Antisocial Personality Disorder NCLEX Review and Nursing Care Plans Show
Antisocial personality disorder is defined as a type of mental illness wherein an individual is characterized by having blatant disregard for the rights and feelings of others. Otherwise known as sociopathy. People with antisocial personality disorder also habitually ignore the concept of right and wrong. They tend to manipulate and antagonize others, ignoring social contracts with zero expression of guilt or remorse. Individuals suffering from antisocial personality disorder habitually break laws and consequently, becoming criminals themselves. They exhibit irrational behavior such as being involved in the use of illegal drugs, acting and behaving violently against others, and having a high degree of dishonesty. Because of this, people with this personality disorder find it difficult to fulfill life responsibilities (i.e., family). Causes of Antisocial Personality DisorderPersonality is defined as the totality of a combination of a person’s thoughts and emotions that is unique to every individual. It is both the perception and understanding of an individual of the outside world as well as their own understanding of ones self. Personality develops early on, starting during childhood and is honed all throughout by environmental and genetic factors. While causes of antisocial personality disorder is unknown, there are prominent factors in play for its development.:
Risk Factors of Antisocial Personality DisorderCertain factors predisposes a person to develop sociopathy and they are listed below:
Signs and Symptoms of Antisocial Personality DisorderEnumerated below are some signs and symptoms of antisocial personality disorder:
In adults, sociopathic behavior starts to occur before the age of 15. Manifestations of antisocial personality disorders include grave and habitual instances that can be summed up with the following:
Even though sociopathy is a chronic condition, in some people certain symptoms, (i.e., destructive behavior) decreases over time. It is not clear if these warnings of unruly behaviors is due to old age or due to an increased awareness of the impacts of these behaviors and actions. Antisocial Personality Disorder Nursing DiagnosisAntisocial Personality Disorder Nursing Plan 1Nursing Diagnosis: Risk for Suicide related to impulsive behavior secondary to antisocial personality disorder Desired Outcome: The patient will be able to be free from self-inflicted injury and participate in impulse control training.
Antisocial Personality Disorder Nursing Plan 2Nursing Diagnosis: Risk for Self-mutilation related to ineffective coping skills secondary to antisocial personality disorder Desired Outcome: The patient will be able to remain free from self-inflicted injury and participate in impulse control training.
Antisocial Personality Disorder Nursing Plan 3Nursing Diagnosis: Chronic Low Self-Esteem related to lack of realistic ego boundaries secondary to antisocial personality disorder as evidenced by the rejection of positive feedback and exaggeration of negative criticisms towards self. Desired Outcome: The patient will be able to reframe and dispute distorted perceptions in order to meet future goals.
Antisocial Personality Disorder Nursing Plan 4Nursing Diagnosis: Impaired Social Interaction related to unacceptable social behaviors secondary to antisocial personality disorder as evidenced by destructive behavior toward self and others. Desired Outcome: The patient will be able to demonstrate a decrease in reports of violent outbursts as an indicator of improving behavior patterns.
Antisocial Personality Disorder Nursing Plan 5Nursing Diagnosis: Ineffective Coping related to lack of motivation to change behaviors secondary to antisocial personality disorder as evidenced by intense emotional dysregulation Desired Outcome: The patient will be able to demonstrate an increase in controlling negative impulses and reduction of manipulative behaviors.
Nursing ReferencesAckley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier. Buy on Amazon Gulanick, M., & Myers, J. L. (2017). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier. Buy on Amazon Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier. Buy on Amazon Disclaimer:Please follow your facilities guidelines, policies, and procedures. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. |