A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
Antisocial personality disorder
Histrionic personality disorder
Schizotypal personality disorder
Narcissistic personality disorder
The Correct Answer is A
A. Antisocial personality disorder is characterized by a disregard for rules and the rights of others, often leading to manipulative and defiant behavior.
B. Histrionic personality disorder involves excessive emotionality and attention-seeking behavior but does not typically include a refusal to follow rules.
C. Schizotypal personality disorder involves eccentric behavior and discomfort in close relationships, not necessarily a refusal to follow rules.
D. Narcissistic personality disorder involves grandiosity and a need for admiration, but it is more focused on self-importance than rule defiance.
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Correct Answer is B
Explanation
A. Suggesting follow-up with a regular doctor might be helpful, but it does not address the specific needs of a mental health diagnosis.
B. Recommending follow-up care from a mental health provider ensures that the client receives specialized care for managing borderline personality disorder, which often requires therapy and possibly medication.
C. While acknowledging the client's progress is supportive, it does not provide appropriate guidance for ongoing mental health care.
D. This response does not address the importance of specialized mental health care necessary for managing borderline personality disorder effectively.
Correct Answer is D
Explanation
A. While late-onset schizophrenia can occur around age 50, this option does not describe a specific finding.
B. Mirroring behaviors by a family member is not a typical finding in late-onset schizophrenia.
C. Cannabis use in adolescence is a risk factor but not an expected finding for late-onset schizophrenia.
D. A change in personality, especially with the emergence of psychotic symptoms, is a key feature of late-onset schizophrenia.
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