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 B
Explanation
Choice A rationale
Referring the client for social services support is important but not the first action in addressing immediate safety.
Choice B rationale
Identifying thoughts of self-harm is crucial for immediate safety and risk management, making it the priority action.
Choice C rationale
Reinforcing coping skills is valuable but secondary to ensuring the client's safety.
Choice D rationale
Encouraging use of personal support systems is helpful but not the first priority in addressing immediate risk. .
Correct Answer is B
Explanation
Choice A rationale
Splitting is a defense mechanism where a person sees things in black-and-white, without the capacity to recognize nuances or integrate good and bad qualities together.
Choice B rationale
Suppression is a conscious decision to delay dealing with stressors or emotions until a later time, as the client does by focusing on their son’s wedding before addressing their health.
Choice C rationale
Reaction formation involves behaving in a way that's opposite to one's true feelings, which does not align with the client's expressed actions.
Choice D rationale
Projection is attributing one's own thoughts, feelings, or impulses to another person, not evident in the client's behavior.
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