The nurse working with a client with antisocial personality disorder would expect which behaviors? Select all that apply.

Superficial friendliness toward others

Withdrawal from social activities

Seeking special privileges

Exploitation of other clients

Compliance with expectations

Answer and Explanation

Correct Answer : A,C,D

A. Superficial friendliness toward others: Clients with antisocial personality disorder often display superficial charm to manipulate or gain the trust of others. This friendliness is not genuine but serves their own interests, making it a common behavior.

B. Withdrawal from social activities: Social withdrawal is more typical of schizoid or avoidant personality disorders. Clients with antisocial traits are usually socially active but use interactions manipulatively rather than avoiding them.

C. Seeking special privileges: These clients frequently disregard rules and expect special treatment. Seeking privileges aligns with their manipulative and self-serving behavior patterns.

D. Exploitation of other clients: Exploitation is a hallmark feature of antisocial personality disorder, as individuals often take advantage of others without guilt or remorse. This behavior demonstrates their lack of empathy and disregard for others’ rights.

E. Compliance with expectations: Consistent compliance is not typical in antisocial personality disorder. Instead, these clients resist authority, break rules, and manipulate situations rather than conforming to expectations.

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Correct Answer is B

Explanation

A. High self-awareness: Clients with personality disorders often have limited insight into their behaviors and how these affect others. They may not recognize their maladaptive patterns, making high self-awareness uncommon in this population.

B. Impaired relationships: Personality disorders are marked by enduring maladaptive patterns of behavior and cognition, which significantly disrupt interpersonal functioning and lead to unstable, strained, or impaired relationships.

C. Empathy for others: Many personality disorders, especially antisocial or narcissistic types, involve difficulty with empathy. Even in other types, clients may be so preoccupied with their own distress that empathy is diminished.

D. Motivation to change: Clients with personality disorders often lack motivation to change because they do not perceive their behavior as problematic. Change typically occurs only when external pressures, such as legal, social, or health consequences, force them to seek help.

A. Place the head of the patient's bed flat. B. Notify the healthcare provider. C. Milk the chest tube. D. Disconnect the system and get another.

Correct Answer is B

Explanation

A. Place the head of the patient's bed flat: Positioning the patient flat does not address the underlying issue of excessive bubbling. This intervention has no effect on the integrity of the chest tube system or on resolving the possible air leak.

B. Notify the healthcare provider: Excessive bubbling in the water seal chamber usually indicates an air leak in the chest tube system or from the patient’s lung. Prompt notification of the healthcare provider ensures timely evaluation and correction of the problem to prevent complications.

C. Milk the chest tube: Milking or stripping chest tubes is not recommended because it can create high negative pressures and damage lung tissue. This action does not correct excessive bubbling and may worsen patient outcomes.

D. Disconnect the system and get another: Disconnecting the system increases the risk of introducing air into the pleural space, potentially leading to a tension pneumothorax. Replacing the system may be needed, but it should not be done before assessing and notifying the healthcare provider.

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The nurse working with a client with antisocial personality disorder would expect which behaviors? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When working with a client with a personality disorder, the nurse would expect to find:

Correct Answer is B

Explanation

The nurse is assessing a patient with chest tubes connected to a drainage system. What should the first action be when the nurse observes excessive bubbling in the water seal chamber?

Correct Answer is B

Explanation

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