A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

Choice A reason:

Saying “It doesn’t appear as though you are feeling anxious” is not an appropriate response. This statement invalidates the client’s feelings and can make them feel misunderstood or dismissed. It is important for the nurse to acknowledge the client’s report of anxiety and provide a supportive environment for them to express their concerns.

Choice B reason:

“Tell me what has been happening lately” is the most appropriate response. This open-ended question encourages the client to share more about their experiences and feelings, which can help the nurse understand the underlying causes of the anxiety. It also shows empathy and a willingness to listen, which are crucial in building a therapeutic relationship.

Choice C reason:

“I think you should see a therapist” might be a helpful suggestion, but it is not the best immediate response. While referring the client to a therapist can be part of the long-term management plan, the nurse should first listen to the client’s concerns and provide immediate support. Suggesting therapy right away might make the client feel like their concerns are being brushed off.

Choice D reason:

“Do you think your anxiety is worse than everyone else’s?” is not a helpful response. This question can come across as judgmental and may make the client feel defensive or invalidated. It is important for the nurse to focus on understanding the client’s individual experience rather than comparing it to others.

Choice A reason: Sees himself as inferior to others is not typically associated with paranoid personality disorder. Individuals with this disorder often have a pervasive distrust and suspicion of others but do not necessarily view themselves as inferior.

Choice B reason: Persistently holds grudges is a common characteristic of paranoid personality disorder. These individuals often harbor long-term grudges and are unwilling to forgive perceived insults or slights.

Choice C reason: Demonstrates a grandiose sense of self-importance is more characteristic of narcissistic personality disorder rather than paranoid personality disorder. Paranoid individuals are more focused on the perceived intentions of others rather than their own self-importance.

Choice D reason: Desires to be the center of attention is typically associated with histrionic personality disorder, not paranoid personality disorder. Paranoid individuals are more likely to be suspicious and distrustful rather than seeking attention.

Choice E reason: Believes that others are deceiving him is a hallmark of paranoid personality disorder. These individuals often believe that others are out to harm or deceive them, leading to pervasive mistrust and suspicion.