A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?

Excessively anxious

Exploitive of others

Withdrawn behaviors

Blunted affect

Answer and Explanation

The Correct Answer is B

A.   This is not typically associated with antisocial personality disorder. People with ASPD often exhibit a lack of remorse and guilt, and they may be prone to impulsive and risk-taking behaviors rather than excessive anxiety.
B.   Exploitation of others is a hallmark feature of antisocial personality disorder. Individuals with ASPD may manipulate, exploit, or deceive others for personal gain without regard for others' feelings or rights.
C.   Withdrawn behaviors, where individuals tend to isolate themselves or avoid social interactions, are not characteristic of antisocial personality disorder. In fact, individuals with ASPD tend to be socially charming and may seek out social situations to manipulate or exploit others.
D.   Blunted affect refers to a reduced emotional expression, which is not typically a prominent feature of antisocial personality disorder. Individuals with ASPD may exhibit superficial charm and can be engaging, although they may lack empathy or genuine emotional responsiveness.

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Correct Answer is D

Explanation

A. Allowing the client to choose activities may lead to decision fatigue or overwhelm due to the manic state.
B. Initiating physical exercise could help in redirecting excess energy, but it must be carefully monitored.
C. Encouraging the client to spend time with others might increase stimulation and potentially exacerbate the mania.
D. Clarity and specificity in communication are essential when caring for a client experiencing mania. Manic episodes can affect a client's ability to concentrate and process information. Providing clear instructions and explanations helps ensure the client understands what is expected and can follow through with necessary self-care and treatment activities.

A. Timeout B. Restraint C. Diversion D. Therapeutic hold

Correct Answer is A

Explanation

A. This technique involves allowing the client to remove themselves from the situation causing agitation temporarily. It is a de-escalation technique where the client can regain composure and reduce agitation by being alone or in a quieter environment. The nurse ensures the environment is safe and monitors the client during this time.
B. Restraint involves physically restricting the client's movement to prevent harm to themselves or others when they are in a state of extreme agitation and are at risk of causing harm. It is used as a last resort and typically requires a healthcare provider's order due to the potential risks and ethical considerations.
C. Diversion involves redirecting the client's attention away from the source of agitation to something else, such as a calming activity or a change of topic. It can help shift the client's focus and reduce escalating emotions.
D. Also known as a therapeutic restraint hold, this technique is used to safely manage a client who is agitated and may become physically aggressive. It involves trained staff using specific holds to restrain the client in a way that prevents harm while allowing for therapeutic communication.

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A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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