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. Assigning a private room may increase isolation, which is not conducive to a therapeutic environment.
B. Tucking bedcovers over the client’s hands and arms could be a restrictive action, not appropriate for
suicide prevention.
C. Removing utensils is not necessary unless the client has direct access to harmful objects.
D. Inspecting personal belongings ensures that the client does not have items that could be used for self-harm, which is a key suicide precaution.

A. "He spends much of his time with his school friends." B. "He is very religious and attends services twice a week." C. "He has slept 9 hours each night for the past 2 years." D. "His basketball coach committed suicide last month."

Correct Answer is D

Explanation

A. Spending time with friends is generally a healthy social behavior.
B. Being religious and attending services does not indicate suicidal risk.
C. Sleeping 9 hours per night is within a normal range for an adolescent.
D. The statement about the basketball coach committing suicide may indicate the adolescent is at risk for suicide, as exposure to suicide can increase the likelihood of suicidal behavior.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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