A nurse in a mental health facility is caring for a client. Exhibits Potential Action Table

Choice A reason: Ignoring negative behavior is contraindicated because clients with antisocial personality disorder often manipulate and intimidate others. Ignoring such behavior reinforces maladaptive patterns and can escalate aggression or manipulation. The nurse must set firm, consistent limits rather than dismissing the behavior. Choice B reason: Maintaining a low-stimuli environment is anticipated because the client demonstrates pacing, rigid posture, and attempts to intimidate staff. A low-stimuli environment reduces external triggers that may escalate agitation or aggression. This intervention promotes safety for both the client and others in the unit. Choice C reason: Providing rewards for positive behavior is anticipated because clients with antisocial personality disorder respond better to structured behavioral approaches. Positive reinforcement encourages adaptive behaviors and helps shape compliance with unit rules. This strategy is consistent with behavioral therapy principles. Choice D reason: Using bargaining to improve behavior is contraindicated because bargaining reinforces manipulative tendencies common in antisocial personality disorder. It undermines therapeutic boundaries and can lead to power struggles between the client and staff. Instead, the nurse should use clear, consistent limit-setting and structured consequences.