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 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.

A. Relapses signal failure of the abstinence plan, and the plan must be changed. B. Relapses may indicate that the client has very little willpower. C. Relapses should be expected and be looked at as an opportunity. D. Relapses are rare and unlikely to occur.

Correct Answer is C

Explanation

C. This statement emphasizes a crucial aspect of relapse prevention in substance use disorder treatment. Relapses are common in the recovery process and should not be seen as failures but rather as opportunities for learning and growth.

A. Relapses are common in the course of recovery from substance use disorders and do not necessarily indicate failure.

B. Relapse is not solely a result of willpower or lack thereof. It involves various factors, including biological, psychological, social, and environmental influences.

D. Relapses are common in the journey of recovery from substance use disorders, especially in the early stages when individuals are still learning to navigate triggers and develop coping strategies.

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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 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

A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

Correct Answer is C

Explanation

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A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?

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