An appropriate outcome for a patient with a personality disorder and a nursing diagnosis of Ineffective coping as evidenced by use of manipulation would be that the patient will: _______
a. refrain from manipulative behavior at all times
b. use manipulation only to get legitimate needs met
c. acknowledge manipulative behavior when it is pointed out
d. identify when he is experiencing feelings of anger
C
People who are manipulative tend to use manipulation so regularly that it becomes almost an automatic, unconscious response. Being able to recognize or acknowledge when their behavior is manipulative is the first step to replacing manipulation with more adaptive ways of meeting one's needs, paving the way for taking greater responsibility for controlling manipulative behavior. Most people are at least occasionally manipulative, so a complete absence of manipulative behavior would be an unrealistic outcome expectation. Manipulation is maladaptive whether used to meet "legitimate" needs or illegitimate needs. Identifying anger would be helpful for managing maladaptive responses to that emotion but not for manipulation.
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