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 C

Explanation

C. This statement demonstrates an understanding of exposure therapy, a key component of agoraphobia treatment. Exposure therapy involves gradually facing feared situations or environments to reduce anxiety and desensitize the individual to their triggers.

A. While joining an online book club is a positive social activity, it does not directly address the fear associated with agoraphobia.

B. This statement reflects avoidance behavior, which is common in agoraphobia. However, avoiding

elevators and closed spaces perpetuates the fear and limits the client’s ability to function.

D. Group therapy can be beneficial for clients with agoraphobia. It provides social support, coping strategies, and exposure to others. However, this choice does not directly address the fear of open spaces.

A. Hallucinations B. Anhedonia C. Illusions D. Delusions

Correct Answer is D

Explanation

D. Delusions are false beliefs that are firmly held despite evidence to the contrary. They are not based on reality and are often resistant to rational persuasion or evidence. Delusions can take various forms, such as persecutory (feeling targeted or spied on), grandiose (believing in exaggerated self-importance), or paranoid (feeling threatened or persecuted).

A. Hallucinations involve perceiving sensory experiences that are not present in reality. These sensory experiences can occur in any of the five senses, including seeing, hearing, tasting, smelling, or feeling things that are not actually there.

B. Anhedonia refers to the inability to experience pleasure or interest in activities that are typically enjoyable.

C. Illusions involve misinterpreting real sensory stimuli. Unlike hallucinations, which involve perceiving sensory experiences that are not present, illusions occur when existing sensory stimuli are misinterpreted or distorted.

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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

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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