The intervention appropriate for an antisocial client with a ...

[mckennatimberlake]

The intervention appropriate for an antisocial client with a nursing diagnosis of ineffective coping
  related to manipulation of others is to
 
  a. refer requests and questions related to care to the primary nurse.
  b. provide negative reinforcement for acting-out behavior.
  c. ignore, rather than confront, inappropriate behavior.
  d. encourage the client to discuss feelings of fear and inferiority.

Question 2

A client with somatization has an established nursing diagnosis of interrupted family processes
  related to client's symptoms. The client's spouse and children assume roles and tasks that previously
  belonged to the client.
 
  An appropriate outcome for the client is that the client will
  a. demonstrate resumption of former roles and tasks.
  b. assume roles and functions of other family members.
  c. focus energy on problems occurring in the family.
  d. rely on family members to meet all client needs.

[TDubDCFL]

Answer to Question 1

A
Manipulative clients frequently make requests of many different staff, hoping one will give in.
Having one decision maker provides consistency and avoids the potential for playing one staff
member against another. Option B: Positive reinforcement of appropriate behaviors is more
effective. Option C: Judicious use of confrontation is necessary. Option D: Antisocial clients rarely
have these feelings.

Answer to Question 2

ANS: A
The client with somatization has typically adopted a sick role in the family, characterized by
dependence. Increasing independence and resumption of former roles are necessary to change this
pattern. The other options are inappropriate outcomes.