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
Explanation
Choice A reason: While encouragement is important, it does not necessarily indicate that the family understands the complexities of anorexia nervosa.
Choice B reason: Eating together can provide support and structure, which are important aspects of recovery in eating disorders.
Choice C reason: While resolving family conflicts is beneficial, it does not directly relate to understanding the eating disorder itself.
Choice D reason: Spending less time discussing troublesome family members does not reflect an understanding of how to support a family member with an eating disorder.
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Ongoing communication with team members is essential in managing care for clients with personality disorders, as it ensures consistency and support among caregivers.
Choice B reason: Solving clients' problems is a goal, but it is not a technique to manage the nurse's frustration.
Choice C reason: Recognizing that behavior changes can occur quickly allows the nurse to adjust care plans promptly and may reduce frustration.
Choice D reason: It is not advisable to consider clients as personal friends, as this can blur professional boundaries and potentially lead to frustration.
Choice E reason: Discussing feelings of anger or frustration with colleagues can provide a support system for the nurse, helping to manage stress and prevent burnout.
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