a nurse is assessing a client who has been diagnosed with antisocial personality disorder which of the following behaviors should the nurse expect the

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ATI Mental Health Practice B

1. A healthcare provider is assessing a client diagnosed with antisocial personality disorder. Which of the following behaviors should the provider expect the client to exhibit?

A. A lack of remorse for wrongdoing
B. A fear of gaining weight
C. A need for constant reassurance
D. A willingness to take responsibility for actions

Correct answer: A

Rationale: Individuals with antisocial personality disorder typically exhibit a lack of remorse for their actions. They may disregard the rights of others, engage in deceitful and manipulative behaviors, and show a consistent pattern of irresponsibility and disregard for social norms. This behavior is a key characteristic of this disorder. Choices B, C, and D are incorrect because they do not align with the typical behaviors associated with antisocial personality disorder. Fear of gaining weight is more indicative of an eating disorder rather than antisocial personality disorder. Needing constant reassurance is not a common trait of individuals with antisocial personality disorder. Additionally, individuals with this disorder often avoid taking responsibility for their actions.

2. Which statement demonstrates a well-structured attempt at limit setting?

A. Hitting me when you are angry is unacceptable.
B. I expect you to behave yourself during dinner.
C. Come here, right now!
D. Good boys don't bite.

Correct answer: A

Rationale: Choice A, 'Hitting me when you are angry is unacceptable,' demonstrates a well-structured attempt at limit setting because it clearly defines the unacceptable behavior without ambiguity. This statement sets a clear boundary and clearly communicates the consequence for the behavior. In contrast, choices B, C, and D are less effective in setting limits as they are either vague expectations or commands without specific consequences for crossing the limit.

3. When discussing the main differences between narcolepsy and obstructive sleep apnea syndrome, what should the nurse highlight?

A. Symptoms of the two diagnoses are essentially the same, making it challenging to differentiate between them
B. Naps are contraindicated for clients with narcolepsy due to their association with cataplexy
C. People with narcolepsy awaken from a nap feeling rested and replenished
D. People with obstructive sleep apnea syndrome may experience temporary paralysis during sleep

Correct answer: C

Rationale: Narcolepsy is characterized by excessive daytime sleepiness and sudden attacks of sleep, while individuals with narcolepsy often feel refreshed after a brief nap. In contrast, obstructive sleep apnea syndrome is marked by pauses in breathing or shallow breathing during sleep, leading to fragmented sleep and excessive daytime sleepiness. Therefore, the correct answer is that individuals with narcolepsy awaken from a nap feeling rested and replenished, which is a key distinguishing feature from obstructive sleep apnea syndrome.

4. Which behavior is consistent with therapeutic communication?

A. Offering your opinion when asked to convey support.
B. Summarizing the essence of the patient's comments in your own words.
C. Interrupting periods of silence before they become awkward for the patient.
D. Telling the patient they did well when you approve of their statements or actions.

Correct answer: B

Rationale: Summarizing the essence of the patient's comments in your own words is a key aspect of therapeutic communication as it demonstrates active listening and understanding. It shows the patient that their words have been heard and understood, fostering a sense of validation and empathy. Offering opinions, interrupting silence, or giving approval may not always align with the principles of therapeutic communication, which focus on patient-centered interactions and empathetic responses.

5. A client is prescribed diazepam (Valium) for anxiety. Which statement by the client indicates a need for further teaching?

A. I can drink alcohol while taking this medication.
B. I should avoid drinking alcohol while taking this medication.
C. I should take this medication only when I feel anxious.
D. I can stop taking this medication when I feel better.

Correct answer: A

Rationale: The correct answer is A because clients should avoid alcohol while taking diazepam (Valium) due to potential interactions. Alcohol can increase the sedative effects of diazepam, leading to excessive drowsiness or respiratory depression. Choice B is correct as it reflects the need to avoid alcohol. Choice C is incorrect because diazepam is usually taken regularly, not just when feeling anxious. Choice D is incorrect as abruptly stopping diazepam can lead to withdrawal symptoms and should be done gradually under medical supervision.