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 B

Explanation

The nurse should have the provider assess the client within 1 hr after applying restraints to ensure that the restraints are necessary and appropriate, and to monitor the client's physical and mental status.

A. The client has decreased euphoric mood. B. The client reports absence of auditory hallucinations C. The client reports improved short-term memory. D. The client has decreased anxiety.

Correct Answer is A

Explanation

Valproic acid is an anticonvulsant medication that is also used to treat bipolar disorder. It can help stabilize the mood and prevent manic episodes, which are characterized by elevated or euphoric mood, increased energy, and decreased need for sleep. The other options are not expected outcomes of valproic acid, as it does not have significant effects on anxiety, memory, or psychosis.

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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 on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has been taking valproic acid. Which of the following is an expected outcome of the medication?

Correct Answer is A

Explanation

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A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

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