When a patient with a personality disorder uses manipulation as a way of getting needs met, the staff agree to use limit setting as an intervention. How does limit setting work to reduce manipulation?
a. Limit setting indulges the patient's desire for attention from staff.
b. It gives the patient a different concern on which to focus his anger.
c. External controls provide security while internal controls are developing.
d. When staff limit the patient's behavior, he is no longer anxious about it.
C
A lack of internal controls leads to manipulative behaviors such as lying, cheating, conning, and flattering. To protect the rights of others, external controls are implemented until the patient is able to develop internal controls (i.e., to control his behavior on his own). Properly implemented, limit setting does not provide the patient with undue attention. Although patients may become angry when limits are set, limits are not designed to draw the focus of a patient's anger off some other target. Limit setting can sometimes reduce patient anxiety but in other cases can temporarily increase it.
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