyroidism. Clients with hyperthyroidism tend to experience increased gastrointestinal motility, which can lead to more frequent bowel movements, rather than constipation.
C. Frequent mood changes are a common manifestation of hyperthyroidism. The overproduction of thyroid hormones can affect mood and cause symptoms like irritability, anxiety, and mood swings. This is often due to the increased metabolic rate and the effect thyroid hormones have on the nervous system.
D. Weight gain of 4.5 kg (10 lb) in 3 weeks is not typical in hyperthyroidism. In fact, hyperthyroidism often causes weight loss despite an increased appetite because of the elevated metabolic rate. Weight gain is more commonly seen in hypothyroidism, where metabolism slows down.