A nurse is caring for a client diagnosed with antisocial personality disorder who frequently violates unit rules and manipulates others to avoid consequences. Which nursing intervention is most appropriate to manage this behavior?
Set clear, consistent limits with defined consequences.
Allow the client some flexibility with rules to promote trust.
Provide the client with increased privileges immediately when they demonstrate good behavior.
Encourage the client to express feelings of guilt during group therapy.
The Correct Answer is A
Choice A reason: Setting clear, consistent limits with defined consequences is the most effective intervention for managing antisocial personality disorder. Clients with this disorder often manipulate and disregard rules, so firm boundaries and predictable consequences help maintain safety and structure.
Choice B reason: Allowing flexibility with rules undermines consistency and can reinforce manipulative behavior. Clients with antisocial traits may exploit flexibility to avoid accountability.
Choice C reason: Providing privileges immediately for good behavior can reinforce manipulation rather than genuine behavioral change. Rewards should be structured and consistent, not immediate or excessive.
Choice D reason: Encouraging guilt expression is ineffective because individuals with antisocial personality disorder typically lack remorse or guilt. This approach does not address the core issue of rule violation and manipulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Chlorpromazine can cause menstrual irregularities, but the expected effect is amenorrhea or decreased frequency, not increased frequency. This statement does not reflect accurate understanding.
Choice B reason: Antipsychotics like chlorpromazine can actually increase risk of infection due to agranulocytosis or leukopenia. Saying risk is decreased shows misunderstanding.
Choice C reason: Difficulty urinating is a possible anticholinergic side effect of chlorpromazine. Contacting the provider demonstrates correct understanding and appropriate action.
Choice D reason: Chlorpromazine can cause gynecomastia (breast tissue enlargement), not atrophy. This statement is inaccurate.
Correct Answer is C
Explanation
Choice A reason: Allowing free interaction worsens disruption and does not protect other clients’ rights to a therapeutic environment.
Choice B reason: Threatening restraints is inappropriate and escalates agitation. Restraints are only used as a last resort for safety, not for excessive talking.
Choice C reason: Escorting the client to her room removes her from the disruptive environment and provides a calmer space. This is the most appropriate intervention to manage manic behavior.
Choice D reason: Practicing social interaction is useful in stable phases, but during acute mania the client cannot control excessive talking. This is not appropriate at this time.
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