A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?

Provide written information about the client's treatment plan.

Encourage countertransference when developing the nurse-client relationship.

Monitor the client for splitting behaviors.

Isolate the client from social or group interactions.

Answer and Explanation

The Correct Answer is A

A.   Providing written information about the treatment plan promotes transparency and helps to establish trust with the client, which is important in the care of individuals with paranoid personality disorder.
B.   Encouraging countertransference can blur professional boundaries and may exacerbate distrust or suspicion in clients with paranoid personality disorder.

C.   Monitoring for splitting behaviors is important in personality disorders but does not directly address the client's needs or promote therapeutic engagement.
D.   Isolating the client from social or group interactions can exacerbate feelings of paranoia and may not be therapeutic or appropriate.

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Correct Answer is C

Explanation

A. Writing a detailed daily activity schedule may indicate organization and planning, which are not typically associated with acute mania.
B. Isolating oneself from others could be a sign of depression rather than acute mania.
C. Reporting a lack of sleep is characteristic of acute mania, as individuals in manic episodes often experience decreased need for sleep.
D. Refusing to engage in conversation could be indicative of various factors, but it is not specific to acute mania.

A. The client relates that he is angry that the provider did not save his partner's life. B. The client frequently recalls negative experiences that occurred during his marriage. C. The client says he feels guilty about not spending more time with his partner. D. The client states that he is unable to eat more than once a day.

Correct Answer is D

Explanation

A. While anger is a common emotion in grief, the priority is addressing the client's inability to eat, which can have significant health implications.
B. Recalling negative experiences during the marriage may indicate unresolved issues but is not as immediately concerning as the client's inability to eat.
C. Feelings of guilt are common in grief, but the priority is addressing the client's physical health needs, particularly their inability to eat.
D. Changes in eating habits, such as being unable to eat more than once a day, can indicate maladaptive coping mechanisms or potential physical health concerns, making it the priority for the nurse to address.

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A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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