A client with a personality disorder tells the nurse that he has been in treatment for several years and wants to give up since it does not seem to be working. Which of the following should the nurse do to support this client?
1. Agree that the treatment is futile
2. Tell the client that it is his choice to continue or not continue
3. Suggest that the client is expecting too much
4. Maintain the client's hope that the treatment is beneficial and is working to help alleviate the problem
4. Maintain the client's hope that the treatment is beneficial and is working to help alleviate the problem
Rationale:
There are 3 fundamental beliefs that should guide the nurse when working with persons experiencing personality disorders. The first is the belief in self-determination, which recognizes that clients are partners in treatment and have the right to choose their own course in life. The second is the belief that the focus should be on role functioning, while recognizing that not all symptoms will disappear. The third is the importance of maintaining hope, since these clients are particularly susceptible to loss of hope for change and giving up on treatment. The nurse should maintain the client's hope in that the treatment is beneficial and is working. The nurse should not agree that the treatment is futile. The nurse should not tell the client that it is his choice to continue or not continue. The nurse should suggest that the client is expecting too much.
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