Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5002

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5002

QUESTION: A client is admitted to the inpatient adolescent unit after being arrested for attempting to sell cocaine to an undercover police officer. The nurse plans to write a behavioral contract. To best promote compliance, the contract should be written:

✘O a.) abstractly.
✘O b.) by the client alone.
✓O c.) jointly by the client and nurse.
✘O d.) jointly by the physician and nurse.

RATIONALE

RATIONALE: A contract written jointly by the client and nurse most successfully promotes cooperation and consistent behavior. The most effective contract <font face="LWWSYM">:</font> and the type least likely to allow for manipulation and misinterpretation <font face="LWWSYM">:</font> states the behavioral terms as concretely as possible. A contract written solely by the client may not be agreeable to staff members; one written by the physician and nurse may not be agreeable to the client.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Safe, effective care environment
CLIENT NEEDS SUBCATEGORY: Management of care
COGNITIVE LEVEL: Knowledge