The nurse has provided an in-service program on impaired professionals. She knows that teaching has been effective when staff identify which of the following as the greatest risk for substance abuse among professionals?

Choice A reason: Clients with antisocial personality disorder often attempt to manipulate staff by exploiting inconsistencies. Team meetings ensure all staff members are consistent in enforcing rules and boundaries, which prevents manipulation and maintains therapeutic integrity.

Choice B reason: While updating treatment plans is important, it is not the primary reason for frequent team meetings in this context. The main issue is manipulation, not treatment updates.

Choice C reason: Informing rotating staff is helpful, but again, the central concern is manipulation. Consistency across all staff members is more critical than simply updating new staff.

Choice D reason: Processing staff frustrations is valuable for team morale, but it is not the main reason for meetings. The priority is preventing manipulation through consistent approaches.

Choice A reason: Regular assessments are important for monitoring progress, but they do not directly facilitate behavioral change. They are supportive measures rather than the primary driver of success.

Choice B reason: Collaboration in establishing treatment goals empowers the client, fosters motivation, and increases adherence. Personality disorders often involve resistance to authority and difficulty with trust, so involving the client in goal-setting enhances engagement and ownership of the therapeutic process. This makes collaboration the most impactful intervention.

Choice C reason: Educating the client about compliance is helpful, but compliance alone does not ensure behavioral change. Without active collaboration, education may feel directive and fail to address the client’s underlying resistance.

Choice D reason: Understanding the etiology of medications is useful for knowledge, but it does not directly influence behavioral change. Personality disorders require psychosocial interventions more than pharmacological explanations.