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 B

Explanation

B. Panic-level anxiety is characterized by intense and overwhelming feelings of fear and apprehension. Physical symptoms often accompany this level of anxiety, and shakiness or tremors are common manifestations. The individual may experience trembling or shaking of the hands, voice, or other parts of the body due to heightened physiological arousal.

A. Voice tremors can occur in individuals experiencing anxiety, particularly when they are feeling highly stressed or nervous. However, shakiness or trembling in the body is more characteristic of panic level anxiety.

C. Depersonalization involves feelings of detachment from oneself or one's surroundings, as if observing oneself from outside the body or feeling disconnected from reality.

D Poor concentration or difficulty focusing can occur in individuals experiencing anxiety, including panic level anxiety. However, it is more of a cognitive symptom rather than a physical manifestation such as shakiness or tremors.

A. "If you do not like your medications, would you like to try an alternative?" B. "Would you like to speak to a therapist after treatment?" C. "You would like more information. I will get that for you right away." D. "You feel like you have no remaining options and are struggling to find a solution."

Correct Answer is D

Explanation

D. This response reflects empathy and validates the client's feelings of hopelessness. It acknowledges the client's emotional state and demonstrates active listening. By reflecting back the client's words, the nurse conveys understanding and creates an opportunity for further exploration of the client's feelings and concerns.

A. While addressing medication concerns is important, this response may not fully acknowledge the client's feelings of hopelessness and may come across as dismissive of their emotional distress.

B. This response offers the client an opportunity to speak with a therapist, which can be beneficial for addressing emotional distress and exploring coping strategies. However, it does not directly acknowledge the client's current feelings of hopelessness

C. This response does not address the client's feelings of hopelessness and may not effectively validate their emotional experience.

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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 on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

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