CRNE Exam Prep

Category - Partnership

A nurse is assisting Brenda, a female client who has difficulty controlling self-destructive behaviors. The nurse utilizes a contractmade with the client as an intervention. Which of the following is the most important purpose for the use of contracts as a behavioral management technique?
  1. It is used to give a client greater control over negative thinking.
  2. It promotes self-expression and exchange of ideas.
  3. It is used hold the client accountable for her actions.
  4. It is used to give the client a sense of security.
Explanation
Answer: C - A contract made with the client holds the client accountable for her actions. This is also used as a constant reminder of client tasks. Cognitive restructuring gives the client greater control over negative thinking. Group therapy promotes self-expression. Setting and enforcing limits give a client a sense of security.
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