A 15-year-old adolescent is referred to a residential program after an arrest for theft and running away from home. At the program, the adolescent refuses to participate in scheduled activities and pushes a staff member, causing a fall
Which approach by the nursing staff would be most therapeutic?
a. Neutrally permit refusals
b. Coax to gain compliance
c. Offer rewards in advance
d. Establish firm limits
ANS: D
Firm limits are necessary to ensure physical safety and emotional security. Limit setting will also protect other patients from the teenager's thoughtless or aggressive behavior. Permitting refusals to participate in the treatment plan, coaxing, and bargaining are strategies that do not help the patient learn to abide by rules or structure.
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