Insomnia includes all of the following, except:

Choice A reason: This response shifts the focus to recovery but does not directly enforce the rule. Clients with antisocial personality disorder often manipulate situations, so vague reasoning may invite further argument.

Choice B reason: This response places responsibility on the supervisor rather than the nurse’s authority. It can encourage manipulation by making the nurse appear powerless.

Choice C reason: This is the most appropriate response because it is clear, firm, and enforces unit rules without emotional reasoning. Consistency and limit-setting are essential when managing antisocial personality disorder to prevent manipulation and maintain boundaries.

Choice D reason: Allowing the client to break the rule “just this once” reinforces manipulative behavior and undermines consistency. It teaches the client that rules can be bent through persuasion, which is counterproductive.

Choice A reason: Cognitive restructuring techniques are more effective for clients with anxiety or depressive disorders. Schizotypal clients struggle primarily with social deficits and eccentric behaviors, making cognitive restructuring less directly beneficial.

Choice B reason: Teaching social skills is the most beneficial intervention. Schizotypal personality disorder is characterized by social anxiety, poor interpersonal skills, and odd behaviors. Structured social skills training helps these clients improve communication, reduce isolation, and function better in relationships.

Choice C reason: Improving community functioning is important but secondary. Without basic social skills, community integration is difficult. Therefore, teaching social skills must come first to enable better functioning in broader environments.

Choice D reason: Providing emotional support is helpful but insufficient as a primary intervention. While support can reduce distress, it does not address the core deficits in social functioning that are central to schizotypal personality disorder.