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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Assertiveness training is not a direct intervention for situational phobias, although it may help improve overall confidence.
Choice B reason: Systematic desensitization is a common technique used to treat phobias, where the client is gradually exposed to the fear-inducing situation in a controlled manner.
Choice C reason: Flooding is an exposure technique where the client is exposed to a high level of fear-inducing stimuli all at once, which can be effective for some phobias.
Choice D reason: Decatastrophizing helps clients challenge and change catastrophic thoughts that often accompany phobias.
Choice E reason: Simply reminding a person to calm down is not a therapeutic technique and is unlikely to be effective for someone with a situational phobia.
Correct Answer is D
Explanation
Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.
Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.
Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.
Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.
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