A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?

Use bargaining skills for behavioral consequences.

Increase self-esteem.

Decrease the number of verbal outbursts.

Use projection during group therapy.

Answer and Explanation

The Correct Answer is C

A behavioral contract is a written agreement between the client and the nurse that specifies the desired and undesired behaviors and the rewards and penalties for each. A client who has antisocial personality disorder may exhibit impulsive, aggressive, and manipulative behaviors that disrupt the therapeutic milieu and interfere with treatment goals. Decreasing the number of verbal outbursts is a measurable and realistic goal that can improve the client's interpersonal skills and reduce conflict.

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Correct Answer is C

Explanation

A. Weigh the client every other day – Frequent weighing can increase the client’s focus on weight, potentially adding stress and anxiety, which is not beneficial for managing binge eating disorder.
B. Plan a menu with the client – Although planning meals can be helpful, remaining with the client after meals is more directly aimed at preventing bingeing behaviors.
C. Remain with the client for 1 hr after meals – Staying with the client after meals helps to monitor for any signs of binge eating behavior and provides support, reducing the likelihood of excessive eating episodes.
D. Offer snacks when the client is hungry – Unstructured snacking can promote impulsive eating and does not assist the client in establishing controlled eating patterns.

A. "I know that I will be able to think more clearly now." B. "I need to tell my doctor if I start gaining weight." C. "I'll take my medicine at bedtime because it will make me drowsy." D. "This medicine will help me relax and feel less anxious."

Correct Answer is A

Explanation

Methylphenidate is a stimulant medication that helps improve attention, focus, and impulse control in clients with ADHD. It does not cause weight gain, drowsiness, or relaxation as side effects.

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A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates accurate understanding of this medication's effects?

Correct Answer is A

Explanation

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A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?

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