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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care.
B. Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others.
C. Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons.
D. Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.
Correct Answer is C
Explanation
A. Encouraging the client to have the procedure disregards their autonomy and right to refuse treatment.
B. Obtaining consent from a family member is not appropriate if the client is capable of making their own decisions.
C. Informing the client of their legal right to refuse treatment respects their autonomy and allows them to make an informed decision about their care.
D. Requesting another nurse to review the procedure may be helpful for clarification but does not address the client's right to refuse treatment.
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