At 11:00 p.m. a client diagnosed with antisocial personality ...

[haleyc112]

At 11:00 p.m. a client diagnosed with antisocial personality disorder demands to phone a lawyer to file for a divorce. Unit rules state that no phone calls are permitted after 10:00 p.m. Which nursing response is most appropriate?
 
  1. Go ahead and use the phone. I know this pending divorce is stressful.
  2. You know better than to break the rules. I'm surprised at you.
  3. It is after the 10:00 p.m. phone curfew. You will be able to call tomorrow.
  4. A divorce shouldn't be considered until you have had a good night's sleep.

Question 2

During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the appropriate nursing response to this behavior?
 
  1. You are very disrespectful. You need to learn to control yourself.
  2. I understand that you are angry, but this behavior will not be tolerated.
  3. What behaviors could you modify to improve this situation?
  4. What anti-personality disorder medications have helped you in the past?

[jaaaaaaa]

Answer to Question 1

3
Rationale: The most appropriate response by the staff is to restate the unit rules in a calm, assertive manner. The nurse can encourage the client to verbalize frustration while maintaining an accepting attitude. The nurse may also help the client to identify the true source of frustration.

Answer to Question 2

2
Rationale: The appropriate nursing response is to reflect the client's feeling while setting firm limits on behavior. Clients diagnosed with antisocial personality disorder have a low tolerance for frustration, see themselves as victims, and use projection as a primary ego defense mechanism.

[haleyc112]

Excellent

[bitingbit]

Gracias!