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 D

Explanation

A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications? The correct answer is Choice D: Methylphenidate.

Choice A rationale:

Lithium is not a medication used to treat attention-deficit hyperactivity disorder (ADHD). It is primarily used to manage bipolar disorder.

Choice B rationale:

Valproate is also not a medication typically prescribed for ADHD. It is primarily used for seizure disorders and mood stabilization in conditions like bipolar disorder.

Choice C rationale:

Risperidone is an atypical antipsychotic medication used to treat conditions like schizophrenia and bipolar disorder but is not a first-line treatment for ADHD. It may be considered in cases of severe aggression or agitation associated with ADHD, but it is not the initial choice.

Choice D rationale:

Methylphenidate is a central nervous system stimulant and is one of the most commonly prescribed medications for the treatment of ADHD in children. It helps improve focus and reduce impulsivity and hyperactivity. It is a first-line treatment for ADHD, making it the most appropriate choice for a child with this diagnosis. .

A. Refer the client to a self-help group. B. Teach the client to practice systematic desensitization. C. Request a discharge prescription for buprenorphine for the client. D. Contact a close relative of the client to discuss the discharge plan.

Correct Answer is A

Explanation

Refer the client to a self-help group.

Choice B rationale:

Teach the client to practice systematic desensitization. Systematic desensitization is a therapeutic technique primarily used for phobias and anxiety disorders. It is not a standard treatment for alcohol use disorder. While it might help with some aspects of anxiety related to substance abuse, it is not a core recommendation for this condition.

Choice C rationale:

Request a discharge prescription for buprenorphine for the client. Buprenorphine is typically prescribed for opioid use disorder, not alcohol use disorder. It is not an appropriate medication for treating alcohol addiction.

Choice D rationale:

Contact a close relative of the client to discuss the discharge plan. Involving a close relative in the discharge plan can be beneficial for providing social support and ensuring a safer transition. However, it is not the primary recommendation. Referring the client to a self-help group (Choice A) is more focused on addressing the alcohol use disorder directly.

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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 school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?

Correct Answer is D

Explanation

A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?

Correct Answer is A

Explanation

A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation.The nurse should encourage the client to participate in which of the following groups?

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A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent.Which of the following actions should the nurse take?

A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation.Which of the following assessment findings in the client's history should the nurse report to the provider?

A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure.The client informs the nurse that they do not want to have the procedure.Which of the following actions should the nurse take?

A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?

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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?