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 C

Explanation

Choice A reason: Supportive and encouraging relationships are typically protective against the development of eating disorders, not a contributing factor?.

Choice B reason: Having multiple siblings in the household does not directly indicate a cause for an eating disorder.

Choice C reason: A family's lack of interest can contribute to feelings of neglect or low self-worth, which are known risk factors for the development of eating disorders?.

Choice D reason: While overprotective parents can contribute to stress, they are not necessarily an indicator of why a client may be experiencing an eating disorder. The relationship between parenting style and eating disorders is complex and not solely causative?.

A. Electrolyte imbalance due to excessive laxative use. B. A sudden cardiac event unrelated to Bulimia Nervosa. C. An accidental fall causing unconsciousness. D. A reaction to another medication.

Correct Answer is A

Explanation

Choice A reason: Bulimia Nervosa often involves behaviors such as excessive laxative use, which can lead to severe electrolyte imbalances, potentially causing unconsciousness.

Choice B reason: While a sudden cardiac event is possible, it is less likely to be directly related to the history of Bulimia Nervosa and laxative use.

Choice C reason: There is no indication that an accidental fall occurred, and it would not be directly related to the history of laxative use.

Choice D reason: Without further information, it is speculative to attribute the unconsciousness to a reaction to another medication.

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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

During an assessment of family dynamics for a client with an eating disorder, which observed issue could indicate a reason for the client's eating disorder?

Correct Answer is C

Explanation

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa and finds the client unconscious on the floor with a history of using laxatives, what is the most likely cause of the client's current state?

Correct Answer is A

Explanation

A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

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