A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst?

Correct Answer: D

Rationale: Option D provides objective feedback to the client by stating specific observable behaviors during the angry outburst. This type of feedback is essential when working with individuals with antisocial personality disorder as it helps them understand the consequences of their actions in a straightforward and non-judgmental manner. By pointing out the actual behaviors displayed by the client, the nurse can encourage self-awareness and reflection, which are important steps towards managing and addressing anger issues. This feedback also avoids making assumptions or passing judgment on the client, fostering a more constructive and supportive therapeutic relationship.

Correct Answer: C

Rationale: The purpose of the nurse's therapeutic communication technique in asking the client to share more about what led up to their hospitalization is to explore the subject, idea, experience, or relationship that brought the client to seek treatment. By encouraging the client to provide more details about their experiences and the events leading to hospitalization, the nurse aims to gain a deeper understanding of the client's situation. This information is crucial in developing an effective care plan and building a therapeutic relationship based on trust and empathy.

Correct Answer: B

Rationale: This statement may belittle the client's feelings as it implies a judgment on the client's emotions, without acknowledging or validating them. It could make the client feel dismissed or as if their concerns are being minimized. It is important for nurses to use empathetic and validating language when interacting with clients to build trust and facilitate effective communication.

Correct Answer: D

Rationale: Offering self is a therapeutic communication technique where the nurse makes themselves available to the patient for support or assistance. Option D, "After discharge, would you like to meet me for lunch to review your outpatient progress?" is the best example of offering self because it shows willingness to continue providing support beyond the hospital setting. This statement conveys the nurse's availability and willingness to help the patient even after they are discharged, which can strengthen the therapeutic relationship and provide continuity of care.

Correct Answer: C

Rationale: In a therapeutic group setting, a laissez-faire leadership style is characterized by the nurse taking a hands-off approach and allowing group members to largely determine the direction of the discussion. By sitting silently as the group members stray from the assigned topic, the nurse is displaying a laissez-faire leadership style. This approach can be beneficial in some situations to foster group dynamics and encourage members to take ownership of the discussion.