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 D
Explanation
Choice A reason: Acrophobia is the fear of heights, not water, and is considered a natural environment type of phobia.
Choice B reason: Aquaphobia is indeed the fear of water, but it is classified as a natural environment type of phobia, not situational.
Choice C reason: Acrophobia is incorrectly associated here; it is the fear of heights and not related to water.
Choice D reason: Aquaphobia is the correct term for an excessive fear of water, and it is identified as a natural environment type of phobia.
Correct Answer is A
Explanation
Choice A reason: A family environment characterized by high levels of criticism and perfectionism can contribute to the development of eating disorders like Bulimia Nervosa. Such an environment may lead to feelings of inadequacy and a focus on appearance, which are risk factors for Bulimia Nervosa.
Choice B reason: A supportive and nurturing environment is generally protective against the development of eating disorders.
Choice C reason: While a family history of similar disorders can be a risk factor due to genetic predisposition, it is not a family dynamic.
Choice D reason: Lack of boundaries and control within a family can contribute to various behavioral issues, but high criticism and perfectionism are more directly related to Bulimia Nervosa.
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