A client with a diagnosis of antisocial personality disorder was given a 2-hour pass to leave the hospital. The client returned to the unit 15 minutes past curfew and did not sign in. The next day, this behavior is brought up in a group meeting. The client says, "It's all the nurse's fault. The nurse was right there and did not remind me to sign in." What is the best response by the nurse?

Question

Quizplus · Accepted Answer

Clients with antisocial personality disorder often disregard the rules, have a history of irresponsible behavior, and blame others for their behavior. They avoid responsibility for their own behavior and the consequences of their actions using numerous excuses and justifications. Nursing interventions include setting firm limits and making clients with antisocial personality disorder aware of the rules and acceptable behaviors. The nurse should require the client to take responsibility for his/her own behavior and the consequences of not following the rules and regulations of the unit. (Option A) This is a non-therapeutic response; by apologizing to the client, the nurse is implying that it was the nurse's responsibility to remind the client to sign in. (Option B) This is a non-therapeutic response as the nurse is on the defensive and not focusing on the client. (Option D) This is a non-therapeutic response; it is confrontational and assumes the reasoning behind the client's behavior. The response also requires a yes or no answer, which does not facilitate communication. Educational objective: Clients with antisocial personality disorder often disregard the rules, have a history of irresponsible behavior, and blame others for their behavior. Nursing interventions include setting firm limits and making clients aware of the rules and acceptable behaviors.

A Client with a Diagnosis of Antisocial Personality Disorder Was