A client with antisocial personality disorder is begging to use the phone to call his wife, even though it is against the unit rules. The client begs, "It is just this once, and she will be so hurt if I don't call her." What is the most appropriate response by the nurse?
"You cannot call because you need to focus on your recovery while you are here, not your wife."
"I will get in trouble with my supervisor if I let you call."
"You may not use the phone to call your wife."
"Only to help your wife, you can call this time."
The Correct Answer is C
Choice A reason: This response shifts the focus to recovery but does not directly enforce the rule. Clients with antisocial personality disorder often manipulate situations, so vague reasoning may invite further argument.
Choice B reason: This response places responsibility on the supervisor rather than the nurse’s authority. It can encourage manipulation by making the nurse appear powerless.
Choice C reason: This is the most appropriate response because it is clear, firm, and enforces unit rules without emotional reasoning. Consistency and limit-setting are essential when managing antisocial personality disorder to prevent manipulation and maintain boundaries.
Choice D reason: Allowing the client to break the rule “just this once” reinforces manipulative behavior and undermines consistency. It teaches the client that rules can be bent through persuasion, which is counterproductive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:Asking if the client feels better imposes an expectation and may pressure the client to respond positively. It is not the most therapeutic approach.
Choice B reason:This assumes improvement and may invalidate the client’s actual feelings. It is not therapeutic to make assumptions about emotional state.
Choice C reason:Expressing personal happiness shifts the focus to the nurse’s feelings rather than the client’s behavior. Therapeutic communication should remain client-centered.
Choice D reason:This is correct because it is an objective, nonjudgmental observation. It acknowledges the client’s positive behavior without making assumptions or placing expectations. This type of feedback reinforces social interaction in a supportive and therapeutic manner.
Correct Answer is D
Explanation
Choice A reason:This is incorrect because the nurse’s primary responsibility is to protect the client, not the male clients.
Choice B reason:This is inaccurate because the nurse’s intervention was not about stopping dancing but about addressing inappropriate exposure.
Choice C reason:This is incorrect because the nurse’s immediate action was not a teaching moment but a protective intervention. Teaching can occur later when the client is stable.
Choice D reason:This is correct because the nurse acted to protect the client’s dignity and minimize embarrassment. Clients with mania often lack awareness of socially inappropriate behavior, and the nurse’s intervention helps maintain safety and dignity without confrontation.
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