The nurse educator is discussing manipulation that can occur when working with adolescent clients. Which nurse is most at risk for being manipulated by an adolescent client? The nurse who:
1. Avoids power struggles.
2. Rewards appropriate behavior.
3. Consistently enforces the rules.
4. Maintains an all-accepting attitude.
4
Rationale: In working with adolescents, there is always the risk of seduction of the nurse, that is, manipulation of the nurse by the client into relating in a nontherapeutic way. Factors contributing to the problem include: the intimate nature of the nurse's involvement with the adolescent client; the narcissism inherent in this age group; and the nurse's all-accepting attitude in working with the adolescent client. Measures to avoid being manipulated include consistently enforcing the rules, rewarding appropriate behavior, and avoiding power struggles.
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