A nurse is reinforcing discharge teaching with the caregiver of a client who has dependent personality disorder. Which of the following Instructions should the nurse include in the teaching?
Explanation & Rationale
A. Limit the client's social interactions: Limiting social interactions can increase dependence and isolation, worsening the symptoms of dependent personality disorder. Encouraging appropriate social engagement supports skill-building and autonomy. B. Maintain a verbal no harm contract with the client: No-harm contracts are typically used in clients at risk for self-harm or suicide. Dependent personality disorder does not inherently involve self-harm, so this instruction is not a priority in discharge teaching. C. Assume responsibility for making the client’s decisions: Making decisions for the client reinforces dependency and undermines the development of autonomy. The goal of teaching is to promote independent decision-making and self-confidence. D. Encourage the client to be assertive: Teaching the client to express needs, make choices, and assert themselves helps reduce reliance on others and fosters self-efficacy. Encouraging assertiveness is a key strategy in managing dependent personality disorder.