A nurse is working with a client who routinely lies to staff, refuses to comply with unit rules, and shows no remorse for the people they have harmed with their behavior. These behaviors best describe what personality disorder?
Antisocial Personality Disorder
Narcissistic Personality Disorder
Histrionic Personality Disorder
Avoidant Personality Disorder
The Correct Answer is A
A: Antisocial Personality Disorder is characterized by a pervasive pattern of disregard for the rights of others, deceitfulness, impulsivity, irritability, aggression, and lack of remorse. The behaviors described in the question—lying, non-compliance with rules, and lack of remorse—are hallmark symptoms of this disorder.
B: Narcissistic Personality Disorder involves a pattern of grandiosity, need for admiration, and lack of empathy. While individuals with this disorder may also lie and manipulate, the primary features are their self-centeredness and need for admiration, which are not the main focus of the behaviors described.
C: Histrionic Personality Disorder is characterized by excessive emotionality and attention-seeking behavior. Individuals with this disorder may be dramatic and manipulative, but the behaviors described in the question are more indicative of antisocial traits rather than histrionic traits.
D: Avoidant Personality Disorder involves a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Individuals with this disorder are typically very anxious and avoidant of social interactions, which does not align with the behaviors described in the question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: This statement requires immediate attention because it indicates a basic need that must be addressed to ensure the patient’s well-being while in restraints.
B: This statement reflects the patient’s justification for their behavior but does not require immediate attention.
C: This statement indicates the patient’s intention to report the use of restraints but does not require immediate attention.
D: This statement reflects the patient’s attempt to negotiate release from restraints but does not indicate an immediate need.
Correct Answer is C
Explanation
A: Naloxone is used to reverse opioid overdoses, not LSD intoxication.
B: Seclusion and restraint should be used only if the patient poses an immediate threat to themselves or others and other de-escalation techniques have failed.
C: Offering reassurance and emotional support is the primary approach for managing a patient under the influence of LSD. Providing a calm and supportive environment helps reduce anxiety and agitation.
D: Respiratory complications are not typically associated with LSD use. Intubation is not a standard response for LSD intoxication unless there are other complicating factors.
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