A nurse is caring for a client with paranoid personality disorder who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Disclose some personal information to the client to demonstrate approachability.

Approach the client frequently throughout the day for brief interactions.

Adopt a neutral attitude when providing care.

Wait for the client to initiate interaction.

Answer and Explanation

The Correct Answer is C

C. A neutral attitude communicates respect, professionalism, and non-threatening intentions. It helps to minimize the client's feelings of being scrutinized or manipulated and creates a safe environment for the client to engage in therapeutic interactions.

A. Disclosing personal information may further exacerbate the client's mistrust and suspicion, as they may interpret it as confirmation of their paranoid beliefs or as an attempt to manipulate them.

B. Approaching the client frequently throughout the day may be overwhelming and increase the client's suspicion. Clients with paranoid personality disorder often feel threatened by perceived intrusions into their personal space or privacy.

D. While it's essential to respect the client's autonomy and boundaries, waiting for the client to initiate interaction may prolong the establishment of a therapeutic relationship, especially with a client who is suspicious and mistrustful.

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Correct Answer is B

Explanation

B. Understanding the precipitating factors is essential for developing effective treatment strategies tailored to the individual's specific needs. By identifying triggers, the nurse can work with the client to develop coping mechanisms and interventions to manage these triggers and reduce the frequency or intensity of obsessive-compulsive symptoms.

A. Providing a structured activity schedule can be helpful for individuals with OCD as it can promote a sense of routine and predictability. However, while structuring activities is beneficial, it may not address the immediate needs of the client upon admission.

C. Teaching relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or guided imagery, can be beneficial for managing anxiety and stress associated with OCD symptoms. However, like option A, while relaxation techniques are important, they may not address the immediate needs of the client upon admission.

D. Exploring alternative coping strategies with the client involves brainstorming and discussing various techniques or approaches to managing obsessive-compulsive symptoms. However, identification of triggers is a priority.

A. Hallucinations B. Anhedonia C. Illusions D. Delusions

Correct Answer is D

Explanation

D. Delusions are false beliefs that are firmly held despite evidence to the contrary. They are not based on reality and are often resistant to rational persuasion or evidence. Delusions can take various forms, such as persecutory (feeling targeted or spied on), grandiose (believing in exaggerated self-importance), or paranoid (feeling threatened or persecuted).

A. Hallucinations involve perceiving sensory experiences that are not present in reality. These sensory experiences can occur in any of the five senses, including seeing, hearing, tasting, smelling, or feeling things that are not actually there.

B. Anhedonia refers to the inability to experience pleasure or interest in activities that are typically enjoyable.

C. Illusions involve misinterpreting real sensory stimuli. Unlike hallucinations, which involve perceiving sensory experiences that are not present, illusions occur when existing sensory stimuli are misinterpreted or distorted.

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A nurse is caring for a client with paranoid personality disorder who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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