A client with antisocial personality disorder yells, Shut up about that, or I'll punch you in the nose and shakes his fist at another client in a group meeting after the client speaks negatively of illicit drug use.
The nurse quickly determines that the client is at risk to act violently against others as evidenced by his aggressive behavior, verbal threats, and a history of impulsivity. Which is the best ap-proach for the nurse to use?
1. Seclude the client to protect the other clients and staff.
2. Put the client in restraints to protect the milieu.
3. Explore alternate ways to handle frustrating topics in the group.
4. Tell the client to leave the group until he can behave appropriately.
Question 2
Which information should the nurse include when teaching a client with a personality disorder?
1. Journal writing will help you recognize feeling states.
2. Try problem solving independently to help with difficult relationships.
3. Identify people and circumstances that create conflict; then avoid them.
4. Try to alleviate behaviors that cause problems relating with others.
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