A 32-year-old male client with a history of arrests and substance use is admitted to the psychiatric unit for court-mandated evaluation. During the assessment, he is superficially charming, manipulates staff to get privileges, violates unit rules without remorse, and blames others for his behavior. Which of the following nursing interventions is most appropriate for managing this client?
Provide consistent structured rules and set firm limits on behavior.
Use sympathy and reassurance to reduce the client’s resistance to authority.
Allow the client flexibility in decision-making to encourage independence and self-direction.
Develop a close, personal rapport with the client to build trust and encourage emotional expression.
The Correct Answer is A
Choice A reason: Consistent rules and firm boundaries are essential when working with individuals who display antisocial traits. Structure minimizes opportunities for manipulation and helps maintain safety and fairness on the unit.
Choice B reason: Offering sympathy and reassurance may reinforce manipulative behavior and undermine professional boundaries. It does not address the core issue of rule violation and lack of accountability.
Choice C reason: Allowing too much flexibility may increase opportunities for the client to exploit staff and disregard rules. This approach is counterproductive when dealing with manipulative behaviors.
Choice D reason: Developing a close, personal rapport risks blurring professional boundaries. Clients with these traits may exploit such relationships to gain privileges, which can disrupt treatment and unit structure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This describes tactile hallucinations, a false sensory experience, not a delusion of reference.
Choice B reason: This reflects a persecutory delusion, where the client believes they are being harmed or targeted, not a delusion of reference.
Choice C reason: This illustrates an auditory hallucination with command-type voices, not a delusion of reference.
Choice D reason: Believing that unrelated environmental cues (like a song) carry special, hidden meaning specifically for the client is the hallmark of a delusion of reference.
Correct Answer is A
Explanation
Choice A reason: The unconscious mind, according to psychoanalytic theory, is where repressed emotions, memories, and desires are stored. These hidden influences affect behavior and mental health without the individual’s conscious awareness.
Choice B reason: Active and current awareness of memories and thoughts describes the conscious mind, not the unconscious.
Choice C reason: Immediate awareness of sensory input and decision-making refers to the conscious and preconscious processes, not the unconscious.
Choice D reason: Voluntary motor control and coordination involve the motor cortex and cerebellum, unrelated to psychoanalytic concepts of the unconscious.
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