A nurse is developing a behavioral contract with a client who has antisocial personality disorder.
Which of the following client goals should the nurse include in the contract?

Use projection during group therapy.

Decrease the number of verbal outbursts.

Increase self-esteem.

Use bargaining skills for behavioral consequences.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Use projection during group therapy. Projection involves attributing one's own thoughts, feelings, or characteristics to another person. It is not an appropriate goal for a client with antisocial personality disorder in a therapeutic setting. Instead, the focus should be on helping the client take responsibility for their actions and develop pro-social behaviors.

Choice B rationale:

Decrease the number of verbal outbursts. This is a suitable goal for a client with antisocial personality disorder. Clients with this disorder may exhibit impulsive and aggressive behaviors, including verbal outbursts. Decreasing such outbursts is a positive therapeutic goal that can contribute to improved interpersonal relationships and overall functioning.

Choice C rationale:

Increase self-esteem. While improving self-esteem is important in many therapeutic settings, it may not be the primary goal for a client with antisocial personality disorder. The primary focus is often on addressing antisocial behaviors, impulsivity, and aggression, as these are the hallmark traits of this disorder.

Choice D rationale:

Use bargaining skills for behavioral consequences. Using bargaining skills may not be the most appropriate goal for a client with antisocial personality disorder. This disorder is characterized by a persistent pattern of violating the rights of others and a disregard for social norms. Instead of bargaining, the emphasis should be on developing empathy, impulse control, and more pro-social ways of interacting with others. .

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Correct Answer is A

Explanation

Choice A rationale:

(Statement then rationale) Choice A is the correct option. A blood pH of 7.60 indicates severe metabolic alkalosis, which is a life-threatening condition. Metabolic alkalosis can lead to various complications, including cardiac arrhythmias, muscle weakness, and even seizures. Immediate intervention is required to address the underlying cause and correct the pH imbalance. The nurse should initiate treatments to restore the acid-base balance promptly.

Choice B rationale:

(Statement then rationale) Choice B is not the correct option. While a BUN level of 21 mg/dL is above the normal range, it alone does not require immediate intervention. Elevated BUN can be caused by various factors and may not be immediately life-threatening. It is important to assess the client's overall clinical condition and consider other lab values to make a comprehensive assessment.

Choice C rationale:

(Statement then rationale) Choice C is not the correct option. +2 edema of the lower extremities, while indicating fluid retention, is not an immediate life-threatening condition. Edema should be assessed and addressed, but it does not require emergency intervention as much as a severely altered blood pH does.

Choice D rationale:

(Statement then rationale) Choice D is also not the correct answer. Lanugo covering the body is a physical manifestation often seen in clients with anorexia nervosa and indicates malnutrition. While it is concerning and requires attention, it is not an acute, life-threatening issue. Nutritional rehabilitation and support are needed, but immediate intervention is necessary for the severe metabolic alkalosis indicated by a blood pH of 7.60. Now, let's proceed to the next question.

A. Excessive motor activity. B. Failure to recognize familiar objects. C. Altered level of consciousness. D. Rapid mood swings.

Correct Answer is B

Explanation

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect? The correct answer is choice B: Failure to recognize familiar objects.

Choice A rationale:

Excessive motor activity Individuals with Alzheimer's disease typically exhibit a decline in motor activity rather than excessive motor activity. As the disease progresses, they may become less mobile and experience difficulties with movement due to cognitive and physical impairments.

Choice C rationale:

Altered level of consciousness While individuals with Alzheimer's disease may experience changes in cognitive function, including memory loss and confusion, they do not typically have altered levels of consciousness. They remain conscious and aware of their surroundings, but they struggle with recognizing familiar objects and people.

Choice D rationale:

Rapid mood swings Rapid mood swings are not a prominent feature of Alzheimer's disease. Mood changes are more commonly associated with other psychiatric conditions. In Alzheimer's disease, individuals tend to exhibit personality changes, such as becoming more withdrawn or agitated, but these changes are not rapid mood swings.

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A nurse is developing a behavioral contract with a client who has antisocial personality disorder.Which of the following client goals should the nurse include in the contract?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has anorexia nervosa.Which of the following findings requires immediate intervention by the nurse?

Correct Answer is A

Explanation

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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A nurse is developing a behavioral contract with a client who has antisocial personality disorder.
Which of the following client goals should the nurse include in the contract?