A nurse is collecting data from a client who has antisocial personality disorder.
Which of the following findings should the nurse expect? (Select all that apply.) .

Preoccupation with details.

Manipulative behaviors.

Splitting.

Impulsiveness.

Lack of empathy.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale:

Preoccupation with details is more commonly associated with obsessive-compulsive personality disorder, not antisocial personality disorder.

Choice B rationale:

Manipulative behaviors are a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate others for personal gain.

Choice C rationale:

Splitting, or viewing others as all good or all bad, is a defense mechanism often used by individuals with antisocial personality disorder.

Choice D rationale:

Impulsiveness is a common characteristic of antisocial personality disorder. Individuals with this disorder often act without considering the consequences.

Choice E rationale:

Lack of empathy is a common characteristic of antisocial personality disorder. Individuals with this disorder often have difficulty understanding or sharing the feelings of others.

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Correct Answer is B

Explanation

Choice A rationale:

Using restraints can lead to injury and is generally a last resort.

Choice B rationale:

Placing a lock at the top of doors can prevent the client from wandering outside and getting lost or injured.

Choice C rationale:

Encouraging napping during the day can actually disrupt the client’s sleep cycle and increase nighttime wakefulness.

Choice D rationale:

While medication can be helpful, non-pharmacological interventions should be tried first.

A. Demonstrate a neutral demeanor. B. Be vague when answering the client's questions about instructions. C. Ask the client why he is suspicious of others. D. Use an overly friendly approach.

Correct Answer is A

Explanation

Choice A rationale:

Demonstrating a neutral demeanor helps build trust with a client who has paranoid personality disorder. It’s important to avoid showing too much emotion, which could be misinterpreted by the client.

Choice B rationale:

Being vague when answering the client’s questions about instructions could increase the client’s paranoia. Clear and direct communication is essential.

Choice C rationale:

Asking the client why he is suspicious of others could lead to defensive behavior. It’s better to focus on building trust and understanding.

Choice D rationale:

Using an overly friendly approach could be perceived as insincere or manipulative by a client with paranoid personality disorder. A neutral demeanor is more effective.

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A nurse is collecting data from a client who has antisocial personality disorder.
Which of the following findings should the nurse expect? (Select all that apply.) .