When facilitating change in the behavior of a client diagnosed with a personality disorder, the nurse knows which intervention will have the greatest impact on success?
Conducting regular assessments so the treatment can be changed when necessary.
Collaborating with the client when establishing treatment goals.
Educating the client on the importance of complying with treatment interventions.
Evaluating the client's understanding of the etiology of the prescribed medications.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:This statement is the most concerning because it reflects a lack of recognition of the risks associated with relapse triggers. Old friends who were part of the client’s drug-using environment represent a high-risk situation. Social cues, environmental exposure, and peer pressure are powerful relapse triggers in addiction recovery. Even if the client intends not to use, being in the same environment with individuals who continue to use cocaine increases the likelihood of relapse due to conditioned responses and cravings. This demonstrates poor insight into relapse prevention strategies and indicates the client may not have fully internalized the importance of avoiding high-risk situations.
Choice B reason:This statement is positive and adaptive. Engaging in physical activity such as basketball provides a healthy outlet for stress, reduces cravings, and promotes endorphin release, which can help stabilize mood. Exercise is often encouraged in recovery programs because it replaces maladaptive behaviors with constructive ones. It shows the client is developing coping mechanisms to manage triggers and cravings.
Choice C reason:This statement is also encouraging. Taking up a new hobby demonstrates the client’s willingness to restructure their lifestyle and fill time with meaningful, non-drug-related activities. This is a protective factor against relapse because it helps build new routines, fosters self-esteem, and reduces idle time that could otherwise lead to cravings. It reflects motivation for change and a proactive approach to recovery.
Choice D reason:While this statement shows some vulnerability, it is not as concerning as choice A. Discomfort with being alone is common in early recovery, as individuals often struggle with feelings of isolation and boredom. However, this can be addressed through therapy, support groups, and structured activities. It does not directly indicate a high-risk relapse behavior but rather highlights an area where the client may need additional support and coping strategies.
Correct Answer is D
Explanation
Choice A reason: This response is too blunt and may feel rejecting to the client, which can trigger abandonment fears common in borderline personality disorder.
Choice B reason: This response explores feelings but risks reinforcing dependency on the nurse by focusing on the client’s perception of being misunderstood.
Choice C reason: While supportive, this response may encourage idealization of the nurse, which is common in borderline personality disorder. It does not set appropriate boundaries.
Choice D reason: This response is therapeutic because it acknowledges the client’s feelings while reinforcing that all staff are available to help. It prevents dependency on one nurse and maintains professional boundaries, which is crucial in managing borderline personality disorder.
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