The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action. Which statement made by the client indicates that the teaching is effective?

"I will start basing my decisions and actions on reality."

"I am going to have to learn to trust other people."

"I will be able to differentiate when my suspicions are true."

"I understand the origins of my paranoid thinking."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement reflects an understanding of the need to ground perceptions in reality, which is a key step in managing paranoid personality disorder.

Choice B reason: While learning to trust others is important, it does not directly indicate that the client has learned to validate their ideas before acting.

Choice C reason: Being able to differentiate true suspicions can be part of managing the disorder, but it does not demonstrate an understanding of the need to validate ideas with others.

Choice D reason: Understanding the origins of paranoid thinking is insightful, but it does not show that the client has learned to validate their ideas before taking action.

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Correct Answer is ["B","D"]

Explanation

Choice A reason: Having two nurses present at all times may not be necessary and could be overwhelming for the client, making them feel less in control.

Choice B reason: Continuous assessment of the client's anxiety level is important to ensure that the nurse can respond to the client's needs and maintain a sense of safety.

Choice C reason: While promoting independence is good, the client may need assistance, and providing it can be part of creating a safe environment.

Choice D reason: Asking for permission is crucial as it respects the client's autonomy and helps them feel in control of their body, which is essential for someone who has experienced abuse.

Choice E reason: Having security present outside the room may be excessive and could contribute to a feeling of being guarded or watched, which may not be conducive to feeling safe and secure.

A. Focusing on one issue B. Interjecting personal experiences into the interactions C. Asking leading questions to obtain the most information D. Ensuring to ask the client to restate statements for clarity

Correct Answer is B

Explanation

Choice A reason: Focusing on one issue can help in understanding the client's situation better and does not necessarily hinder empathy.

Choice B reason: Interjecting personal experiences can create a barrier to empathy by shifting the focus from the client's feelings to the nurse's own experiences.

Choice C reason: Asking leading questions may not hinder empathy but could direct the conversation away from the client's concerns.

Choice D reason: Asking the client to restate statements for clarity is a part of active listening and can actually enhance empathy by ensuring understanding.

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The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action. Which statement made by the client indicates that the teaching is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been a victim of abuse since childhood. Which actions by the nurse are important to ensure that the client feels safe, secure, and in control of their own body? Select all that apply.

Correct Answer is ["B","D"]

Explanation

The nurse is attempting to develop empathy for a client but is not completely feeling empathetic. Which factor might be hindering the nurse from developing empathy for this client?

Correct Answer is B

Explanation

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