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.
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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. .
Correct Answer is C
Explanation
Choice A rationale:
The statement, "I might need to be hospitalized to stabilize my physical condition," indicates a good understanding of the severity of the eating disorder. Hospitalization may be necessary in cases of severe malnutrition or other medical complications associated with eating disorders.
Choice B rationale:
The statement, "Psychotherapy and medication can help address the psychological aspects of my disorder," demonstrates an accurate understanding of the treatment options for eating disorders. Psychotherapy and medication are often important components of treatment.
Choice C rationale:
The statement, "Relapse prevention strategies are not necessary once I have recovered," indicates a need for further teaching. Relapse prevention strategies are crucial in maintaining recovery and preventing a recurrence of disordered eating behaviors. It is important to educate the patient about the long-term strategies required for sustained recovery.
Choice D rationale:
The statement, "Social support, such as family involvement or peer support, can be helpful in maintaining recovery," is correct. Social support is an essential part of recovery from eating disorders. It can provide emotional support and help in maintaining progress.
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