A patient with antisocial personality disorder yells, Shut up about that, or I'll punch you in the nose and shakes his fist at another patient in a group meeting after the patient speaks negatively of illicit drug use.
The nurse quickly determines that the patient 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 approach for the nurse to use?
a. Secluding the patient to protect the other patients and staff
b. Putting the patient in restraints to protect the entire milieu
c. Exploring alternate ways to handle frustrating topics in the group
d. Telling the patient to leave the group until he can behave appropriately
Question 2
Which intervention will best ensure a nonjudgmental evaluation of a patient's noncom-pliance with the treatment plan for management of his antisocial behaviors?
a. Re-evaluating the patient's understanding of the goals of the prescribed treatment plan
b. Asking questions that focus on his perception of why he can follow his treatment plan
c. Expressing concern about the patient's long-term prognosis if his noncompliance continues
d. Re-assessing the patient for changes that may require the revision of his current treatment plan
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