A 32-year-old male client with a history of arrests and substance use is admitted to the psychiatric unit for court-mandated evaluation. During the assessment, he is superficially charming, manipulates staff to get privileges, violates unit rules without remorse, and blames others for his behavior. Which of the following nursing interventions is most appropriate for managing this client?
Provide consistent structured rules and set firm limits on behavior.
Use sympathy and reassurance to reduce the client’s resistance to authority.
Allow the client flexibility in decision-making to encourage independence and self-direction.
Develop a close, personal rapport with the client to build trust and encourage emotional expression.
The Correct Answer is A
Choice A reason: Consistent rules and firm boundaries are essential when working with individuals who display antisocial traits. Structure minimizes opportunities for manipulation and helps maintain safety and fairness on the unit.
Choice B reason: Offering sympathy and reassurance may reinforce manipulative behavior and undermine professional boundaries. It does not address the core issue of rule violation and lack of accountability.
Choice C reason: Allowing too much flexibility may increase opportunities for the client to exploit staff and disregard rules. This approach is counterproductive when dealing with manipulative behaviors.
Choice D reason: Developing a close, personal rapport risks blurring professional boundaries. Clients with these traits may exploit such relationships to gain privileges, which can disrupt treatment and unit structure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Schizophrenia rarely presents in early childhood; cases in preschoolers are extremely uncommon and considered childhood-onset schizophrenia.
Choice B reason: While symptoms may persist into later life, new-onset schizophrenia is unusual in older adults and should prompt investigation for other causes such as dementia or medical illness.
Choice C reason: Schizophrenia most commonly develops in late adolescence to early adulthood, with men typically diagnosed in their late teens to early 20s and women in their late 20s to early 30s.
Correct Answer is B
Explanation
Choice A reason: Processing auditory information and comprehension is primarily the function of the temporal lobe, not the parietal lobe.
Choice B reason: The parietal lobe is responsible for integrating sensory input such as touch, pain, pressure, and temperature, allowing the brain to form a coherent understanding of the body’s physical state.
Choice C reason: Voluntary muscle movement coordination and balance are functions of the cerebellum and motor cortex, not the parietal lobe.
Choice D reason: Emotions and memory formation are primarily regulated by the limbic system, especially the amygdala and hippocampus, not the parietal lobe.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.