Question

The nurse assists the mental health client in achieving and maintaining self-control of behavior. A commonly-used behavioral management technique is the use of contracts made with the client. Which statements are accurate regarding client contracts? Select all that apply. a. A contract gives a client greater control over negative thinking b. A contract may be used to hold a client accountable for his/her actions c. A contract serves as a constant reminder of client tasks and goals d. A contract promotes self-expression and the exchange of ideas

Short answer

b, c

Step-by-step solution

- Understand the Role of Client Contracts

Client contracts in mental health are used to assist clients in managing and controlling their behavior by setting clear expectations.

- Analyze Option A

Option a states that a contract gives a client greater control over negative thinking. Consider whether having predefined agreements could help clients manage their thoughts more effectively.

- Analyze Option B

Option b mentions that a contract holds a client accountable for their actions. Reflect on how setting consequences and responsibilities might influence a client's behavior.

- Analyze Option C

Option c implies that a contract serves as a constant reminder of client tasks and goals. Evaluate if a written agreement could help keep the client focused on their objectives.

- Analyze Option D

Option d suggests that a contract promotes self-expression and the exchange of ideas. Determine whether the creation and discussion of a contract could foster openness and communication.

- Select Accurate Statements

Based on the analysis, identify which statements accurately describe the role and function of client contracts in behavioral management.

Key concepts

client accountability

Client accountability is crucial in mental health nursing. It refers to holding clients responsible for their actions. When clients sign a behavioral contract, they agree to meet specific obligations or follow certain behaviors. This contract outlines the consequences of not adhering to the agreed-upon terms. By having this agreement, clients are more mindful of their actions and understand the implications of deviating from the plan. It is a way for clients to take ownership of their actions and understand their role in their mental health journey.

goal setting

Goal setting is an essential part of mental health nursing interventions. In the context of client contracts, goals are clearly defined and written down.
These goals help clients focus on specific behaviors or outcomes they want to achieve.

• Clear and realistic goals motivate clients.
• Goals provide a roadmap for what needs to be accomplished.
• Tracking progress becomes easier with well-defined goals.

This makes it easier for them to take incremental steps towards improvement. It also provides a sense of accomplishment when they meet their goals, boosting their confidence and reinforcing positive behaviors.

behavioral management techniques

Behavioral management techniques are strategies used to help clients modify unhealthy behaviors. Contracts are among these techniques.
They provide structure and a sense of predictability for clients by defining clear rules and expectations.

• Contracts set clear boundaries.
• They provide a framework for consistent behavior.
• They highlight expected behaviors and corresponding rewards or consequences.

Establishing these parameters can create a stable environment for clients, making it easier for them to manage their actions and reactions productively.

mental health nursing interventions

Mental health nursing interventions are actions taken by nurses to improve patients' mental well-being. Behavioral contracts are a practical intervention tool.
They aim to empower clients by giving them a sense of control and participation in their treatment process.

• Interventions may include one-on-one sessions to draft contracts.
• They involve regular reviews to ensure compliance and address challenges.
• Nurses offer support and guidance throughout the process.

This collaborative approach helps to strengthen the client-nurse relationship and encourages active engagement from the client in their treatment plan.