After assessing a client with a personality disorder and explaining about the rules of the unit, the client states that rules apply only to everyone else. The nurse should plan to:
1. ask the doctor to talk to the client.
2. ask the family to help.
3. explain the consequences of noncompliance.
4. meet with team members to establish consistency.
Answer: 4
1. The doctor should participate in the team meeting. A talk with the client would not be productive.
2. It is not the responsibility of the family to make the client behave.
3. The nurse cannot threaten a client, but in this case, it would not faze the client.
4. The nurse calls a team meeting so that responses and firmness by all team members are consistent in order to decrease the client's manipulative behavior.
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