The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action. Which statement made by the client indicates that the teaching is effective?

"I will start basing my decisions and actions on reality."

"I am going to have to learn to trust other people."

"I will be able to differentiate when my suspicions are true."

"I understand the origins of my paranoid thinking."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement reflects an understanding of the need to ground perceptions in reality, which is a key step in managing paranoid personality disorder.

Choice B reason: While learning to trust others is important, it does not directly indicate that the client has learned to validate their ideas before acting.

Choice C reason: Being able to differentiate true suspicions can be part of managing the disorder, but it does not demonstrate an understanding of the need to validate ideas with others.

Choice D reason: Understanding the origins of paranoid thinking is insightful, but it does not show that the client has learned to validate their ideas before taking action.

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Correct Answer is D

Explanation

Choice A reason: The statement about fear being a response to an unknown threat is a common perception, but it does not reflect an understanding of anxiety as a broader concept.

Choice B reason: While anxiety and fear are related, they are not the same; fear is a response to a known or understood threat, whereas anxiety is often more diffuse and not tied to a specific stimulus.

Choice C reason: This statement reflects a negative view of anxiety and does not acknowledge that anxiety can sometimes be a normal and even productive response to stress.

Choice D reason: Recognizing that anxiety is a natural part of life and cannot be completely eliminated reflects an understanding of anxiety as a normal human emotion and is indicative of a successful education session.

A. The client will assess strengths and weaknesses realistically. B. The client will verbalize plans to join a community support group. C. The client will receive only prescribed medications. D. The client will initiate interactions with at least two other people in the facility. E. The client will share feelings openly within 48 hours.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Assessing strengths and weaknesses realistically helps the client to understand their capabilities and limitations post-withdrawal.

Choice B reason: Verbalizing plans to join a community support group indicates the client's commitment to ongoing recovery and support after discharge.

Choice C reason: Receiving only prescribed medications ensures the client does not relapse into drug use and maintains the treatment plan's integrity.

Choice D reason: Initiating interactions with others in the facility can help the client rebuild social skills and integrate into a community, which is beneficial for recovery.

Choice E reason: While sharing feelings is important, setting a specific timeframe such as 48 hours may not be realistic for every client and can vary based on individual readiness.

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The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action. Which statement made by the client indicates that the teaching is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a group session in the behavioral health unit for three clients on the topic of anxiety. The nurse determines that the session was successful based on which statement by the clients?

Correct Answer is D

Explanation

The nurse is planning the care of a client with bipolar disorder and addiction to heroin who is in a rehabilitation facility. Which outcomes will the nurse assign in the immediate phase after withdrawal symptoms are over? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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