ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 29 : Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders Questions
Question 1 of 5
A nurse is developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which of the following would the nurse most likely include? Select all that apply.
Correct Answer: A,C
Rationale: For ASPD, developing a therapeutic relationship (
A) builds trust, and holding the client responsible for behavior (
C) promotes accountability. Bargaining about rules (
B) undermines structure, discouraging thoughts (
D) hinders therapy, and a lecture-like approach (E) may provoke resistance.
Question 2 of 5
A nurse is working with the family of a client who has been diagnosed with antisocial personality disorder. Which of the following would be most important for the nurse to focus on when teaching the family about this disorder?
Correct Answer: B
Rationale: Boundary setting (
B) is critical for families dealing with ASPD, as it protects against manipulation and maintains healthy interactions. Anger management (
A) and self-responsibility (
D) are less family-focused, and medication therapy (
C) is not a primary treatment for ASPD.
Question 3 of 5
A group of nursing students is reviewing information about antisocial personality disorder. The students demonstrate understanding of this disorder when they state which of the following?
Correct Answer: B
Rationale: ASPD requires a diagnosis at age 18 or older (
B), with evidence of conduct disorder before age 15. It is more common in men (
A), not specific to Asian individuals (
C), and frequently co-occurs with alcohol abuse (
D).
Question 4 of 5
A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?
Correct Answer: C
Rationale: Problem-solving groups for ASPD reinforce self-responsibility (
C) by encouraging accountability and constructive decision-making. Developing attachments (
A) is less relevant, boundaries (
B) are set elsewhere, and avoiding confrontation (
D) is not the goal, as addressing patterns is key.
Question 5 of 5
The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?
Correct Answer: A
Rationale: The client?s irritability, aggressiveness, impulsivity, and callousness suggest a high risk for other-directed violence (
A), a priority due to potential harm to others. Self-injury (
B), suicide (
C), and self-directed violence (
D) are less characteristic of ASPD.