Since admission, a patient diagnosed with antisocial personality disorder has been highly manipulative and constantly tests staff

Now, the patient insists on watching a late movie instead of complying with the bedtime. Select the nurse's best response.
a. "It's a unit rule that bedtime is at 10 PM."
b. "I will not allow you to manipulate me again."
c. "If you ask again, tomorrow's bedtime will be 9 PM."
d. "I understand your sleep problems and can allow it just this once."


A
Attempts at manipulation can be successfully handled by firm, matter-of-fact reiteration of unit policies and consistently adhering to them. The other responses are defensive, retaliative, or permissive.

Nursing

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