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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Related Questions
Correct Answer is C
Explanation
A. Dissociative amnesia involves an inability to recall important personal information, usually of a traumatic or stressful nature, not physical symptoms.
B. Depersonalization/derealization disorder involves feelings of detachment from oneself or one's surroundings, not physical symptoms.
C. Functional neurological symptom disorder (also known as conversion disorder) involves neurological symptoms, such as numbness or paralysis, that cannot be explained by medical conditions, often triggered by psychological stress.
D. Factitious disorder involves the intentional production or feigning of physical or psychological symptoms to assume the sick role.
Correct Answer is A
Explanation
A. The Clinical Opiate Withdrawal Scale (COWS) is used to assess the severity of withdrawal symptoms in clients. This assessment helps guide treatment decisions based on the intensity of symptoms.
B. The COWS does not identify genetic factors but focuses on the clinical presentation of withdrawal symptoms.
C. The COWS does not specifically determine the risk of developing severe manifestations but rather assesses current symptom severity.
D. The COWS does not involve analyzing laboratory or imaging data but rather evaluates withdrawal symptoms through clinical observation.
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