A nurse is caring for a client who has been receiving treatment for antisocial personality disorder. The nurse should identify that which of the following findings indicates the treatment is effective?

Introduction: Antisocial personality disorder involves a pervasive pattern of disregard for others and impulse control deficits; therefore, treatment success is measured by the adoption of prosocial behaviors and the management of frustration without aggression. A. Displaying dependent behaviors is not a goal of treatment for antisocial personality disorder. While moving away from predatory or manipulative behaviors is positive, developing a dependency on others is simply replacing one dysfunctional personality trait with another, rather than achieving the goal of healthy, autonomous, and respectful social functioning. B. Manipulating others is a core symptom of antisocial personality disorder and indicates that the disorder is still actively influencing the client's behavior. Treatment effectiveness is characterized by the cessation of manipulation and the development of genuine empathy and respect for the rights and boundaries of other individuals. C. Verbalizing anger in an acceptable manner is a significant indicator of treatment success. Individuals with this disorder often struggle with low frustration tolerance and aggressive outbursts. Learning to communicate negative emotions through appropriate verbal channels rather than through physical aggression or property destruction demonstrates improved impulse control and social adaptation. D. Verbalizing a sense of personal identity is a primary treatment goal for clients with borderline personality disorder, who often struggle with identity disturbance. While self-awareness is helpful for all clients, it is not the specific clinical marker used to evaluate the behavioral improvements required in antisocial personality disorder.