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 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 2 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 3 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 4 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.
Question 5 of 5
A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely. The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply.
Correct Answer: A,C,D
Rationale: Schizotypal personality disorder involves magical beliefs (
A), paranoia (
C), and social awkwardness like avoiding eye contact (
D). Hallucinations (
B) are more typical of schizophrenia, and meticulous dress (E) is not characteristic.