For an antisocial client with ineffective individual coping, which intervention is appropriate?

In the context of managing an antisocial client who exhibits ineffective individual coping, directing all requests to the primary nurse is a strategically sound intervention. This approach ensures that the client's interactions are monitored and managed by the healthcare professional best equipped to handle their behavior and needs. Antisocial clients can often demonstrate manipulative tendencies and have difficulty adhering to social norms, which can complicate their treatment.

By channeling requests through the primary nurse, other staff members can maintain a consistent therapeutic environment and minimize the potential for manipulative behaviors to escalate. This provides a protective structure for both the patient and the staff, ensuring that the client receives appropriate support and that any behavioral issues can be addressed by someone with a comprehensive understanding of the client’s treatment plan.

The other options, while they may appear beneficial in other contexts, do not align as effectively with the specific challenges presented by an antisocial client lacking coping skills. Allowing the client to make decisions may lead to poor choices without adequate support. Encouraging group discussions can be challenging for individuals with antisocial traits who may dominate or disrupt the conversation, and supporting the client’s manipulation could reinforce negative behaviors rather than promote healthier coping strategies.