A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact first?

The correct answer is Choice B because, have the client participate in assertiveness training. Clients with antisocial personality disorder often struggle with impulsivity, aggression, and a lack of empathy or regard for the rights of others. Therefore, assertiveness training can help the client develop effective communication and coping skills to manage these behaviors.

Choice A is wrong because, teach the client how to minimize feelings of guilt, is incorrect as clients with antisocial personality disorder often lack insight into their behaviors and do not experience guilt or remorse. Choice C is wrong because, bargain with the client about behavioral consequences, is incorrect as this approach may reinforce the client's manipulative behaviors and lack of respect for others. Choice D is wrong because, assist the client to identify acceptable outlets of anger, is incorrect as this may not address the underlying issues of impulsivity and aggression that are characteristic of antisocial personality disorder.

The correct answer is Choice B because, "Clients receive Medicare benefits when eligible." Distributive justice is the ethical principle that resources should be allocated fairly among members of society. The outcome of clients receiving Medicare benefits when eligible is an example of distributive justice because it ensures that eligible clients have access to healthcare resources that are distributed fairly based on their need for them.

Choice A is wrong because, "Clients demonstrate completion of advance directives," is not the correct answer because it is an example of autonomy, which is the ethical principle that individuals have the right to make decisions about their own healthcare. Choice C is wrong because, "Clients verbalize their right to refuse treatment," is an example of informed consent, which is the ethical principle that individuals have the right to make decisions about their own healthcare based on accurate information. Choice D is wrong because, "Clients understand their right to confidentiality," is an example of confidentiality, which is the ethical principle that healthcare information should be kept private and secure.