A nurse is caring for a client with paranoid personality disorder who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Disclose some personal information to the client to demonstrate approachability.

Approach the client frequently throughout the day for brief interactions.

Adopt a neutral attitude when providing care.

Wait for the client to initiate interaction.

Answer and Explanation

The Correct Answer is C

C. A neutral attitude communicates respect, professionalism, and non-threatening intentions. It helps to minimize the client's feelings of being scrutinized or manipulated and creates a safe environment for the client to engage in therapeutic interactions.

A. Disclosing personal information may further exacerbate the client's mistrust and suspicion, as they may interpret it as confirmation of their paranoid beliefs or as an attempt to manipulate them.

B. Approaching the client frequently throughout the day may be overwhelming and increase the client's suspicion. Clients with paranoid personality disorder often feel threatened by perceived intrusions into their personal space or privacy.

D. While it's essential to respect the client's autonomy and boundaries, waiting for the client to initiate interaction may prolong the establishment of a therapeutic relationship, especially with a client who is suspicious and mistrustful.

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Correct Answer is D

Explanation

A. Encouraging client input in the treatment plan is important for promoting client autonomy and engagement in their care. However, while it is a valuable intervention, it may not address the immediate needs or safety concerns of the client with histrionic personality disorder.

B.Clients with HPD may interpret vague or ambiguous communication in exaggerated ways. Concrete language helps prevent misunderstandings and maintains a therapeutic relationship. However, this is not the prority.

C. While assertiveness is valuable, it is not the primary focus at this stage.

D. Managing the clients behavior within the group is the priority intervention for the client who has histrionic personality disorder because these clients display extreme attention seeking behaviors and are often impulsive.

A. People taking methadone run the same risks associated with IV drug use as those taking heroin. B. Methadone will meet the physical need for opiates without producing the cravings for more. C. Unlike heroin, methadone is non-addicting. D. Methadone will produce a high similar to heroin.

Correct Answer is B

Explanation

B. Methadone is a long-acting opioid agonist that helps stabilize individuals with opioid dependence by alleviating withdrawal symptoms and reducing drug cravings.

A. Methadone maintenance treatment (MMT) is a recognized and evidence-based approach for managing opioid dependence. When used as prescribed under the supervision of healthcare professionals, methadone is administered orally in controlled doses

C. Methadone is an opioid medication with the potential for dependence and addiction, especially when used improperly or in higher doses than prescribed.

D. Methadone is a long-acting opioid agonist that acts on the same receptors in the brain as heroin and other opioids. However, when used as prescribed for opioid dependence treatment, methadone is administered in controlled doses that are carefully titrated to stabilize individuals without producing euphoria or intoxication.

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A nurse is caring for a client with paranoid personality disorder who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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