Author Question: A client with a personality disorder tells the nurse that he has been in treatment for several years ... (Read 24 times)

iveyjurea · **on:** Jul 22, 2018

A client with a personality disorder tells the nurse that he has been in treatment for several years and wants to give up since it does not seem to be working. Which of the following should the nurse do to support this client?

1. Agree that the treatment is futile
2. Tell the client that it is his choice to continue or not continue
3. Suggest that the client is expecting too much
4. Maintain the client's hope that the treatment is beneficial and is working to help alleviate the problem

Question 2

A nurse has volunteered to go on a health mission to rural Haiti, where the majority of the people do not have access to health care and live in poverty. The nurse will be working with clients who are at which level of wellness?

1. Emergent high-level wellness in an unfavorable environment
2. Protected poor health in a favorable environment
3. Poor health in an unfavorable environment
4. Protected poor health in an unfavorable environment

juiceman1987 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Maintain the client's hope that the treatment is beneficial and is working to help alleviate the problem

Rationale:
There are 3 fundamental beliefs that should guide the nurse when working with persons experiencing personality disorders. The first is the belief in self-determination, which recognizes that clients are partners in treatment and have the right to choose their own course in life. The second is the belief that the focus should be on role functioning, while recognizing that not all symptoms will disappear. The third is the importance of maintaining hope, since these clients are particularly susceptible to loss of hope for change and giving up on treatment. The nurse should maintain the client's hope in that the treatment is beneficial and is working. The nurse should not agree that the treatment is futile. The nurse should not tell the client that it is his choice to continue or not continue. The nurse should suggest that the client is expecting too much.

Answer to Question 2

3. Poor health in an unfavorable environment

Rationale:
The health axis extends from peak wellness to death, and the environmental axis extends from very favorable to very unfavorable. A health mission to an environment such as rural Haiti would involve clients who are not being treated for problems because of poor access and who also live in poor environmental conditions such as poverty and below standard sanitation. Emergent high-level wellness in an unfavorable environment would include clients who have the knowledge to implement healthy lifestyle practices, but cannot implement them because of other factors or demands. Protected poor health in a favorable environment is where clients have an illness but their needs are met by the health care system. These clients have adequate access to appropriate medications, diet, and health care instruction. Protected poor health in an unfavorable environment is not one of Dunn's quadrants.