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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Patients should not hold their insulin unless instructed by a physician, as it can lead to uncontrolled blood sugar levels.

Choice B reason: Taking vitamins with zinc and vitamin C can help with wound healing and immune function after surgery.

Choice C reason: Smoking should be stopped before surgery as it can impair wound healing and increase the risk of complications.

Choice D reason: Patients are typically advised to fast before surgery to reduce the risk of aspiration during anesthesia.

A. The client breathes only when their oxygen levels climb above a certain point. B. The client breathes only when their carbon dioxide levels climb above a certain point. C. The client doesn't notice they need to breathe. D. The client breathes only when their oxygen levels dip below a certain point.

Correct Answer is D

Explanation

Choice A reason: This statement is incorrect because it suggests that higher oxygen levels trigger breathing, which is not the case in hypoxic drive.

Choice B reason: While carbon dioxide levels do influence breathing, this statement is not accurate in the context of hypoxic drive, which is specifically about oxygen levels.

Choice C reason: This choice is incorrect because the client does notice the need to breathe, but the trigger is low oxygen rather than high carbon dioxide levels.

Choice D reason: This is correct. In clients with COPD, chronic high levels of carbon dioxide can lead to a reliance on low oxygen levels to stimulate breathing.

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Which of the following are NOT appropriate nursing interventions for Paranoid Personality Disorders? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a malnourished patient being prepared for surgery. Which statement by the patient regarding nutrition would indicate adequate teaching?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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