A nurse in a provider's office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching?

Choice A Reason:

Encouraging assertiveness helps the client build self-confidence and the ability to express their needs and preferences. Individuals with dependent personality disorder often struggle with making decisions and being overly reliant on others, so promoting assertiveness can be an important part of their therapeutic process.

Choice B Reason:

Assuming responsibility for making the client's decisions is not appropriate because it further reinforces dependency, which is not a healthy outcome for individuals with dependent personality disorder.

Choice C Reason:

Maintaining a verbal no-harm contract is a safety measure for clients at risk of self-harm but is not specific to dependent personality disorder and may not be the primary focus of discharge teaching for this condition.

Choice D Reason:

Limiting the client's social interactions is not advisable. Encouraging social interactions and support can be beneficial for individuals with dependent personality disorder, as long as they are not excessively reliant on others for decision-making and functioning.

A. Members of a health care team can share a computer password:

• Sharing computer passwords compromises security and violates client privacy. Each team member should have their unique login credentials for secure access.

B. A client is restricted from accessing his own medical records:

• Clients typically have rights to access their own medical records. Restricting their access without valid legal reasons violates their privacy rights.

C. Information regarding client health can be e-mailed if encrypted:

• This statement addresses the importance of secure electronic communication. Sending client health information via email should be done using encrypted methods to maintain confidentiality and prevent unauthorized access.

D. Unwanted printed health information can be discarded in a trash can:

• Disposing of health information in an unsecured manner, such as discarding it in a trash can, can lead to breaches of privacy. Proper disposal methods, such as shredding or using secure disposal bins, should be followed to maintain confidentiality.