Personality and Mood Disorders Q 102
Angela has a history of conflict-filled relationships. Despite an expressed desire for friends, she acts in ways that tend to alienate people. Which nursing intervention would be important for Angela?
A. Establish a therapeutic relationship in which the nurse uses role-modeling and role-playing for appropriate behaviors.
B. Help the client to select friends who are kind and extra caring.
C. Point out that the client acts in ways that alienate others.
D. Recognize that this client is unlikely to change and therefore intervention is inappropriate.
Correct Answer: A. Establish a therapeutic relationship in which the nurse uses role-modeling and role-playing for appropriate behaviors.
A therapeutic relationship shows acceptance, and using role modeling and role-playing can help the client to learn appropriate behaviors. Problem solve and role play with client acceptable social skills that will help obtain needs effectively and appropriately.
Option B: This is an inappropriate and unrealistic solution to the client’s problem behaviors. Over time, alternative ways of experiencing interpersonal relationships might emerge. Take one small skill that the client is willing to work on, break it down into small parts, and work on it with the client.
Option C: This is also inappropriate because the client is not likely to accept direct criticism of her behavior; such individuals do not perceive a problem with their own behavior. Expand limits by clarifying expectations for clients in a number of settings. When time is taken in initial meetings to clarify expectations, confrontations, and power struggles with clients can be minimized and even avoided.
Option D: Ignores the client’s potential for growth and improvement. Collaborate with the client, as well as the multidisciplinary team, to establish a reward system for compliance with clearly defined expectations. Tangible reinforcement for meeting expectations can strengthen the client’s positive behaviors.