The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)
Schizotypal
Avoidant
Narcissistic
Antisocial
Paranoid
Correct Answer : A,D,E
Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.
Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.
Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.
Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.
Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Risperidone is an antipsychotic medication commonly used to treat positive symptoms of schizophrenia, such as hallucinations or delusions.
Choice B reason: Haloperidol can be used to treat positive symptoms, but it is not as commonly used as risperidone due to its side effect profile.
Choice C reason: Clonazepam is typically used for anxiety or seizure disorders and is not the primary medication for treating schizophrenia symptoms.
Choice D reason: Clozapine is often reserved for treatment-resistant schizophrenia and is used to treat both positive and negative symptoms, but it is not the first-line treatment due to its potential side effects.
Correct Answer is D
Explanation
Choice A reason: Frequent brief interactions can help build trust with a suspicious client by showing consistent and predictable behavior from the nurse.
Choice B reason: Disclosing personal information is not typically recommended as it can blur professional boundaries and may not be effective in establishing trust.
Choice C reason: This choice is a repetition of choice A and therefore does not provide a new approach.
Choice D reason: Waiting for the client to initiate interaction might lead to missed opportunities for engagement and could reinforce the client's suspicions.
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