During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the appropriate nursing response to this behavior?
1. "You are very disrespectful. You need to learn to control yourself."
2. "I understand that you are angry, but this behavior will not be tolerated."
3. "What behaviors could you modify to improve this situation?"
4. "What anti-personality disorder medications have helped you in the past?"
2
Rationale: The appropriate nursing response is to reflect the client's feeling while setting firm limits on behavior. Clients diagnosed with antisocial personality disorder have a low tolerance for frustration, see themselves as victims, and use projection as a primary ego defense mechanism.
You might also like to view...
A client admitted to the health care facility for minor surgery is given a booklet by the nurse about the health care facility. Which of the following is a purpose of this booklet?
A) To orient the client to the facility B) To provide a source of therapeutic distraction for the client C) To obtain the client's consent for the surgery D) To list the cost of diagnostic tests
The nurse is preparing a client for a multiple gated acquisition (MUGA) scan. What would be an important instruction for the nurse to give a client who is to undergo a MUGA scan?
A) Avoid any activity at least 2 hours before the test. B) Drink plenty of fluids during the test. C) Avoid dairy products a day before and a day after the test. D) Lie very still at intermittent times during the test.
Which population does the nurse understand is most at risk for osteosarcoma?
A) Older adults B) Young adult males C) Middle-aged females D) Female adolescents
Physical barriers that offer the body protection from damage and infection are located in the: (select all that apply)
a. gastrointestinal tract. b. genitourinary tract. c. respiratory tract. d. lymph system. e. hematopoietic system.