A nurse at a community mental health center is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse include in the plan of care?

Teach the client how to minimize feelings of guilt.

Have the client participate in assertiveness training.

Bargain with the client about behavioral consequences.

Assist the client to identify acceptable outlets of anger.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

The correct answer is Choice A because, "The provider is paid a fixed sum for the client on a monthly or yearly basis." A health maintenance organization (HMO) provides a fixed payment to the provider for the client on a monthly or yearly basis.

Choice B is wrong because, "The provider bills the client directly for a predetermined percentage of the cost of services," is not the correct answer. This is an example of a fee-forservice payment structure, not an HMO payment structure.

Choice C is wrong because, "The client is participating in a fee-for-service health care insurance program," is not the correct answer. This is not an HMO payment structure.

Choice D is wrong because, "The client pays the insurer a percentage of the total costs for each service rendered by the provider," is not the correct answer. This is an example of a preferred provider organization payment structure, not an HMO payment structure.

Explanation: An HMO provides a fixed payment to the provider for the client on a

monthly or yearly basis. The provider billing the client directly for a

predetermined percentage of the cost of services, the client participating in a feefor-service health care insurance program, and the client paying the insurer a percentage of the total costs for each service rendered by the provider are not examples of HMO payment structures.

A. An extension cord extends across the floor of the living room. B. A red light is kept on in the bedroom at night. C. A rubber-backed bath mat is on the floor outside the shower. D. The water heater is set at 54.4° C (130° F). E. The floors of the house are carpeted.

Correct Answer is ["A","D"]

Explanation

The correct answers are A and D. The extension cord presents a trip hazard and should be replaced with a longer power strip or have a qualified electrician install additional outlets. The water heater temperature is above the recommended range of 49° C (120° F) and should be adjusted to prevent scalding. The red light in the bedroom (Choice B is wrong because) is not a safety hazard, the rubber-backed bath mat (Choice C is wrong because) is a safety measure to prevent falls, and carpeted floors (choice E) are also not a safety hazard.

Choice A is An extension cord extends across the floor of the living room presents a trip hazard.

Choice B is wrong because: A red light is kept on in the bedroom at night is not a safety hazard.

Choice C is wrong because: A rubber-backed bath mat is on the floor outside the shower is a safety measure to prevent falls.

Choice D is The water heater is set at 54.4° C (130° F) is above the recommended range and can cause scalding.

Option E: Carpeted floors are not a safety hazard.

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A nurse at a community mental health center is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is ["A","D"]

Explanation

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