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The nurse would expect to encounter clients who are covertly aggressive against self or others when working with a group diagnosed with which types of personality disorder?A. Paranoid, schizoid, schizotypal B. Antisocial, borderline, histrionic, narcissistic C. Avoidant, dependent, obsessive-compulsive D. Passive-aggressive, masochistic

Short Answer

Expert verified
Option D: Passive-aggressive, masochistic

Step by step solution

01

Understand Personality Disorders

First, review the characteristics of the personality disorders listed in the options. Understand the behaviors typically associated with each.
02

Define Covert Aggression

Covert aggression is a type of aggressive behavior that is not overtly displayed but is hidden or subtle. Examples include manipulative behaviors, indirect resistance, and passive-aggressive actions.
03

Match Disorders with Covert Aggression

Identify which personality disorders from the options are commonly associated with covert aggressive behaviors.
04

Analyze Each Option

A) Paranoid, schizoid, schizotypal: These are often characterized by odd or eccentric behaviors, not typically covert aggression.B) Antisocial, borderline, histrionic, narcissistic: These include dramatic, overly emotional, or unpredictable thinking or behavior which may include covert aggression.C) Avoidant, dependent, obsessive-compulsive: These are more anxious or fearful behaviors without strong associations to covert aggression.D) Passive-aggressive, masochistic: These disorders are directly related to covert aggression.
05

Choose the Correct Option

Given that passive-aggressive and masochistic personality disorders are directly associated with covert aggression, the correct option is D.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Antisocial Personality Disorder
Antisocial Personality Disorder (ASPD) is a mental health condition where an individual consistently exhibits behaviors that defy societal norms and violate the rights of others. These individuals often lack empathy and remorse, making their actions harmful to others without feeling guilty. Symptoms include:
- Persistent lying and deceit
- Manipulative behavior
- Impulsivity and aggressive behavior

People with ASPD are also prone to criminal behavior and tend to disregard the safety of themselves and others. Their interactions are often characterized by a pervasive pattern of disregard for the law, and they are frequently in conflict with authority figures. This disorder typically begins in childhood or adolescence and continues into adulthood. Treatment options include therapy and medications, although these individuals often resist treatment due to their underlying mistrust of others.
Borderline Personality Disorder
Borderline Personality Disorder (BPD) is marked by extreme emotional instability, impulsive actions, and a distorted sense of self. Individuals with BPD experience intense episodes of anger, depression, and anxiety that can last for hours to days. Other characteristics include:
- Fear of abandonment
- Unstable relationships
- Self-harming behavior
- Chronic feelings of emptiness

People with BPD often have a hard time maintaining stable relationships, including friendships and family connections, due to their unpredictable moods and behaviors. They might engage in risky actions or self-harm as a way to cope with emotional pain. Treatment typically involves psychotherapy, particularly Dialectical Behavior Therapy (DBT), which has been shown to help manage symptoms and improve emotional regulation.
Passive-Aggressive Behavior
Passive-aggressive behavior is characterized by indirect resistance to the demands of others and an avoidance of direct confrontation. This behavior is subtle and can involve actions like procrastination, stubbornness, and intentional inefficiency. Key traits include:
- Complaining about feeling underappreciated
- Procrastinating on tasks
- Sullen or cynical attitude
- Deliberately performing poorly

Individuals displaying passive-aggressive behavior often seem cooperative on the surface but undermine tasks behind the scenes. This can lead to conflict in work and personal relationships. They may use this behavior as a way to express their dissatisfaction or anger without directly confronting the issue. Understanding and addressing passive-aggressive tendencies can improve communication and relationship dynamics.
Masochistic Behavior
Masochistic behavior, also known as self-defeating personality disorder, involves a range of self-sacrificing and self-injurious behaviors. These individuals derive pleasure from their suffering, which reinforces their negative self-view. Typical behaviors include:
- Engaging in relationships that lead to disappointment
- Avoiding pleasurable activities
People with masochistic behavior often put themselves in situations where they experience pain, failure, or abuse. They might avoid happiness because they feel undeserving or fear it will not last. Masochism can be a way to cope with deep-seated feelings of inadequacy or worthlessness. Recognizing and altering these patterns through therapy can help individuals develop healthier relationships and self-concepts.

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