When speaking with a client who has a mental illness, the nurse uses medical terminology and is condescending. This type of behavior negates the basic rules of negotiating a behavioral contract and:
1. Encourages the client to ask questions.
2. Causes the client to feel uncomfortable with the contract.
3. Appropriately introduces the client to important terminology.
4. Helps the client understand behavioral contracts on his/her terms.
2
Rationale: The basic rules for negotiating a behavioral contract include engaging the client as a colleague, avoiding complex terminology or coercive formats, and making sure the client completely understands, agrees to, and, to the extent possible, feels comfortable with the contract. The nurse's condescending attitude will not encourage the client to ask questions. Complex or medical terminology will not help the client understand the contract.
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