The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.
Honor commitments to the client and be on time for scheduled appointments.
Initiate the interaction with superficial social conversation.
Use humor when interacting with the client.
Include the client when developing a plan of care.
Use a formal businesslike approach with the client.
Correct Answer : A,D,E
Choice A reason: Honoring commitments and punctuality are fundamental in building trust, especially with clients who may have trust issues due to paranoid personality disorder.
Choice B reason: Superficial social conversation may not be effective in fostering trust with a client who has paranoid personality disorder, as they may perceive it as insincere.
Choice C reason: Using humor can be misinterpreted and may not be appropriate when working with clients who have paranoid personality disorder, as they might suspect ulterior motives.
Choice D reason: Including the client in the development of their plan of care is crucial as it gives them a sense of control and involvement, which can foster trust.
Choice E reason: A formal businesslike approach can provide a sense of professionalism and boundaries, which can help in building trust with a client who has paranoid personality disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Children's natural activity levels and spontaneity can mimic the hyperactivity of bipolar mania, making it challenging to differentiate between typical behavior and symptoms of a mood disorder.
Choice B reason: This statement is incorrect; bipolar disorder can be diagnosed before the age of 18. Early-onset bipolar disorder is recognized and can be diagnosed in children and adolescents.
Choice C reason: ADHD and bipolar disorder share common symptoms such as impulsivity and inattention, which can complicate the differential diagnosis, especially in younger populations.
Choice D reason: Neurotransmitter levels do indeed vary with age, which can affect mood and behavior, thereby complicating the diagnosis of bipolar disorder in young individuals.
Choice E reason: While genetic predisposition plays a role in bipolar disorder, it alone is not a definitive diagnostic determinant due to the complex interplay of genetic and environmental factors.
Correct Answer is B
Explanation
Choice A reason: This statement reflects assertiveness and self-advocacy rather than suppressed anger. It shows the client's awareness of her value to the team and her willingness to negotiate for fair compensation.
Choice B reason: This statement suggests frustration and possible feelings of being undervalued or obstructed in career advancement, which could be indicative of suppressed anger.
Choice C reason: This statement seems to express gratitude for the accommodation provided for her needs as a new mother, rather than suppressed anger.
Choice D reason: This statement indicates a recognition of her own expertise and the demand for her skills within the team, which is a positive self-assessment and not suggestive of suppressed anger.
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