Question

Which childhood trait increases the risk for developing an antisocial personality disorder?

Answer 1

Correct Answers:

Poor impulse control

Rationale :

🟦 Poor impulse control in childhood is a strong predictor for the later development of antisocial personality disorder (ASPD).

🟦 Children who struggle with impulse control often engage in rule-breaking, aggression, and disregard for consequences, which are core features that can evolve into ASPD.

🟦 This trait is commonly seen in childhood conditions such as conduct disorder, which is a key precursor to antisocial personality disorder.

🟦 Early impulsivity interferes with the development of moral reasoning, empathy, and social boundaries.

🟦 Identifying and addressing impulse control problems early can reduce the risk of persistent antisocial behaviors into adulthood.

Difficulty expressing emotions is not a defining risk factor

🟦 Emotional expression challenges are more commonly linked to anxiety or mood disorders.

🟦 They do not predict the persistent violation of others’ rights seen in ASPD.

Poor nutrition does not cause antisocial personality disorder

🟦 Nutrition can affect growth and cognition but is not a behavioral risk factor for ASPD.

🟦 ASPD development is primarily related to behavioral and environmental influences.

Solitary reading is not associated with antisocial traits

🟦 Reading alone may reflect introversion or intellectual interest.

🟦 It is not linked to aggression, deceit, or lack of remorse.

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Answer 2

Correct Answers:

The client recently began taking a selective serotonin reuptake inhibitor (SSRI) for depression

Rationale :

🟦 Selective serotonin reuptake inhibitors (SSRIs) are commonly associated with sexual side effects, including decreased libido, delayed orgasm, and anorgasmia.

🟦 These medications increase serotonin levels, which can suppress dopamine and norepinephrine, neurotransmitters involved in sexual desire and arousal.

🟦 Sexual dysfunction is a well-documented adverse effect and a frequent reason for nonadherence to antidepressant therapy.

🟦 The timing of symptom onset after starting an SSRI strongly suggests a medication-related cause.

🟦 Identifying medication effects allows the nurse to collaborate with the provider on dose adjustment or alternative therapy.

Occasional relationship disagreements are common

🟦 Minor conflicts about household responsibilities are typical in many relationships.

🟦 These do not usually result in persistent loss of sexual desire.

Limited time for exercise does not directly reduce libido

🟦 A busy schedule may cause fatigue but is not a primary cause of sexual dysfunction.

🟦 Lack of exercise alone is unlikely to significantly impair sexual desire.

Adequate sleep duration reduces likelihood of fatigue-related dysfunction

🟦 Sleeping 7–8 hours is generally sufficient for most adults.

🟦 Mild morning tiredness is nonspecific and not a strong contributor to sexual dysfunction.

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Answer 3

Correct Answers:

Paraphilia disorder

Rationale :

🟦 Paraphilic disorder refers to recurrent, intense sexual urges or fantasies involving objects, situations, or targets that are not typically considered sexually arousing.

🟦 These interests become a disorder when they cause distress, impairment in functioning, or risk of harm to self or others.

🟦 Examples include fetishistic disorder, voyeuristic disorder, exhibitionistic disorder, and sexual masochism or sadism.

🟦 The defining feature is persistent sexual focus outside socially normative stimuli.

🟦 Recognition of paraphilic disorders is important for accurate diagnosis, risk assessment, and appropriate mental health intervention.

Gender identity disorder is unrelated to sexual arousal patterns

🟦 It involves distress related to gender identity, not sexual interests.

🟦 It does not describe fixation on objects or situations for arousal.

Sexual dysfunction involves problems with sexual response

🟦 This includes issues such as low desire, arousal difficulty, or orgasmic disorders.

🟦 It does not involve atypical sexual interests.

Pre psychosexual disorder is not a recognized clinical diagnosis

🟦 This term is not used in DSM classifications.

🟦 It does not describe abnormal sexual arousal patterns.

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Answer 4

Correct Answers:

Ask the client to start journaling when they have the urge to self-harm

Rationale :

🟦 Journaling provides a safe coping strategy that helps the client identify triggers, emotions, and urges related to self-harm.

🟦 This intervention promotes emotional expression and self-awareness, which are essential in managing chronic self-injurious behavior.

🟦 Encouraging journaling supports the development of alternative, non-harmful coping mechanisms.

🟦 It empowers the client to take an active role in impulse control and emotional regulation.

🟦 Teaching adaptive coping skills is a priority therapeutic intervention for clients with a history of chronic self-harm.

Daily wound assessment is reactive, not therapeutic

🟦 It focuses on physical injury rather than preventing self-harm behaviors.

🟦 This approach does not help the client develop coping strategies.

Mandatory group attendance may increase distress

🟦 Clients with self-harm behaviors may feel overwhelmed in group settings.

🟦 Group participation should be encouraged gradually, not enforced.

Increased visitation does not address self-harm urges

🟦 Visitation privileges do not teach coping or impulse-control skills.

🟦 This intervention does not directly reduce self-injurious behavior.

