Question

A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client?

A. Behave in a friendly manner toward the client
B. Set realistic limits on the client's behavior
C. Show respect for the client's needs for isolation
D. Act as a role model for assertiveness

Answer 1

To communicate effectively with a client who has antisocial personality disorder, a nurse should set realistic limits on behavior and maintain professionalism and consistency as a role model for assertiveness.

Step-by-step explanation:

In communicating with a client who has antisocial personality disorder, a nurse should employ specific strategies to establish a therapeutic relationship. One of the key strategies includes setting realistic limits on the client's behavior. Doing so helps provide structure and clear expectations, which can be particularly beneficial in managing some of the challenging behaviors associated with antisocial personality disorder.

Another important strategy is to demonstrate professionalism and consistency in behavior, which can act as a form of acting as a role model for assertiveness. This approach allows the client to see constructive ways of interacting and communicating within a social context.

While being friendly is generally positive, with antisocial personality disorder, an overly friendly demeanor may not establish the necessary boundaries. Respect for the client's needs for isolation may be necessary at times; however, this alone does not facilitate therapeutic communication. The goal is to engage the client in a respectful, clear, and firm manner to foster a sense of trust and to encourage positive social interactions.