Which of the following interventions should a nurse use when ...

[TFauchery]

Which of the following interventions should a nurse use when caring for an inpatient client who expresses anger inappropriately? (Select all that apply.)
 
  1. Maintain a calm demeanor.
  2. Clearly delineate the consequences of the behavior.
  3. Use therapeutic touch to convey empathy.
  4. Set limits on the behavior.
  5. Teach the client to avoid I statements related to expression of feelings.

Question 2

A client is being assessed for antisocial personality disorder. According to the DSM-5, which of the following symptoms must the client meet in order to be assigned this diagnosis? (Select all that apply.)
 
  1. Ego-centrism and goal setting based on personal gratification.
  2. Incapacity for mutually intimate relationships.
  3. Frequent feelings of being down miserable and/or hopeless.
  4. Disregard for and failure to honor financial and other obligations.
  5, Intense feelings of nervousness, tenseness, or panic.

[bd5255]

Answer to Question 1

1, 2, 4
Rationale: The nurse should determine that, when working with an inpatient client with difficulty expressing anger appropriately, it is important to maintain a calm demeanor, clearly define the consequences, and set limits on the behavior. The use of therapeutic touch may not be appropriate and could increase the client's anger. Teaching would not be appropriate when a client is agitated.

Answer to Question 2

1, 2, 4
Rationale: The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. Pathological personality traits of antagonism and disinhibition must occur in order to meet the criteria for the diagnosis of antisocial personality disorder. Frequent feelings of being down, miserable, and/or hopeless and intense feelings of nervousness, tenseness, or panic are characteristics of the pathological personality trait domain of negative affectivity. This domain is listed by the DSM-5 for the diagnosis of borderline personality disorder, not antisocial personality disorder.