Which intervention would be appropriate for a patient with a ...

[MirandaLo]

Which intervention would be appropriate for a patient with a nursing diagnosis of Ineffective coping as evidenced by manipulation of others?
 
  a. Refer patient requests and questions about care to the primary nurse.
  b. Provide negative reinforcement for any acting-out behavior.
  c. Ignore rather than confront inappropriate interpersonal behavior.
  d. Encourage the patient to discuss feelings of fear and inferiority.

Question 2

The first step in the treatment of sleep disorders is to
 
  1. teach prevention.
  2. give hypnotics for sleep.
  3. evaluate sleeping pattern.
  4. teach clients to retire early.

[blakeserpa]

Answer to Question 1

A
Manipulative patients frequently make requests of many different staff, hoping one will give in. Having one decision maker provides consistency and prevents playing one staff member against another. Positive reinforcement of appropriate behaviors is more effective than negative reinforcement. Ignoring behavior can in some cases help extinguish the behavior, but more typically, manipulative behavior responds better to judicious use of confrontation. Antisocial patients suppress or conceal such feelings if present and would be very unlikely to admit to them, let alone discuss them.

Answer to Question 2

1
The first step in the treatment of sleep disorders is to teach prevention.