Personality and Mood Disorders Q 101
A client with antisocial personality disorder was admitted in a unit at Nurseslabs Hospital. The newly admitted client stole money from an elderly in the unit. Which of the following is the most appropriate for the nurse to say to this client?
A. "Why did you take the money?"
B. "Let's talk about how you felt when you took the money."
C. "The consequences of stealing are a loss of privileges."
D. "This client is defenseless against you."
Correct Answer: C. “The consequences of stealing are loss of privileges.”
The most appropriate response is to reinforce the consequences of behavior that disregard the rights of others. Be very clear about the consequences if policies/limits are not adhered to. Client needs to understand the consequences of breaking the rules.
Option A: This client is likely to rationalize and excuse the behavior. Approach the client in a consistent manner in all interactions. Enhances feelings of security and provides structure. Exceptions encourage manipulative behavior.
Option B: The nurse should not encourage the client to provide excuses or explanations of behaviors that are clearly against the rules. Be clear with the client as to the unit/hospital/clinic policies. Give brief concrete reasons for the rules, if asked, and then move on.
Option D: A client with antisocial personality disorder is unlikely to have compassion for others and typically lacks respect for the rights of others. When limits or policies are not followed, enforce the consequences in a matter-of-fact, nonjudgmental manner. Helps minimize manipulations and might help encourage cooperation.