The nurse is involved in the care of a client with antisocial personality disorder. Which purpose does the nurse identify as a priority when participating in a periodic team meeting when caring for this client?
Team consistency is important to prevent manipulation by the client.
Updating treatment recommendations as the client improves.
Staff frustrations in caring for the client need to be processed.
Rotating team members need to be apprised of the care planned for the client.
The Correct Answer is A
A. Team consistency is important to prevent manipulation by the client: Clients with antisocial personality disorder often attempt to exploit inconsistencies in staff responses. A united and consistent approach from all team members prevents splitting and manipulation.
B. Updating treatment recommendations as the client improves: While treatment plans should be reviewed regularly, updating recommendations is a secondary priority. Consistency in staff approach is more immediately important for maintaining boundaries and preventing disruptive behavior.
C. Staff frustrations in caring for the client need to be processed: Processing emotions among staff can help reduce burnout and improve coping. However, it does not directly impact the client’s care plan or prevent manipulation, making it less urgent than ensuring consistency.
D. Rotating team members need to be apprised of the care planned for the client: Informing new staff about the care plan is important, but without overall team consistency, manipulation risks remain high.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["22.8"]
Explanation
Calculation:
- Calculate the total dose in milligrams (mg) for the client's weight.
Total dose (mg) = Patient weight (kg) x Ordered dose (mg/kg)
= 95 kg x 6 mg/kg
= 570 mg.
Available concentration = 250 mg / 10 mL
= 25 mg/mL.
- Calculate the volume to administer in milliliters (mL).
Volume to administer (mL) = Total dose (mg) / Available concentration (mg/mL)
= 570 mg / 25 mg/mL
= 22.8 mL.
Correct Answer is B
Explanation
A. Ideas of reference: This refers to believing that neutral events, such as people talking or television messages, have personal meaning directed specifically at oneself. The patient’s belief is more consistent with a fixed false belief rather than an interpretation of unrelated events.
B. Delusion: A delusion is a fixed, false belief that is not based in reality. Thinking that student nurses are spies reflects a paranoid delusion, which is common in schizophrenia and involves mistrust and suspicion of others’ intentions.
C. Hallucination: Hallucinations are false sensory perceptions, such as hearing voices or seeing things that are not present. The patient’s report does not involve sensory distortions but rather a false belief about others’ behavior, which distinguishes it from a hallucination.
D. Avolition: This refers to a lack of motivation or inability to initiate and persist in goal-directed behavior, often seen as a negative symptom of schizophrenia. The scenario does not describe reduced motivation but rather the presence of paranoid thinking, making avolition unlikely.
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