A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?
Explanation & Rationale
A. Encourage client input in the treatment plan. While it is important to involve clients in their care, individuals with histrionic personality disorder may have difficulty with objectivity and may focus more on their own needs or dramatic expressions rather than contributing to a well-balanced treatment plan. This might not be the priority intervention. B. Communicate with the client using concrete language. This is the priority intervention. Clients with histrionic personality disorder often engage in dramatic, vague, or exaggerated expressions, and using concrete, clear, and direct communication can help manage their tendencies toward confusion or manipulation. Clear communication helps set boundaries and reduce the potential for misinterpretation or emotional overreaction. C. Demonstrate assertive behavior. While assertiveness is important in dealing with clients who may exhibit manipulative behaviors, the priority at this stage is ensuring clear communication to avoid the potential for escalation. Assertiveness can be developed over time but isn't the first action when establishing boundaries and clear communication. D. Promote appropriate behavior during group therapy sessions. While promoting appropriate behavior is essential, it’s important to first establish effective communication and address immediate concerns, such as the client's ability to follow the conversation and maintain realistic self-perception, before focusing on group dynamics.