A patient regularly uses manipulation to control situations. Staff working to reduce this behavior should first convey the message that:
a. while the patient is accepted, the behavior is rejected as inappropriate.
b. if the patient cannot control the behavior, staff will establish external controls.
c. manipulative behavior results in frustration and anger among staff and patients.
d. manipulation of patients is no more acceptable than manipulation of unit staff.
A
The staff always must seek to convey acceptance of the patient because this is a building block for a therapeutic relationship. Inappropriate behaviors such as manipulation should be identified, their negative consequences to the patient should be discussed, and more adaptive behaviors should be substituted when the therapeutic relationship has been established.
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