The nurse admits a client who initially presents as intelligent, articulate, and superficially charming. The client claims his admission to the mental health unit is a big mistake

Question

He states that there was a mix-up in the emergency room and he was incorrectly identified. A probable diagnosis is: 1. Antisocial personality disorder.
2. Avoidant personality disorder.
3. Dependent personality disorder.
4. Obsessive-compulsive personality disorder.

Answer 1

1
Rationale: Clients with antisocial personality disorder (ASPD) may initially appear charming, intellectually bright, and conversationally glib. These behaviors are manipulative and are used to create a situation that the person with ASPD can control. During the initial assessment interview, it is common for the person diagnosed with ASPD to refuse responsibility for admission to the mental health or forensic facility. Clients diagnosed with avoidant, dependent, or obsessive-compulsive personality disorder generally experience both social and occupational impairments as a result of their restricted affect, nonassertiveness, problems expressing feelings, unrealistic expectations of others, and impaired decision making and problem solving.