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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is B. Allow the client unlimited time for the grieving process.
Choice A reason:
Changing the subject when the client becomes upset may prevent the client from expressing their feelings and could hinder their emotional processing. This is not a recommended approach as it may lead to unresolved grief and emotional distress.
Choice B reason:
Allowing the client unlimited time for the grieving process aligns with the principles of palliative care, which focuses on enhancing a patient's quality of life and providing relief from the symptoms and stress of serious illness. It's important to give the client the time and space they need to process their emotions.
Choice C reason:
Discouraging the client from forming new relationships could lead to social isolation and negatively impact their emotional well-being. It's important for the client to have a support system during this difficult time.
Choice D reason:
Offering advice about various treatment choices is not the nurse's role. The nurse should provide information and support, but the decision-making should be patient-centered. It's important to respect the client's autonomy and decisions regarding their care.
Correct Answer is D
Explanation
Rationalization is a defense mechanism that involves making excuses or justifying one's behavior or failures. The client who blames their boss for not getting a promotion is using rationalization to avoid accepting responsibility or acknowledging their shortcomings. The other examples are not related to rationalization, but to other defense mechanisms, such as somatization, denial, and procrastination.
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