The nurse is caring for a client with a personality disorder. The ...

[neverstopbelieb]

The nurse is caring for a client with a personality disorder. The client feels as if she is not accomplishing any of her goals. Which of the following is the most appropriate response by the nurse?
 
  1. Would you like to increase your therapy visits?
  2. Let's look at the plan of care together.
  3. Who told you that you weren't accomplishing your goals?
  4. I will discuss your feelings with the doctor.

Question 2

When negotiating a behavior contract with adolescents, the nurse ensures that: Standard Text: Select all that apply.
 
  1. The expectations for behavior are clear.
  2. The contract is oral.
  3. There is no room to renegotiate.
  4. Consequences outlined in the contract will be administered consistently.
  5. The terms are rigid.

[kishoreddi]

Answer to Question 1

2
Rationale: Evaluation of the plan of care is made together with the client, incorporating ancillary information when available. The patient has indicated that the process is moving too slowly. Therefore, the plan needs to be adjusted for more realistic shorter-term goals. This process is completed by having the nurse and client look at the plan together to discuss more obtainable goals.

Answer to Question 2

1,4
Rationale: The expectations for behavior are clear. The expectations for behavior must be clearly articulated; using a behavioral contract without understanding the underlying reasons or factors contributing to the adolescent's problems will result in a superficial approach with an equally superficial evaluation.