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.
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 C
Explanation
The mother reporting vomiting in choice A may be concerning, but it is a known side effect of methylphenidate, and the client should be monitored for any further symptoms. A client who has COPD and reports an oxygen saturation of 90%. An oxygen saturation of 90% in COPD is within normal due to the chronic hypoxia.The purple appearance of a colostomy stoma in choice C may indicate ischemia or necrosis, and is an urgent concern.The feeling of a vibration in a new arteriovenous graft for dialysis in choice D may indicate an arterial steal syndrome, but it is not a medical emergency, and the client can be instructed to follow up with the provider. Therefore, the correct answer is choice B.
Correct Answer is B
Explanation
The correct answer is Choice B because, don personal protective equipment. The nurse should protect herself first by putting on personal protective equipment to prevent contamination and further spread of the suspected bioterrorism agent.
Choice A is wrong because, report the client's condition to the Federal Bureau of Investigation, is incorrect as this is not the primary role of the nurse, and the client's condition should be reported to the local public health department. Choice C is wrong because, disinfect contaminated areas of skin with isopropyl alcohol, is incorrect as this is not a recommended treatment for bioterrorism-related illnesses, and the nurse should avoid touching the client or any contaminated items. Choice D is wrong because, move the client to a quarantine area, is incorrect as the nurse should not move the client, but instead limit contact with the client and follow established infection control protocols.
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