When planning care for the passive-aggressive client, the nurse includes the following goal:
A . Allow the client to use humor, because this may be the only way this client can express self.
B . Allow the client to express anger by using “I” messages, such as “I was angry when . . .,” etc.
C . Allow the client to have time away from therapeutic responsibilities.
D . Allow the client to give excuses if he forgets to give staff information.
Answer: B
Explanation:
(A) Ceasing to use humor and sarcasm is a more appropriate goal, because this client uses these behaviors covertly to express aggression instead of being open with anger.
(B) Use of “I” messages demonstrates proper use of assertive behavior to express anger instead of passive-aggressive behavior.
(C) Client is expected to complete share of work in therapeutic community because he has often obstructed other’s efforts by failing to do his share.
(D) Client has used conveniently forgetting or withholding information as a passive-aggressive behavior, which is not acceptable.
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