Which intervention is appropriate for an individual diagnosed ...

[LCritchfi]

Which intervention is appropriate for an individual diagnosed with an antisocial personality disorder who frequently manipulates others?
 
  a. Refer requests and questions related to care to the case manager.
  b. Encourage the patient to discuss feelings of fear and inferiority.
  c. Provide negative reinforcement for acting-out behavior.
  d. Ignore, rather than confront, inappropriate behavior.

Question 2

A health care provider recently convicted of Medicare fraud says to a nurse, Sure I overbilled. Everyone takes advantage of the government. There are too many rules to follow and I should get the money. These statements show:
 
  a. shame.
  b. suspiciousness.
  c. superficial remorse.
  d. lack of guilt feelings.

[k.lashomb]

Answer to Question 1

ANS: A
Manipulative people 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. Positive reinforcement of appropriate behaviors is more effective than negative reinforcement. The behavior should not be ignored; judicious use of confrontation is necessary. Patients with antisocial personality disorders rarely have feelings of fear and inferiority.

Answer to Question 2

ANS: D
Rationalization is being used to explain behavior and deny wrongdoing. The individual who does not believe he or she has done anything wrong will not manifest anxiety, remorse, or guilt about the act. The patient's remarks cannot be assessed as shameful. Lack of trust and concern that others are determined to do harm is not shown.

[LCritchfi]

Thank you

[k.lashomb]

Happy to help you