A client with a diagnosis of antisocial personality disorder comes to the nurses' station at 11:00 p.m. requesting to use the phone. The client insists on consulting a lawyer immediately to discuss filing for a divorce
The unit rules prohibit phone calls after 10:00 p.m. Which of the following responses is therapeutic for this client? 1. "It is after 10:00 p.m. You can call tomorrow."
2. "You know better than to break the rules. I'm surprised at you."
3. "You really don't want to file for a divorce, do you?"
4. "You may go ahead and use the phone. I know this is hard for you."
1
Rationale: The client with antisocial personality disorder is impulsive as manifested by the client's making decision to make a phone call without regard for the unit rules or the lawyer's office hours. It is necessary to respond consistently to the client's demands and not allow exceptions. Attempting to coerce the client into changing behavior is nontherapeutic.
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