The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)

Paranoid

Avoidant

Schizotypal

Narcissistic

Antisocial

Answer and Explanation

Correct Answer : A,C,E

Choice A reason:

Individuals with Paranoid Personality Disorder often exhibit distrust and suspicion of others. A matter-of-fact approach is beneficial as it avoids emotional engagement that could be perceived as threatening or deceitful. This approach helps in maintaining clear boundaries and reduces the potential for misunderstanding or paranoia.

Choice B reason:

For those with Avoidant Personality Disorder, a matter-of-fact approach might not be as effective because these individuals are often sensitive to negative evaluation and rejection. They may require a more supportive and encouraging approach to help them feel more comfortable in social interactions.

Choice C reason:

People with Schizotypal Personality Disorder display eccentric behaviors and have difficulty forming close relationships. A matter-of-fact approach can provide structure and clarity without overwhelming them with emotional intensity, which they may find difficult to process.

Choice D reason:

Individuals with Narcissistic Personality Disorder may not respond well to a matter-of-fact approach as they often have an inflated sense of self-importance and a need for admiration. They may perceive this approach as dismissive or not adequately acknowledging their perceived self-worth.

Choice E reason:

Those diagnosed with antisocial personality disorder tend to disregard the rights of others and may manipulate or treat others harshly. A matter-of-fact approach is useful as it sets clear expectations and limits, which is necessary to manage potentially manipulative or harmful behaviors.

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Correct Answer is D

Explanation

Choice A reason: A decreased display of emotions, or blunted affect, is common in dementia as the illness affects the brain areas responsible for emotion regulation.

Choice B reason: While personality changes can occur, they do not typically present as complete opposites of original traits.

Choice C reason: Decreased auditory and visual acuity can be part of the cognitive decline associated with dementia.

Choice D reason: Forgetfulness that progresses to disorientation is a hallmark of dementia, reflecting the deterioration of cognitive functions over time.

A. Approach the client frequently throughout the day for brief interactions. B. Disclose some personal information to the client to demonstrate approachability. C. Approach the client frequently throughout the day for brief interactions. D. Wait for the client to initiate interaction.

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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The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

Correct Answer is D

Explanation

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Correct Answer is D

Explanation

The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

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