During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the most appropriate nursing statement to address this behavior?

Correct Answer: B

Rationale: The correct answer is B: "I understand that you are angry, but this behavior will not be tolerated." Rationale: 1. Acknowledges the client's emotions: Acknowledging the client's anger shows empathy and validates their feelings. 2. Sets clear boundaries: It establishes that the behavior is not acceptable while still recognizing the underlying emotions. 3. Maintains therapeutic relationship: It addresses the behavior without resorting to judgment or confrontation. 4. Promotes safety: By stating that the behavior will not be tolerated, it ensures a safe environment for both the client and the nurse. Summary of other choices: A: Blaming and shaming the client may escalate the situation and damage the therapeutic relationship. C: Asking the client to modify behaviors may not be effective when dealing with personality disorders characterized by defiance and lack of empathy. D: Asking about medications for antisocial personality disorder is not appropriate during an initial assessment interview and may not address the immediate behavior.

Correct Answer: C

Rationale: The correct answer is C because individuals with avoidant personality disorder often have low self-esteem and fear rejection. Therefore, they may feel grateful for a compliment but still worry about potential future rejection and humiliation. A: Interpreting the compliment as a secret code used to increase personal power is more indicative of paranoid personality disorder. B: Feeling the compliment was well deserved shows a positive self-view, which is less common in avoidant personality disorder. D: Wondering what deep meaning and purpose are attached to the compliment suggests a more analytical or introspective response, rather than fear of rejection.

Correct Answer: C

Rationale: The correct answer is C because individuals with schizotypal personality disorder often exhibit incorrect interpretations of external events due to their distorted thinking patterns. This includes ideas of reference, magical thinking, and paranoid ideation. Choice A is incorrect as schizotypal individuals tend to have few close relationships. Choice B is incorrect as brief but intense relationships are more characteristic of borderline personality disorder. Choice D is incorrect as individuals with schizotypal personality disorder may have difficulty expressing emotions but not necessarily a lack of tender feelings.

Correct Answer: C

Rationale: The correct answer is C: Tourette's disorder. In Tourette's disorder, clients exhibit involuntary motor and vocal tics, such as blinking and coughing. This is due to abnormal activity in the brain. Blinking and coughing in response to specific stimuli align with the characteristic symptoms of Tourette's. ODD (A) involves defiance and hostility, not tics. ASD (B) is characterized by social communication challenges, not tics. Conduct disorder (D) involves aggressive and antisocial behavior, not tics.

Correct Answer: B

Rationale: The correct answer is B because reinforcing positive actions is a key aspect of behavior modification in children with disruptive behavior disorders. By positively reinforcing desired behaviors, the nurse can encourage their repetition and help shape the child's behavior towards more positive outcomes. Involving parents (choice A) is important but not specific to behavioral approach. Providing opportunities for learning appropriate interactions (choice C) is helpful but not the primary focus of behavior modification. Administering medications (choice D) is not a behavioral approach and should not be the first-line intervention for disruptive behavior disorders in children.