Personality and Mood Disorders Q 99
Nurse Danita is working with clients who have personality disorders. Which of the following techniques would the nurse use to deal with her own feelings that interfere with therapeutic performance?
A. Active listening techniques
B. Challenging the client's assertions
C. Forming social relations
D. Seeking peer or supervisor direction
Correct Answer: D. Seeking peer or supervisor direction
The nurse is likely to have strong reactions to clients with personality disorders, especially those who display intense emotions and manipulative behaviors. Seeking the direction of peers and supervisors can help clarify issues and determine the best nursing responses to difficult behaviors.
Option A: Be aware of flattery as an attempt to feed into your needs to feel special. Giving into the client’s thinking that you are “the best” or “the only one” can pit you against other staff and undermine the client’s need for limits.
Option B: If the client becomes hostile or projects blame onto you or staff, project a neutral, calm demeanor, and avoid power struggles. Focus on the client’s underlying feelings. Defuses tension and opens up productive interaction.
Option C: Guard against personal feelings of frustration and lack of progress. Change if often very slow and may seem to take longer than it actually is. Nurture yourself outside the job. Keep your “bucket” full of laughter and high regard from family and friends.