A nurse is caring for a client diagnosed with antisocial personality disorder who frequently violates unit rules and manipulates others to avoid consequences. Which nursing intervention is most appropriate to manage this behavior?
Set clear, consistent limits with defined consequences.
Allow the client some flexibility with rules to promote trust.
Provide the client with increased privileges immediately when they demonstrate good behavior.
Encourage the client to express feelings of guilt during group therapy.
The Correct Answer is A
Choice A reason: Setting clear, consistent limits with defined consequences is the most effective intervention for managing antisocial personality disorder. Clients with this disorder often manipulate and disregard rules, so firm boundaries and predictable consequences help maintain safety and structure.
Choice B reason: Allowing flexibility with rules undermines consistency and can reinforce manipulative behavior. Clients with antisocial traits may exploit flexibility to avoid accountability.
Choice C reason: Providing privileges immediately for good behavior can reinforce manipulation rather than genuine behavioral change. Rewards should be structured and consistent, not immediate or excessive.
Choice D reason: Encouraging guilt expression is ineffective because individuals with antisocial personality disorder typically lack remorse or guilt. This approach does not address the core issue of rule violation and manipulation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Encouraging focus on reality-based issues helps redirect the client gently without reinforcing delusions. It maintains therapeutic communication while grounding the client.
Choice B reason: Asking for meaning focuses attention on the delusion, reinforcing it rather than redirecting.
Choice C reason: Persuading the client that thoughts are not true is confrontational and ineffective. Clients with schizophrenia may not accept reality testing when actively delusional.
Choice D reason: Allowing continued delusional talk reinforces psychosis and does not promote reality orientation.
Correct Answer is C
Explanation
Choice A reason: Isolation is a common tactic used by abusers to control their partners and limit outside support. This statement is accurate.
Choice B reason: Abusers often lack healthy social supports and interpersonal skills, which contributes to abusive behavior. This statement is correct.
Choice C reason: Abusers typically have low self-esteem and use violence or control to compensate. Saying they have high self-esteem is inaccurate and reflects a misunderstanding of risk factors.
Choice D reason: Intimidation is a well-documented method by which abusers exert power and control. This statement is accurate.
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