A nurse is caring for four clients. Which of the following clients should the nurse identify as likely to experience difficulty in being assertive? Select all that apply
A. A 20-year-old woman who is completing college homework assignments for several peers.
B. A 69-year-old widow who is socially isolated
C. A 17-year-old boy with conduct disorder
D. A 45-year-old successful executive
E. A 50-year-old diagnosed with narcissistic personality disorder
ANS: A, B, C
The woman who is taking on the work of others in addition to her own may be having difficulty assertively saying "no"; the widow who is socially isolated may lack the necessary skills to communicate her needs; and the boy with a conduct disorder is likely to demonstrate aggressive behaviors. The business executive and an individual diagnosed with narcissistic personality disorder are the least likely to have difficulty being assertive.
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