Which of the following are NOT appropriate nursing interventions for Paranoid Personality Disorders? (Select all that apply.)
Make decisions for the patient at the patient's request.
Avoid situations that the patient may perceive as demeaning.
Greatly limit social contact to decrease the chance of regressing to prior problematic behavior.
Avoid discussing the treatment plan to decrease the chance of the patient manipulating the plan.
Maintain honest, open communication
Correct Answer : A,C,E
Choice A reason: Making decisions for the patient can undermine their autonomy and is not therapeutic in treating Paranoid Personality Disorder.
Choice B reason: Avoiding situations that the patient may perceive as demeaning is actually an appropriate intervention, as it helps to build trust and rapport.
Choice C reason: Greatly limiting social contact is not recommended as it can increase feelings of isolation and paranoia.
Choice D reason: Avoiding discussion of the treatment plan is not appropriate; patients should be involved in their care decisions to the greatest extent possible.
Choice E reason: Maintaining honest, open communication is an appropriate and necessary intervention for building a therapeutic relationship with a patient with Paranoid Personality Disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Schizotypal personality disorder is characterized by odd beliefs, eccentric behavior, and difficulty with social relationships, yet individuals can still function in society.
Choice B reason: Narcissistic personality disorder involves a pattern of grandiosity and a need for admiration, not necessarily bizarre behavior.
Choice C reason: Antisocial personality disorder is marked by a disregard for the rights of others, not specifically bizarre behavior.
Choice D reason: Borderline personality disorder includes instability in relationships and self-image, which may not be described as "very bizarre behavior".
Correct Answer is ["A","D"]
Explanation
Choice A reason: Lack of interest is a negative symptom of schizophrenia, characterized by a diminished ability to initiate and sustain planned activities.
Choice B reason: Hyperactivity is not typically considered a negative symptom of schizophrenia.
Choice C reason: Delusions are considered positive symptoms, not negative symptoms of schizophrenia.
Choice D reason: Neglect of personal hygiene is a negative symptom, reflecting a decrease in the ability to manage personal self-care.
Choice E reason: Irrational actions are more aligned with positive symptoms due to their active nature.
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