Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5012

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5012

QUESTION: A young man is remanded by the courts for psychiatric treatment. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping, which is associated with:

✓O a.) antisocial personality disorder.
✘O b.) borderline personality disorder.
✘O c.) obsessive-compulsive personality disorder.
✘O d.) narcissistic personality disorder.

RATIONALE

RATIONALE: The client's history of delinquency, running away from home, vandalism, and dropping out of school is characteristic of antisocial personality disorder. This maladaptive coping pattern is manifested by a disregard for societal norms of behavior and an inability to relate meaningfully to others. In borderline personality disorder, the client exhibits mood instability, poor self-image, identity disturbance, and labile affect. Obsessive-compulsive personality disorder is characterized by a preoccupation with impulses and thoughts that the client realizes are senseless but can't control. Narcissistic personality disorder is marked by a pattern of self-involvement, grandiosity, and demand for constant attention.
NURSING PROCESS STEP: Evaluation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Application