Author Question: A nurse is working with a client diagnosed with antisocial personality disorder. The nurse needs to ... (Read 33 times)

dollx · **on:** Jul 19, 2018

A nurse is working with a client diagnosed with antisocial personality disorder. The nurse needs to keep in mind which of the following about the therapeutic relationship?

A) The goal is to alleviate dysfunctional thinking.
B) The relationship initially is superficial because of a lack of client commitment.
C) The client uses the relationship to change the problem behavior.
D) The client continuously focuses on new topics during the relationship.

Question 2

A client is admitted to a mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would a nurse most likely find?

A) Intentional self-injurious behavior
B) Pain to achieve a self-serving goal
C) Malingering to avoid work
D) Parents who were restrictive

epscape · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
Therapeutic relationships are difficult to establish because these individuals do not attach to others and are often unable to use the relationship to change behavior. The goal of the therapeutic relationship is to identify dysfunctional thinking patterns and develop new problem-solving behaviors. After the first few meetings with these clients, the nurse may believe that the relationship has a good start, but in reality, a superficial alliance is usually formed. Additional sessions reveal the lack of client commitment to the relationship. These clients begin to revisit topics discussed in previous sessions or lose interest in trying to work on problems.

Answer to Question 2

Ans: A
Clients with factitious disorder intentionally cause an illness or injury to receive the attention of health care professionals. Pain for a self-serving goal, malingering, or restrictive parents are not associated with factitious disorder.