A nurse is working with a client diagnosed with antisocial personality disorder. The nurse needs to keep in mind which of the following about the therapeutic relationship?
A) The goal is to alleviate dysfunctional thinking.
B) The relationship initially is superficial because of a lack of client commitment.
C) The client uses the relationship to change the problem behavior.
D) The client continuously focuses on new topics during the relationship.
Ans: B
Therapeutic relationships are difficult to establish because these individuals do not attach to others and are often unable to use the relationship to change behavior. The goal of the therapeutic relationship is to identify dysfunctional thinking patterns and develop new problem-solving behaviors. After the first few meetings with these clients, the nurse may believe that the relationship has a good start, but in reality, a superficial alliance is usually formed. Additional sessions reveal the lack of client commitment to the relationship. These clients begin to revisit topics discussed in previous sessions or lose interest in trying to work on problems.
You might also like to view...
A child is in the pediatric intensive care unit 2 hours after a surgical repair of an atrial septal defect (ASD). Postoperative nursing actions include which of the following?
A. Administer pain medication. B. Maintain venous access. C. Monitor chest tube drainage. D. The nurse will take all of these actions.
The nurse instructs an older client with Parkinson's disease about carbidopa-levodopa (Sinemet). Which of the following shows an accurate understanding of the medication?
1. The client takes medication with meals. 2. The client sits on the side of the bed before standing. 3. The client believes the medication will cure Parkinson's disease. 4. The client believes this medication will not affect her blood pressure medications.
A public health nurse, along with a student, is visiting the home of an elderly woman who is widowed and lives alone
Her 40-year-old son is her caregiver, and the public health nurses visit about once a week to follow up on her high blood pressure, recent surgery for a hip fracture, and diabetes. The nurse and student find the home unkept, sink full of dirty dishes, and the patient in clothes that are extremely soiled. She cannot reach her walker to get up, and she has been incontinent. This type of abuse is called: 1. Neglect. 2. Abandonment. 3. Physical abuse. 4. Financial abuse.
____________________ describes changes that take place on the social, emotional, psychological, and spiritual levels.
Fill in the blank(s) with the appropriate word(s).