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?

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Question 1 of 4

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: The correct answer is B because antisocial personality disorder requires the individual to be at least 18 years of age for a diagnosis according to the DSM-5 criteria. This age requirement is essential as the disorder is characterized by a persistent pattern of disregard for the rights of others, deceitfulness, impulsivity, irritability, and aggressiveness, which typically manifest in late adolescence or early adulthood. Choice A is incorrect because antisocial personality disorder is more commonly diagnosed in men than in women. Choice C is incorrect as the disorder is not specific to any particular ethnic or racial group. Choice D is incorrect because individuals with antisocial personality disorder often have a higher likelihood of substance abuse, including alcohol abuse, as a co-occurring condition.

Question 2 of 4

A client is admitted to the hospital with dementia related to Parkinson's disease. The client is being treated for a fractured tibia from a recent fall. The nurse should assess the client's history for use of which type of medication?

Correct Answer: A

Rationale: The correct answer is A: Anticholinergics. In Parkinson's disease, anticholinergics are commonly used to manage symptoms by blocking the action of acetylcholine, which is an excitatory neurotransmitter. These medications can worsen cognitive impairment in patients with dementia. Assessing for anticholinergic use in the client's history is crucial to prevent exacerbating cognitive decline. Summary of incorrect choices: B: Dopamine agonists are used to treat Parkinson's disease and would not be directly related to worsening cognitive impairment in this scenario. C: Anxiolytics are used to treat anxiety and would not directly impact cognitive impairment related to Parkinson's disease. D: Benzodiazepines are used to treat anxiety and insomnia, but they are not typically associated with worsening cognitive impairment in Parkinson's disease.

Question 3 of 4

A client with mental illness and arrested has been found to be unfit to stand trial, and the client is admitted to a forensic mental health facility. The nurse understands that the client can be hospitalized for up to which duration to become 'fit'?

Correct Answer: C

Rationale: The correct answer is C: 1 year. The rationale is that according to most legal jurisdictions, a client can be hospitalized for up to one year to become 'fit' to stand trial. This timeframe allows for the client to receive appropriate treatment and support to address their mental health issues and improve their competency to understand and participate in the legal proceedings. Choice A: 3 months is too short a period for significant progress in addressing mental health issues and achieving competency. Choice B: 6 months may not provide enough time for the client to fully benefit from treatment and interventions. Choice D: 5 years is an excessive duration and goes beyond what is typically allowed for restoring competency.

Question 4 of 4

A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Check for an allergy to eggs. This is crucial because some fat emulsions used in TPN solutions are derived from egg phospholipids, potentially causing an allergic reaction in patients with egg allergies. By checking for an egg allergy before administering the TPN with fat supplements, the nurse can prevent a serious allergic reaction in the client. A: Piggyback 0.9 sodium chloride with TPN solution - Incorrect. This is not necessary for administering TPN with fat supplements. C: Discuss the TPN solution for 12 hours - Incorrect. There is no need to discuss the TPN solution for such a long duration. D: Monitor for hypoglycemia - Incorrect. While monitoring for hypoglycemia is important with TPN administration, checking for an egg allergy is more directly related to the addition of fat supplements in the TPN solution.

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