A mental health nurse is working with a client with antisocial personality disorder. The nurse has just reviewed the unit rule of one cigarette per break
While telling him about the unit rules, he asks, "Well, if I have not done anything bad all day, can I have two cigarettes instead of one?" The most therapeutic nursing response would be which of the following?
A) "Well, that's a good question. I need to check with the team."
B) "No, only one cigarette is allowed per break time."
C) "This is a good example of trying to push your limits."
D) "It depends on whether or not we can make that exception that day."
Ans: B
The client is trying to manipulate the nurse in order to gratify his immediate need for a cigarette. In responding to manipulative behavior, the most therapeutic intervention is to maintain the limits that have been set and not to change the rules or make concessions for the client. The correct answer is the only option that is clear and assertive and maintains the rules.
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