The treatment team implements a behavior modification approach ...

[rachel9]

The treatment team implements a behavior modification approach using a contract for a client with antisocial personality disorder. An expected outcome of this approach is that client will:
 
  1. Learn how to avoid punishment
  2. Explain why he breaks rules
  3. Comply with behaviors specified in the contract
  4. Develop empathy in interpersonal contacts with peers

Question 2

A 27-year-old woman diagnosed with borderline personality disorder displays a labile affect, impulsivity, frequent angry outbursts, and difficulty tolerating her angry feelings without self-injury. A priority nursing diagnosis for this client is:
 
  1. Anxiety
  2. Risk for self-mutilation
  3. Risk for other-directed violence
  4. Ineffective coping

[scikid]

Answer to Question 1

ANS: 3
Behavioral approaches specify behavioral outcomes. The desired outcome is for the client to structure his behavior to avoid impulsivity or other undesirable behaviors. 1. It would be desira-ble to learn more appropriate behaviors, not just to avoid punishment. 2. Behavior modification does not focus on development of insight. 4. Clients with antisocial personality disorder seem incapable of empathy.

Answer to Question 2

ANS: 2
Clients with borderline personality disorder frequently engage in self-mutilation in an attempt to manage chaotic feelings. The important clue to this diagnosis is that the client is having difficulty tolerating feelings without self-injuring. Options 1 and 4: No data exist to support these diagno-ses. Option 3: The risk is greater for violence toward self.