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.

Correct Answer: D

Rationale: The correct answer is D: Ramelteon. Ramelteon is a melatonin receptor agonist, specifically targeting the MT1 and MT2 receptors to regulate the sleep-wake cycle. This mechanism of action helps in promoting sleep onset and regulating the circadian rhythm. Trazodone (A) is a serotonin antagonist and reuptake inhibitor used off-label for insomnia. Estazolam (B) is a benzodiazepine used as a hypnotic. Mirtazapine (C) is an antidepressant with sedating effects but does not act as a melatonin receptor agonist.

Correct Answer: B

Rationale: The correct answer is B: Albert Bandura's social cognitive theory. Bandura's theory emphasizes observational learning, where individuals acquire new behaviors through watching others. In this scenario, the nurse is demonstrating behaviors for the patient to develop, aligning with Bandura's theory. This theory also emphasizes self-efficacy and the role of cognitive processes in behavior change, which are relevant in healthcare settings. Choice A (Erikson's model of psychosocial development) focuses on stages of psychosocial development across the lifespan, which is not directly related to the nurse's demonstration of behaviors. Choice C (Skinner's operant conditioning) emphasizes reinforcement and punishment to shape behavior, which is not the primary mechanism at play in the nurse's demonstration. Choice D (Freud's psychoanalytic model) emphasizes unconscious processes and early childhood experiences, which are not directly applicable to the nurse's intentional demonstration of behaviors.

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.

Correct Answer: C

Rationale: The correct answer is C: Recreational therapist. A recreational therapist can help the patient identify and engage in meaningful leisure activities to promote socialization and community integration. This can improve the patient's quality of life and overall well-being. Rationale: 1. Psychologist (A): While a psychologist can provide therapy and support, the patient's need for socialization and community engagement would be better addressed by a recreational therapist. 2. Social worker (B): A social worker can provide resources and support, but may not have the expertise in recreational therapy to address the patient's specific needs. 3. Occupational therapist (D): While an occupational therapist can help with daily activities and routines, they may not focus specifically on leisure activities and socialization as a recreational therapist would.

Correct Answer: A

Rationale: Rationale for Correct Answer A: The statement "I need to be careful because the drug can make me sleepy" demonstrates understanding of a common side effect of imipramine, which is sedation. This shows that the patient comprehends the need to be cautious while taking the medication to prevent accidents or injuries due to drowsiness. Incorrect Choices: B: This statement is incorrect because imipramine can cause orthostatic hypotension, leading to dizziness when changing positions. C: This statement is incorrect because excess saliva is not a common side effect of imipramine. D: This statement is incorrect because imipramine can actually cause constipation rather than diarrhea, so avoiding fiber is not necessary.

Correct Answer: B

Rationale: The correct answer is B: glutamate. Glutamate is the primary excitatory neurotransmitter in the brain and plays a crucial role in the pathophysiology of schizophrenia. Research has shown abnormalities in glutamatergic neurotransmission in individuals with schizophrenia, including NMDA receptor hypofunction. GABA (A) is an inhibitory neurotransmitter and is not directly implicated in schizophrenia. Norepinephrine (C) and acetylcholine (D) are not the primary neurotransmitters associated with schizophrenia.

Correct Answer: C

Rationale: The correct answer is C: "Documenting this puts you at risk for defamation of character." This is because the nurse's statement could harm the client's reputation by implying they have no regard for legal or ethical standards. Defamation of character involves making false statements that harm someone's reputation. The nurse's documentation could be seen as libel if it's in writing. A: "Documenting this breaches the client's right to confidentiality." This is incorrect because the issue is not about breaching confidentiality but rather about potentially harming the client's reputation. B: "Documenting this puts you at risk for malpractice." This is incorrect because malpractice typically involves a failure to meet the standard of care, not necessarily defamation of character. D: "Documenting this breaches the client's right to informed consent." This is incorrect as informed consent relates to the client's understanding and agreement to treatment, not to the nurse's documentation of behavior.

Correct Answer: A

Rationale: The correct answer is A because screening a group of males between the ages of 15 and 25 for early symptoms is a well-chosen intervention for addressing a population at high risk for developing schizophrenia. Schizophrenia often manifests in late adolescence and early adulthood, making this age group particularly vulnerable. Early detection and intervention can lead to better outcomes. Choice B is incorrect because it focuses on females with substance use issues, which is not specifically related to the high-risk population for schizophrenia. Choice C is not as well suited because it targets an older age group not typically associated with the onset of schizophrenia. Choice D is also incorrect because it focuses on educating parents of developmentally delayed children, which is not directly related to addressing the high-risk population for schizophrenia.