When providing care to a client who consistently atempts to manipulate the staff, the nurse can best maintain the therapeutic milieu by doing what?
Instructing the staff to enforce all unit rules consistently.
Encouraging questions and discussing the client's concerns.
Promoting social ostracism of the client exhibiting manipulation.
Scheduling staff one-on-one time with the client.
The Correct Answer is A
Choice A reason: This is the correct choice. Consistent enforcement of rules prevents manipulation and maintains a stable environment for all clients.
Choice B reason: While encouraging questions and discussion is generally positive, it does not directly address manipulative behavior.
Choice C reason: Promoting social ostracism is not therapeutic and can harm the client's mental health and recovery.
Choice D reason: Scheduling one-on-one time could be beneficial, but it does not address the issue of manipulation towards the staff.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Multiple motor and vocal tics are more indicative of Tourete syndrome, not autism spectrum disorder.
Choice B reason: Overly atached behavior is not typically associated with autism spectrum disorder; individuals with ASD may struggle with social atachments.
Choice C reason: This is the correct choice. Individuals with autism spectrum disorder often display a preference for solitary activities and may have difficulty forming friendships.
Choice D reason: An irresistible urge to pull out one's hair is characteristic of trichotillomania, not autism spectrum
disorder.

Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Nonverbal cues can provide insight into a client's emotional state and intentions that may not be expressed verbally, especially when a client may not be able to communicate effectively due to their condition.
Choice B reason: While psychiatric disorders can affect verbal communication, this is not the primary reason nurses are encouraged to be aware of nonverbal communication.
Choice C reason: Clients may be guarded, but the primary reason for nurses to be aware of nonverbal communication is to gain additional information, not just because clients are guarded.
Choice D reason: Psychiatric disorders affecting thoughts more than physical behaviors does not explain why nonverbal communication is important.
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