A nurse is 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?

Narcissistic personality disorder

Borderline personality disorder

Histrionic personality disorder

Antisocial personality disorder

Answer and Explanation

The Correct Answer is D

D. Antisocial personality disorder (ASPD) is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with ASPD often engage in impulsive and aggressive behaviors, such as physical fights, reckless disregard for safety, and criminal activities. A Narcissistic personality disorder: Individuals with narcissistic personality disorder may display grandiosity, a need for admiration, and a lack of empathy, but they typically do not engage in aggressive or impulsive behavior.

B. While aggression can occur in individuals with borderline personality disorder, it is often directed towards themselves rather than others, and the presentation described in the scenario is more indicative of ASPD.

C. Individuals with histrionic personality disorder may seek attention, display exaggerated emotions, and have a strong desire to be the center of attention, but they are not typically associated with aggressive or violent behavior as described in the scenario.

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Correct Answer is D

Explanation

D. Serotonin syndrome is a potentially life-threatening condition that can occur when there is an excess of serotonin in the body. Certain herbal remedies, such as St. John's Wort, can increase serotonin levels and may lead to serotonin syndrome, particularly when used in combination with prescription medications that also affect serotonin levels, such as selective serotonin reuptake inhibitors (SSRIs) or monoamine oxidase inhibitors (MAOIs).

A. It's important for the nurse to provide accurate and balanced information about the potential benefits and limitations of herbal remedies, rather than dismissing them outright.

B. Simply discouraging the use of herbal remedies without addressing the client's concerns or providing information about potential risks may not be effective or conducive to open communication.

C. Many herbal remedies can interact with prescription medications, altering their effectiveness or increasing the risk of adverse effects

A. When discharged from the hospital B. When attending dialectical behavior therapy C. When attending narrative therapy D. When getting married

Correct Answer is A

Explanation

A. Individuals with borderline personality disorder (BPD) often experience intense and unstable emotions, impulsivity, and difficulties in regulating their emotions and behaviors. As a result, transitions, such as being discharged from the hospital, can be particularly challenging and may increase the risk of self-harm or suicidal behavior.

B. While dialectical behavior therapy (DBT) is an evidence-based treatment for BPD and focuses on teaching coping skills to manage emotions and reduce self-harming behaviors, attending therapy sessions may actually decrease the risk of self-harm for individuals actively participating in treatment.

C. Narrative therapy is another therapeutic approach that focuses on helping individuals reframe their life stories and experiences. While narrative therapy may be beneficial for some aspects of BPD treatment, it may not specifically address the immediate risk factors for self-harm.

D. Getting married may be a significant life event that brings about both positive and negative emotions, but it does not inherently indicate the highest risk for self-harm in individuals with BPD.

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A nurse is 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?

Correct Answer is D

Explanation

A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

Correct Answer is A

Explanation

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