A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?

Be vague when answering the client's questions about instructions.

Ask the client why they are suspicious of others.

Demonstrate a neutral demeanor.

Use an overly friendly approach.

Answer and Explanation

The Correct Answer is C

A. Be vague when answering the client's questions about instructions: Vagueness can increase suspicion and mistrust in a client with paranoid personality disorder. Clear, consistent communication is necessary to establish trust and reduce anxiety.

B. Ask the client why they are suspicious of others: Directly challenging or questioning the client’s suspicions may provoke defensiveness or hostility. Exploration of suspicious thoughts should be approached cautiously and only after trust is established.

C. Demonstrate a neutral demeanor: Maintaining a neutral, calm, and consistent demeanor helps the client feel safe and reduces the likelihood of triggering paranoia. This approach supports the development of a therapeutic relationship without escalating mistrust.

D. Use an overly friendly approach: Excessive friendliness or flattery can be perceived as manipulative or insincere, increasing the client’s suspicion. A professional, measured approach is more effective in building rapport.

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Correct Answer is B

Explanation

A. "I'm uncomfortable when people tell sexually explicit jokes.": Discomfort with sexually explicit jokes reflects personal boundaries and social comfort, but it does not indicate a concern about the client’s own sexuality or sexual function.

B. "I feel like my ability to perform sexually has changed since I've gotten older.": This statement directly expresses a concern about sexual function and performance, indicating the client may be experiencing changes in libido, arousal, or sexual satisfaction. It signals the need for assessment and counseling regarding sexual health.

C. "I have the same level of sexual desire for my partner as I did in the past.": Maintaining sexual desire suggests that the client does not have current concerns about sexuality. It reflects stability in sexual function rather than a problem or worry.

D. "I've been with the same sexual partner for 13 years.": Duration of a relationship provides context about the client’s sexual history but does not indicate a current concern regarding sexuality. It is descriptive rather than indicative of distress or issues.

A. Decreased appetite B. Restlessness C. Weight gain D. Difficulty concentrating E. Diarrhea

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

Explanation

A. Decreased appetite: Nicotine withdrawal typically causes an increase in appetite rather than a decrease. Clients may experience cravings for food as a substitute for nicotine, making decreased appetite an unlikely manifestation during cessation.

B. Restlessness: Restlessness and irritability are common symptoms of nicotine withdrawal. The nervous system responds to the absence of nicotine stimulation, leading to agitation, anxiety, and difficulty remaining calm.

C. Weight gain: Weight gain frequently occurs after nicotine cessation because metabolism may slow and caloric intake often increases as clients substitute food for nicotine. This is a well-documented effect during withdrawal.

D. Difficulty concentrating: Nicotine stimulates the central nervous system, so withdrawal can impair attention and focus. Clients may report trouble concentrating, memory lapses, or mental fog during the early stages of cessation.

E. Diarrhea: Diarrhea is not typically associated with nicotine withdrawal. Gastrointestinal effects during withdrawal usually involve constipation rather than diarrhea due to decreased gastrointestinal motility.

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A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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