A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse plan to take? (Select One or More)

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 D because, "State health departments report selected STIs to the National Institutes of Health." This is the correct answer because state health departments are responsible for reporting selected STIs to the National Institutes of Health, which is an important regulation regarding STIs.

Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is

not the correct answer because while clients who have STIs are strongly encouraged to provide a list of sexual partners for partner notification and treatment purposes, there is no legal requirement for them to do so.

Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not the correct answer because STI reporting requirements are set by public health agencies, not by Congress.

Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not the correct answer because while nurses are required to maintain confidentiality of their clients, they are also obligated to report certain communicable diseases, including STIs, to public health authorities, who may need to conduct partner notification and treatment efforts.