31. A client with antisocial personality disorder has been acting very manipulative. Which actions by a nurse will help to reduce the manipulative behaviors? Select all that apply.
31. A client with antisocial personality disorder has been acting very manipulative. Which actions by a nurse will help to reduce the manipulative behaviors? Select all that apply.
. Develop a list of realistic goals with the client.
. Accept small tokens of appreciation as collaboration.
. Maintain consistent limit setting.
. Place the client on the "problem" board to modify behaviors.
. Evaluate actions, the consequences, and successes.
Test-Taking Tip
Eliminate all answers that are negative approaches to correcting behavior.
Content Area: Mental Health, Common Behavioral Problems; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Psychosocial Integrity/Behavioral Interventions
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Answer 1 is correct because the client works with the nurse to develop goals that are realistic and attainable, aimed at improving self-esteem and redirecting the use of manipulation. Answer 2 is incorrect because this will encourage even more manipulative behaviors. Answer 3 is correct because it is important to be firm and consistent in reinforcing unit rules. When undesirable behavior occurs and there are reliable and repeated negative consequences, manipulative behaviors are likely to decrease. This builds trust in the client that the staff will be consistent in providing support. Answer 4 is incorrect because pointing out a client as a problem is a negative technique and a breach of confidentiality. Answer 5 is correct because the client needs feedback regarding behavior that is positive and negative. This gives the nurse the opportunity to reinforce positive actions.