A psychiatric technician remarks to the nurse, That client with ...

[RODY.ELKHALIL]

A psychiatric technician remarks to the nurse, That client with dependent personality disorder is so clingy I almost hate to see her coming my way. The response by the nurse that will be help-ful to the technician is:
 
  1. I think everyone feels that way. It's difficult to have someone clinging.
  2. Clients with personality disorders have little regard for the rights of others.
  3. The client fears having to function independently without direction from some-one else.
  4. The client is so preoccupied with perfection and structure that she's afraid to do anything at all.

Question 2

Which measure is advisable to take, considering that individuals with dramatic erratic personality disorders often have the ability to evade limits and manipulate others?
 
  1. Plan frequent client-centered staff meetings.
  2. Practice take-down and restraint procedures.
  3. Institute written or taped change-of-shift reports.
  4. Rotate staff assignments so no one is responsible for the client for a prolonged period of days.

[bbburns21]

Answer to Question 1

ANS: 3
Clients with dependent personality disorder have an all-encompassing need to be taken care of. This need causes submissive, clinging behaviors. By helping the technician understand that the client's behavior is need-based rather than purposely annoying, the technician will be better able to respond with empathy and care. Option 1 shows neither acceptance nor empathy for the client. Options 2 and 4 do not provide accurate learning for the technician.

Answer to Question 2

ANS: 1
Frequent staff meetings permit staff to discuss client care and maintain adherence to the treat-ment plan. Attempts at manipulation can be uncovered, and staff can present a united front, ra-ther than being divided.