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: The correct answer is B: Boundary setting. When working with a client diagnosed with antisocial personality disorder, it is crucial for the nurse to focus on teaching the family about setting boundaries. This is important because individuals with this disorder often have difficulty respecting others' boundaries and may engage in manipulative or harmful behaviors. By establishing clear boundaries, the family can protect themselves and the client from potential harm or exploitation. Explanation of why the other choices are incorrect: A: Anger management - While anger management may be important in some cases, it is not the primary focus when dealing with antisocial personality disorder. The core issue lies in the individual's lack of empathy, disregard for rules, and manipulative behavior. C: Medication therapy - Medication may be used to manage certain symptoms associated with antisocial personality disorder, but it is not the primary intervention. The focus should be on behavioral and therapeutic approaches. D: Self-responsibility - While self-responsibility is important, individuals with antis

Correct Answer: D

Rationale: The correct answer is D: Catastrophic reactions. In a client with Alzheimer's disease, catastrophic reactions can occur when they are overwhelmed or unable to cope with a situation. These reactions can lead to outbursts or extreme emotional responses. It is important to prioritize assessing and managing catastrophic reactions to ensure the safety and well-being of the client and others. Hearing deficits (choice A) may contribute to communication difficulties but are not as urgent as managing catastrophic reactions. Mania (choice B) and strange verbalizations (choice C) are not typically associated with Alzheimer's disease without delirium and are less concerning compared to potential catastrophic reactions.

Correct Answer: C

Rationale: Rationale: C: Informed consent is critical before initiating medication therapy for a forensic client to ensure the client understands the treatment, risks, and alternatives. Without informed consent, the client's autonomy and rights may be violated. It is essential for ethical and legal reasons. A: Court order for medication is not necessary for initiating medication therapy, and it does not ensure the client's understanding or consent. B: Determination of not guilty by reason of insanity is related to legal proceedings and does not directly impact the initiation of medication therapy. D: Identification of history for aggression is important for treatment planning but does not address the immediate need for informed consent before medication therapy.

Correct Answer: C

Rationale: The correct answer is C: Abdominal rigidity. Abdominal rigidity can indicate a serious issue such as peritonitis, which may be caused by a malfunctioning NG tube allowing leakage of gastric contents into the peritoneal cavity. This requires immediate intervention. Choices A, B, and D are not indicative of NG tube malfunction. Greenish-yellow drainage is normal post-surgery, an aspirate pH of 3 is within the normal range for gastric contents, and air bubbles in the NG tube are common and do not necessarily indicate malfunction.