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 D
Explanation
The correct answer is: D. The client has several siblings.
Choice A reason:
The client being the oldest of their siblings is not directly linked to the development of conduct disorder. Conduct disorder is more influenced by factors such as family conflict, inconsistent discipline, and parental issues rather than birth order.
Choice B reason:
The client's father living in the client's home does not inherently contribute to conduct disorder. The presence of a father figure can be a stabilizing factor unless there are issues such as abuse, neglect, or inconsistent parenting.
Choice C reason:
The client's mother having asthma is unrelated to the development of conduct disorder. Conduct disorder is typically associated with psychological, social, and familial factors rather than the physical health conditions of parents.
Choice D reason:
The client having several siblings can contribute to conduct disorder due to potential for increased familial conflict and competition for parental attention. Larger family sizes can sometimes lead to less individual attention and more sibling rivalry, which can exacerbate behavioral issues.
Correct Answer is B
Explanation
Choice A reason:
Obtaining the provider's prescription within 60 min is not the immediate action required in this scenario. The priority is to ensure the safety of the client and others, which is achieved by continuous monitoring and documentation.
Choice B reason:
Documenting the client's behavior every 15 min is crucial in managing physically aggressive clients in seclusion. This allows the healthcare team to monitor the client's condition closely and make necessary interventions promptly.
Choice C reason:
Monitoring the client's vital signs every 4 hr may not be frequent enough for a client in seclusion who has been physically aggressive. The client's condition could change rapidly, and more frequent monitoring might be necessary.
Choice D reason:
Offering food and fluids every 2 hr is important for maintaining the client's physical health, but it is not the primary action in managing a physically aggressive client in seclusion. The immediate focus should be on ensuring safety and managing the client's aggressive behavior.
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