A client at a psychiatric hospital tells the nurse that he does not want to join the others for dinner in the dining room because he already ate. The nurse is aware this client has been diagnosed with avoidant personality disorder. The best response from the nurse is to

  • ask the client what would make group dinners more enjoyable so he will participate in the future.
  • allow the client to skip the group dinner this time only.
  • ask the client why he ate dinner so early.
  • state clearly that the client is expected in the dining room and then walk with the client to the dining room.
Number 4 is correct.
The nurse should not bargain with the client or ask why questions. The best response from the nurse is to insist that the client participate in the activity as expected. Without firm insistence to participate, a client with avoidant personality disorder is likely to continue the avoidance behavior.