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.
Use an overly friendly approach.
Ask the client why he is suspicious of others.
The Correct Answer is A
Choice A rationale
Demonstrating a neutral demeanor helps build trust with a client who has a paranoid personality disorder. This approach is non-threatening and avoids triggering the client's suspicious tendencies.
Choice B rationale
Using an overly friendly approach can increase the client's suspicion and anxiety, making them feel manipulated or deceived.
Choice C rationale
Asking the client why they are suspicious can be perceived as confrontational and may cause the client to become defensive and less cooperative.
Choice D rationale
Being vague when answering the client's questions can increase their paranoia and mistrust, as it may seem like the nurse is hiding something.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Diarrhea is a common symptom of opioid withdrawal due to increased gastrointestinal motility.
Choice B rationale
Hypokinesis, or decreased movement, is not associated with opioid withdrawal. Withdrawal symptoms include restlessness and agitation.
Choice C rationale
Bradycardia, or slow heart rate, is not a typical manifestation of opioid withdrawal. Tachycardia (increased heart rate) is more common.
Choice D rationale
Meiosis, or pupil constriction, occurs with opioid use. During withdrawal, mydriasis (dilated pupils) is more common.
Correct Answer is B
Explanation
Choice A rationale
Scheduling long teaching sessions is not effective for older adults, as it can lead to fatigue and decreased attention. Short, focused sessions are more beneficial to promote participation and information retention among older adults, who may have limitations in concentration and stamina.
Choice B rationale
Using "I" statements rather than "you" statements helps build rapport and reduces defensiveness. It fosters a supportive learning environment by focusing on the instructor's perspective and experiences, making the communication more personal and less confrontational.
Choice C rationale
Assisting clients in establishing long-term goals is important but not the primary method to eliminate learning barriers. Effective teaching strategies for older adults should prioritize immediate and relevant information that can be easily understood and applied, rather than focusing solely on long-term planning.
Choice D rationale
Ensuring teaching sessions occur right before bedtime is not advisable for older adults, as they may be tired and less receptive to new information. Optimal learning times should be chosen based on the clients' energy levels and alertness, typically earlier in the day.
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