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?
Demonstrate a neutral demeanor.
Use an overly friendly approach.
Ask the client why he is suspicious of others.
The Correct Answer is A
Choice A rationale
Demonstrating a neutral demeanor helps build trust with a client who has a paranoid personality disorder. This approach is non-threatening and avoids triggering the client's suspicious tendencies.
Choice B rationale
Using an overly friendly approach can increase the client's suspicion and anxiety, making them feel manipulated or deceived.
Choice C rationale
Asking the client why they are suspicious can be perceived as confrontational and may cause the client to become defensive and less cooperative.
Choice D rationale
Being vague when answering the client's questions can increase their paranoia and mistrust, as it may seem like the nurse is hiding something.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Monitoring liver enzymes is important for medications that can cause hepatotoxicity, but lithium primarily affects the kidneys and electrolyte balance.
Choice B rationale
Sodium levels must be monitored while taking lithium because lithium can alter sodium and fluid balance. Changes in sodium levels can affect lithium levels and potentially lead to toxicity.
Choice C rationale
Uric acid levels are monitored with medications that can cause hyperuricemia, such as diuretics, but not typically for lithium therapy.
Choice D rationale
Erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and is not specifically monitored for clients taking lithium. .
Correct Answer is D
Explanation
Choice A rationale
Asthma is a chronic condition affecting the airways in the lungs, but it does not contraindicate electroconvulsive therapy (ECT). ECT does not exacerbate asthma symptoms, and patients with asthma can safely undergo ECT with appropriate monitoring and management of their respiratory condition during the procedure.
Choice B rationale
Crohn's disease is a chronic inflammatory condition of the gastrointestinal tract, and it is not a contraindication for ECT. Although Crohn's disease requires medical management, ECT does not interfere with the treatment or exacerbate the condition, making it a safe option for patients with this disease.
Choice C rationale
Renal colic, which is severe pain caused by kidney stones, is not a contraindication for ECT. Although renal colic is a painful condition that requires medical attention, it does not impact the safety or effectiveness of ECT, allowing patients with this condition to receive ECT if needed.
Choice D rationale
Cardiac arrhythmia, which refers to an irregular heartbeat, is a contraindication for ECT because the procedure can increase the risk of cardiac complications. ECT involves electrical stimulation that can affect heart rhythm, making it unsafe for patients with preexisting cardiac arrhythmias, who require a thorough cardiac evaluation and management before considering ECT.
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