A nurse is caring for a client who reports difficulty coping with several recent stressors. Which of the following responses should the nurse make?

A. Shows exaggerated expression of emotions: This is not characteristic of paranoid personality disorder. Individuals with paranoid personality disorder tend to be suspicious, guarded, and may exhibit restrained emotions rather than exaggerated expressions.
B. Believes that others are deceiving her: This is a hallmark sign of paranoid personality disorder. Individuals with this disorder are often distrustful and suspicious of others, believing that they are being deceived, manipulated, or exploited.
C. Takes advantage of others for her own benefit: This behavior is more characteristic of antisocial personality disorder. People with paranoid personality disorder are more focused on protecting themselves from perceived threats rather than exploiting others for personal gain.
D. Demonstrates detachment from others: While detachment from others may be seen in schizoid or avoidant personality disorders, paranoid personality disorder typically involves suspicion and mistrust of others, not a lack of interest in relationships.

A. "The honeymoon stage of violence usually gets longer over time": The honeymoon stage typically becomes shorter as the cycle of abuse progresses. Over time, the tension-building and abusive episodes tend to increase in frequency and intensity.
B. "Survivors of abuse often feel guilty": Survivors of intimate partner abuse often feel guilty, ashamed, or responsible for the abuse. They may believe they somehow provoked the violence or could have prevented it.
C. "As abuse continues, victims become more determined to be independent": Victims of abuse often become more dependent over time due to manipulation, fear, and control exerted by the abuser. They may find it difficult to leave or make independent decisions.
D. "Abusers often have high self-esteem": This statement is generally inaccurate as abusers often have low self-esteem and may use controlling behaviors as a way to mask feelings of inadequacy or insecurity.