A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the case manager make first?

The correct answer is Choice D because "Explore possible solutions with the partner." When a hospice nurse is concerned that the partner of a client is experiencing caregiver burden, the first step is to explore possible solutions with the partner. This involves assessing the partner's needs, concerns, and limitations, and working collaboratively to develop a plan of care that meets the needs of both the client and the partner. This may involve arranging for additional support, such as respite care or home health services, or modifying the care plan to make it more manageable for the partner.

Choice A is wrong because Suggesting assistive personnel visits daily to provide client care (Choice A is wrong because) may provide additional support, but it does not address the partner's caregiver burden.

Choice B is wrong because Teaching the partner about getting enough rest (Choice B is wrong because) may be helpful, but it does not address the underlying caregiver burden and may be perceived as dismissive of the partner's concerns.

Choice C is wrong because Encouraging the partner to invite family members to assist with client care (Choice C is wrong because) may provide additional support, but it assumes that the partner has family members who are available and willing to assist and does not address the underlying caregiver burden.

The correct answer is Choice B because, have the client participate in assertiveness training. Clients with antisocial personality disorder often struggle with impulsivity, aggression, and a lack of empathy or regard for the rights of others. Therefore, assertiveness training can help the client develop effective communication and coping skills to manage these behaviors.

Choice A is wrong because, teach the client how to minimize feelings of guilt, is incorrect as clients with antisocial personality disorder often lack insight into their behaviors and do not experience guilt or remorse. Choice C is wrong because, bargain with the client about behavioral consequences, is incorrect as this approach may reinforce the client's manipulative behaviors and lack of respect for others. Choice D is wrong because, assist the client to identify acceptable outlets of anger, is incorrect as this may not address the underlying issues of impulsivity and aggression that are characteristic of antisocial personality disorder.