Author Question: A patient tells a nurse, I sometimes get into trouble because I make quick decisions and act on ... (Read 89 times)

sc00by25 · **on:** Jul 19, 2018

A patient tells a nurse, I sometimes get into trouble because I make quick decisions and act on them. A therapeutic response would be:

a. Let's consider the advantages of being able to stop and think before acting.
b. It sounds as though you've developed some insight into your situation.
c. I'll bet you have some interesting stories to share about overreacting.
d. It's good that you're showing readiness for behavioral change.

Question 2

A patient's spouse filed charges of battery. The patient says, I'm sorry for what I did. I need psychiatric help. The patient has a long history of acting-out behaviors and several arrests.

Which statement by the patient suggests an antisocial personality disorder?

a. I have a quick temper, but I can usually keep it under control.
b. I've done some stupid things in my life, but I've learned a lesson.
c. I'm feeling terrible about the way my behavior has hurt my family.
d. I hit because I'm tired of being nagged. My spouse deserves the beating.

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

Answer to Question 1

ANS: A
The patient is showing openness to learning techniques for impulse control. One technique is to teach the patient to stop and think before acting impulsively. The patient can then be taught to evaluate the outcomes of possible actions and choose an effective action. The incorrect responses shift the encounter to a social level or are judgmental.

Answer to Question 2

ANS: D
The patient with an antisocial personality disorder often impulsively acts out feelings of anger and feels no guilt or remorse. Patients with antisocial personality disorders rarely seem to learn from experience or feel true remorse. Problems with anger management and impulse control are common.