A nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity, and has exhibited callousness toward oth

Question

Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?

A) Risk for Other-Directed Violence
B) Risk for Self-Injury
C) Risk for Suicide
D) Risk for Self-Directed Violence

Answer 1

Ans: A
Although they can be interpersonally charming, these clients can become verbally and physically abusive if their expectations are not met. Protection of other clients and staff from manipulative and sometimes abusive behavior is a priority. Thus, a nursing diagnosis of Risk for Other-Directed Violence would be a priority. Clients with antisocial personality disorder are less likely to engage in self-injury or self-violence; rather, they are more likely to strike out at those who are perceived to be interfering with their immediate gratification. Risk for Suicide would be a priority if the client was also experiencing depression.