The nurse is working with a female client incarcerated for helping her boyfriend rob a convenience store
She has an Axis II diagnosis of dependent personality disorder. Psychotherapy to help build independence and self-esteem is too time intensive and long term to be supported within budgetary constraints. In considering how to begin addressing her dependency issues, the nurse should do which of the following?
A) Avoid the topic altogether since personality characteristics are inflexible.
B) Refer her to a clinical psychologist on her release.
C) Consult the multidisciplinary team for approval and advocate for changes in the funding structures.
D) Encourage her to express her feelings of dependency when addressing acute care physical needs.
Ans: D
Feedback:
Defining and delineating the problems experienced by many clients in the forensic setting is one way to target resources while providing a comprehensive health-promotion program. Women offenders in particular are interested in their own health, and a discussion about contraception and birth control can be an opportunity to express feelings related to abuse, powerlessness, or social awkwardness.
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