A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder.
Which of the following strategies should the nurse plan to use?.

Demonstrate a neutral demeanor.

Be vague when answering the client's questions about instructions.

Ask the client why he is suspicious of others.

Use an overly friendly approach.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Demonstrating a neutral demeanor helps build trust with a client who has paranoid personality disorder. It’s important to avoid showing too much emotion, which could be misinterpreted by the client.

Choice B rationale:

Being vague when answering the client’s questions about instructions could increase the client’s paranoia. Clear and direct communication is essential.

Choice C rationale:

Asking the client why he is suspicious of others could lead to defensive behavior. It’s better to focus on building trust and understanding.

Choice D rationale:

Using an overly friendly approach could be perceived as insincere or manipulative by a client with paranoid personality disorder. A neutral demeanor is more effective.

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Correct Answer is C

Explanation

Choice A rationale:

While liver enzymes are important to monitor for many medications, they are not typically affected by lithium.

Choice B rationale:

Uric acid levels are not typically affected by lithium.

Choice C rationale:

Lithium can affect the sodium levels in the body, making it important to monitor these levels while taking this medication.

Choice D rationale:

Erythrocyte sedimentation rate is not typically affected by lithium.

A. "The PSDA becomes applicable when a client reaches 65 years of age.”. B. "Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight.”. C. "As long as a person is not vomiting after eating, they do not have bulimia nervosa.”. D. "People who have bulimia nervosa are at risk for developing diabetes mellitus.”.

Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect. People with bulimia nervosa often consume large amounts of food in a short period of time, known as binge eating.

Choice B rationale:

This statement is correct. Despite the binge-purge cycle, individuals with bulimia nervosa can maintain an average or ideal body weight, making the disorder less noticeable.

Choice C rationale:

This statement is incorrect. While self-induced vomiting is a common method of purging in bulimia nervosa, other methods such as excessive exercise, fasting, or misuse of laxatives, diuretics, or enemas can also be used.

Choice D rationale:

This statement is incorrect. While bulimia nervosa can lead to various health complications, it is not directly associated with the development of diabetes mellitus.

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A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication? .

Correct Answer is C

Explanation

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Correct Answer is B

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A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder.
Which of the following strategies should the nurse plan to use?.