A nurse is creating a plan of care for a client who has antisocial personality disorder. Which of the following interventions should the nurse include?

Appoint the client to be the leader during group therapy.

Monitor the client's interactions with other clients.

Offer the client two warnings before implementing consequences.

Assign the client to a room near the activity area.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Appointing the client as a leader may not be appropriate, as individuals with antisocial personality disorder may misuse their position of authority.

Choice B rationale:

Clients with antisocial personality disorder often struggle with interpersonal relationships, may be manipulative, and may engage in behaviors that violate the rights of others. Monitoring the client's interactions with other clients helps ensure a safe and therapeutic environment while preventing harm to others.

Choice C rationale:

Offering warnings before consequences might not be effective with clients who have antisocial personality disorder, as they may disregard rules and consequences.

Choice D rationale:

Assigning a room near the activity area does not necessarily address the need to monitor the client's interactions with others.

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Correct Answer is A

Explanation

Choice A rationale:

Assessing for the presence of command hallucinations is a priority, as they can pose a risk to the client's safety and the safety of others.

Choice B rationale:

Consistent staff assignments can be important for clients with schizophrenia, but immediate safety concerns should take precedence.

Choice C rationale:

Administering medication is not the priority action unless there is a specific reason to do so based on the assessment.

Choice D rationale:

Using the client's name is respectful and helpful, but it is not the priority action in this scenario.

A. Client report of back pain of 7 on a 0 to 10 scale B. Excoriated folds of the client's panniculus C. Hypoactive bowel sounds upon auscultation D. urine output of 80 mL in the past hour

Correct Answer is A

Explanation

Choice A rationale:

Postoperative pain management is crucial for the client's comfort and recovery.

Choice B rationale:

Excoriated folds of the client's panniculus might be related to skin irritation and can be addressed without immediate provider notification.

Choice C rationale:

Hypoactive bowel sounds can be expected after surgery and might not require immediate reporting.

Choice D rationale:

Urine output of 80 mL in the past hour might be influenced by various factors and is not as high a priority as severe pain.

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A nurse is creating a plan of care for a client who has antisocial personality disorder. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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