Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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An 18-year-old client is admitted to the facility with suspected antisocial personality disorder. The client has a long history of violent behaviors, which were noted by the client’s mother since the client’s early childhood years. As the nurse caring for the client reviews the client’s medical records, which of the following data support the diagnosis?
  1. History of drug abuse, non-existence of guilt, inability to hold stable jobs
  2. Impulsivity, frantic avoidance of abandonment, self-mutilating behavior
  3. Appears cold and detached, chooses to be alone, lacks the desire for close relationships
  4. Suspicious of others, interprets remarks as threatening, doubt trustworthiness of others
Explanation
Answer: A - A history of drug abuse, non-existence of guilt for offenses, and inability to handle stable jobs and finances are supportive in the diagnosis of antisocial personality disorder. Option B is supportive of a borderline personality disorder and Option C includes the characteristics of an individual with schizoid personality disorder. Option D indicates a paranoid personality disorder.
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