Difficulty: Medium
Average Score: 94%
Simulated
A client is manipulative with staff and disruptive in the milieu. Although the client is not demonstrating behaviors that are a threat to self or others they are refusing all medications. Which action by the nurse is most appropriate?
Correct answer
C
Rationale
When dealing with a client who is manipulative and disruptive but not a threat it is essential for the nurse to set clear and consistent boundaries for behavior. This helps establish a therapeutic environment and maintains safety. Allowing the client to refuse medications respects their autonomy as long as they are not a risk. Involving family without consent may violate privacy discharging is premature and coercive statements are unethical.