A nurse is caring for a client who has antisocial personality disorder who requests to smoke outside of scheduled smoke breaks.
Which of the following is an appropriate response by the nurse?
A.
“Let me check with the charge nurse to see if your smoke breaks can be adjusted.\u201d<\/p>\n\n\n\n
B.
“Why do you feel we should allow you extra smoke breaks?\u201d<\/p>\n\n\n\n
C.
“I can give you an extra smoke break if you agree to participate in group therapy.\u201d<\/p>\n\n\n\n
D.
“The smoking times on the unit are after each meal.\u201d<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is D. “The smoking times on the unit are after each meal.”<\/strong><\/p>\n\n\n\n When caring for clients with antisocial personality disorder (ASPD), it\u2019s essential for nurses to establish clear boundaries and maintain consistency in care. Individuals with ASPD may exhibit manipulative behaviors and struggle with impulse control. Therefore, providing a structured and predictable environment is crucial.<\/p>\n\n\n\n Option D is the most appropriate response as it reinforces the established rules regarding smoking breaks. This response does not engage in negotiation or justification, which could encourage manipulative behavior. Instead, it simply states the policy, promoting accountability and structure.<\/p>\n\n\n\n Option A, while showing a willingness to accommodate the client\u2019s request, may imply that rules are flexible and can be negotiated, which could reinforce undesirable behaviors. Option B, asking the client to justify their request, may inadvertently place the nurse in a position where they could be manipulated or pressured into changing the smoking policy. Option C introduces a conditional offer that ties smoking privileges to participation in group therapy, which could be seen as coercive and may not effectively address the underlying behavioral issues.<\/p>\n\n\n\n Moreover, maintaining consistent rules helps all clients understand the limits and expectations in the care setting. This approach not only supports the individual\u2019s therapeutic needs but also promotes a safe environment for all clients. By adhering to the established smoking schedule, the nurse is helping to maintain order and predictability, which is especially important in a psychiatric setting. Overall, clarity and consistency in communication and policy application are vital when working with clients who have personality disorders.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is caring for a client who has antisocial personality disorder who requests to smoke outside of scheduled smoke breaks.Which of the following is an appropriate response by the nurse?A.“Let me check with the charge nurse to see if your smoke breaks can be adjusted.\u201d B.“Why do you feel we should allow you extra […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-142097","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142097","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=142097"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142097\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142097"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142097"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142097"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n