A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

Avoid discussing past manipulative behaviors with the client.

Allow manipulation so as to not raise the client's anxiety.

Institute consequences for manipulative behavior

Avoid discussing present behaviors with the client

Answer and Explanation

The Correct Answer is C

Manipulative behavior is not acceptable in any situation, and it is important for the nurse to set clear boundaries and expectations with the client. Allowing manipulation can enable the client's behavior and reinforce it. Avoiding discussing past or present manipulative behaviors with the client may not eﬀectively address the issue and could potentially worsen the behavior. Bargaining with the client can also reinforce manipulative behavior.

Therefore, instituting consequences for manipulative behavior is the most appropriate intervention to include in the plan of care. This could involve setting clear limits on what is acceptable behavior and consistently enforcing consequences when those limits are exceeded. The consequences should be communicated clearly to the client, and the nurse should work with the client to identify more appropriate ways to communicate their needs and concerns.

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Correct Answer is B

Explanation

This statement by the patient suggests that they may be projecting their feelings, thoughts, and attitudes toward their parents and uncle onto the therapist. This projection is a common phenomenon in therapy and is known as transference. Transference occurs when a patient transfers emotions, desires, and expectations from one person to another, usually the therapist. It can be positive or negative and can aﬀect the therapeutic relationship.

Therefore, the statement "Talking to you feels like talking to my parents and uncle" is a clear indication of transference and should be carefully considered by the therapist in the ongoing therapy sessions. The therapist should explore the patient's feelings and experiences with their parents and uncle to better understand the nature of the transference and how it may be aﬀecting the therapeutic process.

A. Invasion of privacy B. Battery C. False imprisonment D. Assault

Correct Answer is C

Explanation

False imprisonment is the unlawful restraint of a person against their will. In this situation, the nurse’s actions of placing the client in seclusion overnight because the unit is short-staﬀed and the client frequently fights with other clients may be considered false imprisonment if the client did not consent to being placed in seclusion and if there were no legal grounds for doing so.

Option a. Invasion of privacy refers to the violation of a person’s right to privacy.

Option b. Battery refers to the intentional and harmful or oﬀensive touching of another person without their consent.

Option d. Assault refers to the intentional act of causing another person to fear immediate harm or oﬀensive contact.

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A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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