A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

Requiring frequent reassurance from others

Lack of feelings of remorse

Inflated sense of self

Suspiciousness of others

Answer and Explanation

The Correct Answer is D

A.   Requiring frequent reassurance is not typical of paranoid personality disorder. This is more common in dependent or avoidant personality disorders.
B.   Lack of feelings of remorse is more characteristic of antisocial personality disorder.
C.   An inflated sense of self is more characteristic of narcissistic personality disorder.
D.   Suspiciousness of others is a hallmark of paranoid personality disorder. Clients with this disorder often exhibit distrust and suspicion of others, believing that others are plotting against them.

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Correct Answer is D

Explanation

A. Telling the client to "work hard" to stay on schedule does not address the underlying difficulty with medication adherence.
B. Saying not to worry about past issues may minimize the client’s concerns and challenges.
C. Asking "why" the client finds it difficult to take medications might not encourage open communication and could make the client feel judged.
D. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.

A. "Why are you not seeing the value of this treatment plan for recovery?" B. "You may want to consider moving to a group home, since you will not be free of the troublesome symptoms." C. "While you may not be completely symptom-free, you should still see an increase in your quality of life by continuing with the treatment plan." D. "The medical model of recovery works to eliminate all symptoms. Maybe you should see a medical doctor."

Correct Answer is C

Explanation

A. Asking why the client doesn't see the value of treatment is confrontational and dismisses the client’s
experience.
B. Suggesting a group home without addressing the client’s personal goals or preferences could be perceived as dismissive.
C. While complete symptom resolution is not guaranteed, focusing on improving the client’s quality of
life and continuing treatment is more realistic and supportive.
D. The medical model of recovery emphasizes symptom management, but suggesting it works to eliminate all symptoms may be overly optimistic for someone with schizophrenia.

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A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

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