ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 29 : Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders Questions
Question 1 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 2 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.
Question 3 of 5
A nurse is assessing a client diagnosed with avoidant personality disorder. Which of the following would the nurse most likely expect to find? Select all that apply.
Correct Answer: A,B
Rationale: Avoidant personality disorder is characterized by shyness (
A) and feelings of inadequacy (
B) due to fear of rejection. Feelings of superiority (
C) align with narcissistic personality, and perfectionism (
D) and detail-oriented behavior (E) are more typical of obsessive-compulsive personality.
Question 4 of 5
A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?
Correct Answer: A
Rationale: Depression (
A) is the most common comorbid disorder with schizoid personality due to social isolation and emotional detachment increasing depressive risk. Substance abuse (
B), avoidant personality (
C), and anxiety (
D) are less frequently associated.
Question 5 of 5
A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse?s suspicions?
Correct Answer: A
Rationale: The statement about having an important position and being envied (
A) reflects grandiosity and a need for admiration, core features of narcissistic personality disorder. Paranoia (
B) suggests paranoid personality, solitude preference (
C) aligns with schizoid, and sociability (
D) is more histrionic.