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

Answer and Explanation

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.

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Correct Answer is ["A","B"]

Explanation

A: Switching to a difficult-to-conceal form of medication can help ensure that the patient takes their medication as prescribed. Liquid or fast-dissolving tablets are harder to hide or spit out.

B: Addressing the underlying reasons for not wanting to take medications is crucial for understanding the patient’s perspective and finding solutions that encourage adherence.

C: While assessing for delusions and hallucinations is important, it is not directly related to ensuring medication adherence.

D: Administering medications in a seclusion room is not a standard practice and can be seen as punitive. It should only be used if the patient poses a risk to themselves or others.

E: Not allowing the patient to attend group activities if medication was not taken can be counterproductive and may increase the patient’s resistance to treatment.

A. “I’m thirsty, give me a drink of water.” B. “I punched him because he’s rude to us.” C. “I’m going to report you because this is an illegal use of restraints.” D. “If I say I’m sorry, would you let me out of here?”

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with schizophrenia has been admitted to an inpatient facility. Since admission, the patient has been either refusing medication or cheeking their medications. What interventions should the nurse implement? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A patient was placed in restraints after punching a staff member. Which statement by the patient requires the nurse’s immediate attention?

Correct Answer is A

Explanation

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