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Answer 5

Correct Answers:

I must watch you take the medication. Please take it now."

Rationale :

🟦 Clients with borderline personality disorder may engage in manipulative behaviors or medication nonadherence, requiring clear, consistent boundaries.

🟦 The nurse has a responsibility to ensure medications are actually taken, not just provided.

🟦 Observing ingestion prevents cheeking, hoarding, or discarding medications, which can compromise treatment and safety.

🟦 A firm, calm, and nonjudgmental response supports therapeutic structure without engaging in power struggles.

🟦 This response reflects professional accountability and safe medication administration practices.

Asking a conditional question allows manipulation

🟦 This response negotiates medication administration rather than enforcing it.

🟦 It weakens boundaries and may reinforce maladaptive behaviors.

Questioning motives can escalate defensiveness

🟦 Asking “why” may feel confrontational to the client.

🟦 It does not address the immediate need for safe medication administration.

Vague statements lack clarity and direction

🟦 This response does not clearly instruct the client on what is required.

🟦 It fails to ensure the medication is taken safely.

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Answer 6

Correct Answers:

The client may be non-binary and the nurse should clarify the client's preferred pronouns.

Rationale :

🟦 Transgender identity refers to a person whose gender identity differs from their sex assigned at birth, and gender identity exists on a spectrum.

🟦 Asking about preferred name and pronouns is a basic, respectful nursing assessment that supports therapeutic communication and trust.

🟦 Using correct pronouns promotes psychological safety, dignity, and patient-centered care.

🟦 Clarification avoids assumptions and helps the nurse provide culturally competent, respectful care.

🟦 This approach aligns with professional nursing standards for inclusive and respectful practice.

Posting notices violates privacy and confidentiality

🟦 Placing special signage could unintentionally disclose personal information.

🟦 Respectful communication is managed through staff education, not public labeling.

Gender identity does not dictate clinical care needs

🟦 Medical care is based on individual health needs, not sexual or gender identity alone.

🟦 Assuming care differences can lead to bias and inappropriate treatment.

Sexual orientation is separate from gender identity

🟦 Being transgender does not imply being gay, straight, or bisexual.

🟦 Making assumptions reinforces stereotypes and harms therapeutic rapport.

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Answer 7

Correct Answers:

Bizarre behaviors
Hallucinations
Speech problems

Rationale :

🟦 Bizarre behaviors represent abnormal, disorganized, or unpredictable actions that are added to normal functioning.

🟦 These behaviors may include inappropriate dress, agitation, or socially unacceptable actions, reflecting distorted thinking and perception.

🟦 Hallucinations are sensory perceptions without external stimuli, most commonly auditory hallucinations in schizophrenia.

🟦 They are classic positive symptoms because they involve experiences that are not normally present.

🟦 Speech problems (such as disorganized speech, loose associations, or word salad) reflect disturbances in thought processes.

🟦 These abnormalities are added behaviors that interfere with effective communication.

Flat affect is a negative symptom

🟦 It involves a reduction in emotional expression.

🟦 Negative symptoms reflect loss of normal function rather than added experiences.

Withdrawal from others is a negative symptom

🟦 Social withdrawal reflects decreased motivation and social engagement.

🟦 It represents absence of normal behaviors, not excess or distortion.

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Answer 8

Correct Answers:

Avoid joking or laughing with staff and residents when the client is present.

Rationale :

🟦 Clients with paranoid schizophrenia are highly sensitive to environmental cues and may misinterpret laughter or joking as being directed at them.

🟦 Avoiding joking or laughing in the client’s presence reduces misperceptions, suspiciousness, and mistrust.

🟦 This action helps create a safe, predictable, and non-threatening environment, which is essential during early treatment.

🟦 Minimizing behaviors that could be misconstrued supports reality-based thinking and decreases anxiety.

🟦 Consistent, neutral, and respectful interactions are key nursing strategies to lessen paranoid ideation.

Socialization may increase paranoia initially

🟦 Newly diagnosed clients may feel threatened or overwhelmed by group interactions.

🟦 Forced socialization can heighten suspiciousness rather than reduce it.

Support groups are not appropriate during acute paranoia

🟦 Paranoid thinking can interfere with trust and participation.

🟦 Support groups are more beneficial once symptoms are stabilized.

Leadership roles increase stress and suspicion

🟦 Encouraging the client to lead a group places excessive demands on someone with active paranoia.

🟦 This can worsen anxiety and delusional thinking.

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Answer 9

Correct Answers:

0.5

Rationale :

🎀 Step-by-Step Calculation

🎀Daily dose: 40 mg

🎀Doses per day: 2

🎀Dose per administration:

🎀40 mg ÷ 2 = 20 mg per dose

🎀Convert mg to mL:

🎀 40 mg = 1 mL

🎀20 mg = 0.5 mL

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Answer 10

Correct Answers:

Verbigeration

Rationale :

🟦 Verbigeration is the meaningless repetition of words or phrases, often spoken over and over without purpose or context.

