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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Placing a lock at the top of doors helps prevent the client from wandering outside, ensuring safety.

Choice B rationale

Using light restraints is not recommended due to ethical concerns and potential harm.

Choice C rationale

Administering antianxiety medication should not be the first strategy due to potential side effects and over-medication.

Choice D rationale

Encouraging napping during the day may worsen nighttime wakefulness and wandering.

A. The PSDA becomes applicable when a client reaches 65 years of age. B. A client can verbally designate a durable power of attorney. C. Advance directives do not apply to clients receiving mental health care. D. A witness is legally required to sign a client's living will.

Correct Answer is D

Explanation

Choice A rationale

The PSDA is applicable to all adults, not just those who reach 65 years of age. It ensures patients can make their own health care decisions regardless of age.

Choice B rationale

Advance directives must be documented in writing. A verbal designation of a durable power of attorney is not legally sufficient.

Choice C rationale

Advance directives are applicable to all clients, including those receiving mental health care. They ensure a client’s treatment preferences are respected.

Choice D rationale

A witness is legally required to sign a client's living will to validate the document and ensure that it is the client's voluntary and informed decision.

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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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?