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Exam NCLEX-RN topic 4 question 196 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 196
Topic #: 4
[All NCLEX-RN Questions]

Primary nursing diagnoses for the antisocial client are:

  • A. Alteration in perception and altered self-concept
  • B. Impaired social interaction, ineffective individual coping, and altered self-concept
  • C. Altered communication processes and altered recreational patterns
  • D. Altered body image and altered thought processes
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Suggested Answer: B 🗳️
(A) This answer is incorrect. Perception is not altered because the client is not psychotic. (B) This answer is correct. The antisocial client lacks responsibility, accountability, and social commitment; has impaired problem-solving ability; tends to overuse defense mechanisms; lies and steals; and is often grandiose concerning self. (C) This answer is incorrect. Altered communication processes do not characterize this client. The antisocial person communicates well and tends to have a charming personality. (D) This answer is incorrect. Altered thought processes refer to delusional thinking, which is bizarre and fixed, and do not characterize this client.

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