Assault on people and animals, destruction of property, deception or theft, or serious violation of rules) before age 15 (As located in Austin and Boyd, 2015, pp 629 ). The nurse will note that the patient will fail to “conform to the ethical and social standards of their community” (Austin and Boyd, 2015, p 629). In this case the community is the hospital environment. The reason it is important for the nurse to understand the diagnosis is that these patients can become manipulative, aggressive, which can threaten the safety of staff and other patients (Austin and Boyd, 2015). When the nurse understands the manifestations of the disorder, he or she will be able to create a care plan that will be used to manage the negative aspects