The staff observes that a young male manifests oppositional behavior when he interacts with male staff. He has recently been placed in the custody of his father, since his mother has been deployed in the military
The client told the nurse that his mother relied on him a lot when he lived with her. He tells the nurse that his father is always on his case, never speaks to him without yelling, and tells him he can't do anything right. Identify the appropriate intervention for the client when he feels oppositional toward the staff. 1. Provide opportunities for the client to get to know the staff.
2. Encourage the client to "take five to revive."
3. Have the client chose the consequences for his behavior.
4. Ask the client if he is upset.
2
Rationale: This is a component of a client's life script; the client is recreating his situation at home by his reaction to the male staff. The purpose of having the client "take five to revive" is to help him substitute a healthier way of dealing with his feelings. When the client is engaging in oppositional behavior, asking him if he is upset may further aggravate the situation. Providing opportunities for the client to get to know the staff will not help him deal with his feelings toward the staff. Having the client choose the consequences for his behavior is not an intervention designed to help him learn how to deal with his feelings.
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