Which intervention by the nurse is most therapeutic when a ...

[rosent76]

Which intervention by the nurse is most therapeutic when a patient loses a pool game on the unit and begins acting aggressively?
 
  a. Having the other unit staff present to demonstrate both a unified presence as well as a show of force
  b. Saying to the patient, Accompany me to your room so we can talk about what triggered your anger..
  c. Stating, The rules here are for everyone. If you cannot control your temper, you may need to leave the dayroom..
  d. Setting limits on the behavior immediately, in front of other patients, to help communicate that the unit rules apply to everyone

Question 2

A coworker often interrupts others during staff meetings with self-centered introjections, frequently flirts with visitors, and often responds to others in a dramatic, theatrical manner.
 
  These behaviors are consistent with which personality disorder? a. avoidant personality disorder
  b. dependent personality disorder
  c. histrionic personality disorder
  d. narcissistic personality disorder

[SVictor]

Answer to Question 1

B
It is important to communicate to the patient in a way that helps the patient view the inappropriate behavior from others' viewpoints, to observe the catalysts that trigger the behavior, and to view adaptive alternatives. Confrontation can escalate aggression on the unit and is nontherapeutic in that it can promote a regressive struggle between the nurse and the patient.

Answer to Question 2

C
The coworker's behaviors are consistent with histrionic personality disorder. Histrionic personality disorder is characterized by rapid emotional swings, destructive behavior, and inability to form close interpersonal relationships. Persons with histrionic personality disorder may have mood swings, moving almost instantaneously from loud laughter to tears. Their primary aim is to keep themselves the focus of attention.

[rosent76]

Excellent

[covalentbond]

TYSM