🟦 Repeating the exact statement (“It’s sunny today in the city!”) continuously is a classic example of this speech disturbance.

🟦 Verbigeration is commonly associated with schizophrenia and other psychotic disorders.

🟦 It reflects disorganized thought processes rather than rapid or goal-directed thinking.

🟦 Accurate documentation of verbigeration helps guide psychiatric assessment and treatment planning.

Flight of ideas involves rapid, pressured speech

🟦 Thoughts move quickly from one topic to another with understandable connections.

🟦 It is commonly seen in mania, not repetitive speech.

Clang associations rely on sound patterns

🟦 Words are linked by rhyme or similar sounds rather than meaning.

🟦 The repeated phrase does not involve rhyming.

Loose associations involve disorganized connections

🟦 Speech shifts between unrelated ideas with little logical flow.

🟦 This differs from repeating the same phrase verbatim.

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PN NJ Eve Mental Health EXAM 2 2025

No.

1 :
Which childhood trait increases the risk for developing an antisocial personality disorder?

2 :
The client being treated at the community health clinic reports a lack of sexual desire and notes that this is causing strain in her marriage. Which assessment data would the nurse most likely identify as contributing to the client's sexual dysfunction?

3 :
Sexual preference for (or obsession with) objects or situations that are not normally arousing is referred to as

4 :
The client has been admitted to the inpatient psychiatric facility for a history of chronic self-harm. Which nursing intervention is most appropriate for this client?

5 :
As the nurse prepares to administer medication to a client with a borderline personality disorder, the client says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response to this request?

6 :
The nurse is interviewing the client who identifies as "transgender." The nurse has not cared for a transgender client before but should consider what basic information?

7 :
Which are positive symptoms of schizophrenia? (Select all that apply)

8 :
A nurse is caring for a client newly diagnosed with paranoid schizophrenia. Which action by the nurse should help lessen the client's paranoid tendencies?

9 :
The mental health client is prescribed 40 mg of medication daily in two divided doses. The medication is available in 40 mg/mL. How many milliliters should the nurse administer per dose?

10 :
The clients in the recreation room are listening to music on the radio. The radio host says, "It's sunny today in the city!" One of the clients starts repeating "It's sunny today in the city!" over and over again. How should the nurse document this speech disturbance?

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PN NJ Eve Mental Health EXAM 2 2025

No.

1 : Which childhood trait increases the risk for developing an antisocial personality disorder?

2 : The client being treated at the community health clinic reports a lack of sexual desire and notes that this is causing strain in her marriage. Which assessment data would the nurse most likely identify as contributing to the client's sexual dysfunction?

3 : Sexual preference for (or obsession with) objects or situations that are not normally arousing is referred to as

4 : The client has been admitted to the inpatient psychiatric facility for a history of chronic self-harm. Which nursing intervention is most appropriate for this client?

5 : As the nurse prepares to administer medication to a client with a borderline personality disorder, the client says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response to this request?

6 : The nurse is interviewing the client who identifies as "transgender." The nurse has not cared for a transgender client before but should consider what basic information?

7 : Which are positive symptoms of schizophrenia? (Select all that apply)

8 : A nurse is caring for a client newly diagnosed with paranoid schizophrenia. Which action by the nurse should help lessen the client's paranoid tendencies?

9 : The mental health client is prescribed 40 mg of medication daily in two divided doses. The medication is available in 40 mg/mL. How many milliliters should the nurse administer per dose?

10 : The clients in the recreation room are listening to music on the radio. The radio host says, "It's sunny today in the city!" One of the clients starts repeating "It's sunny today in the city!" over and over again. How should the nurse document this speech disturbance?

1 :
Which childhood trait increases the risk for developing an antisocial personality disorder?

2 :
The client being treated at the community health clinic reports a lack of sexual desire and notes that this is causing strain in her marriage. Which assessment data would the nurse most likely identify as contributing to the client's sexual dysfunction?

3 :
Sexual preference for (or obsession with) objects or situations that are not normally arousing is referred to as

4 :
The client has been admitted to the inpatient psychiatric facility for a history of chronic self-harm. Which nursing intervention is most appropriate for this client?

5 :
As the nurse prepares to administer medication to a client with a borderline personality disorder, the client says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response to this request?

6 :
The nurse is interviewing the client who identifies as "transgender." The nurse has not cared for a transgender client before but should consider what basic information?

7 :
Which are positive symptoms of schizophrenia? (Select all that apply)

8 :
A nurse is caring for a client newly diagnosed with paranoid schizophrenia. Which action by the nurse should help lessen the client's paranoid tendencies?

9 :
The mental health client is prescribed 40 mg of medication daily in two divided doses. The medication is available in 40 mg/mL. How many milliliters should the nurse administer per dose?

10 :
The clients in the recreation room are listening to music on the radio. The radio host says, "It's sunny today in the city!" One of the clients starts repeating "It's sunny today in the city!" over and over again. How should the nurse document this speech disturbance?