Author Question: The priority nursing diagnosis to formulate for a client with antisocial personality disorder who ... (Read 104 times)

ssal · **on:** Jul 19, 2018

The priority nursing diagnosis to formulate for a client with antisocial personality disorder who has
made threats against staff, ripped objects off walls, and thrown objects during 4 hours of
hospitalization is

a. disturbed sensory perception: auditory hallucinations.
b. risk for other-directed violence.
c. ineffective denial.
d. social isolation.

Question 2

A nurse using Peplau's interpersonal therapy while working with an anxious, withdrawn client will
plan interventions focusing on

a. changing the client's cognitions about self.
b. improving the client's interactional skills.
c. reinforcing specific behaviors.
d. liberally using medications to relieve anxiety.

moormoney · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
The use of violence against property along with threats to harm staff make this diagnosis the
priority. Option A: Antisocial clients rarely have psychotic symptoms. Option C: When antisocial
client use denial, they use it effectively. Option D: Rarely are antisocial clients social isolates;
instead, they develop superficial relationships.

Answer to Question 2

ANS: B
The nurse-client relationship is structured to provide a model for adaptive interpersonal relationships
that can be generalized to others. Option A would be appropriate for cognitive therapy. Option C
would be used in behavioral therapy. Option D would be the focus of biological therapy.