A client with antisocial personality disorder refuses to attend group therapy and states, "You can't make me do anything. I don't care about your rules." What is the nurse's best response?

Choice A reason: Allowing the client to skip group undermines structure and reinforces manipulative behavior. Choice B reason: Redirecting to feelings does not address the refusal to follow rules. Clients with antisocial personality disorder often lack insight and empathy, so this approach is ineffective. Choice C reason: Setting clear expectations and outlining consequences is the best response. Clients with antisocial personality disorder require firm, consistent boundaries to manage manipulative and defiant behavior. Choice D reason: Threatening loss of privileges may escalate defiance. While consequences are necessary, they should be presented in a structured, non-confrontational way, as in option C.