The most challenging nursing intervention with clients with ...

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The most challenging nursing intervention with clients with personality disorders who use
  manipulation for getting needs met is
 
  a. supporting behavioral change.
  b. using aversive therapy.
  c. maintaining consistent limits.
  d. monitoring suicide attempts.

Question 2

Which question would help the nurse assess feminist issues governing the availability of healing
  options for a woman of a culture with an Eastern interdependent worldview?
 
  a. What does someone of your culture call this illness?
  b. How does someone with this illness usually behave?
  c. How does being a woman affect someone with this illness?
  d. How do people of your culture express dislike or displeasure?

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Answer to Question 1

C
Maintaining consistent limits is by far the most difficult intervention because of the client's superior
skills at manipulation. Options A and D: Supporting behavioral change and monitoring client safety
are less difficult tasks. Option B: Aversive therapy would probably not be part of the care plan
because positive reinforcement strategies for acceptable behavior seem to be more effective than
aversive techniques.

Answer to Question 2

ANS: C
This question will help the nurse understand a woman's importance in the culture. In a culture in
which women play a lesser role, healing options may not be readily available. Option A: This
question would help assess culture-bound illness. Option B: This question relates to sick roles, pain
expression, and predominant symptoms. Option D: This question is more related to general cultural
factors than women's issues.