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: This statement shows that the client is willing to ground their decisions in reality, which is a key step in managing paranoid personality disorder.
Choice B reason: Trusting others is important, but it does not indicate that the client has learned to validate their ideas before acting.
Choice C reason: Differentiating true suspicions is 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.
Correct Answer is B
Explanation
Choice A reason: This statement reflects assertiveness and self-advocacy rather than suppressed anger. It shows the client's awareness of her value to the team and her willingness to negotiate for fair compensation.
Choice B reason: This statement suggests frustration and possible feelings of being undervalued or obstructed in career advancement, which could be indicative of suppressed anger.
Choice C reason: This statement seems to express gratitude for the accommodation provided for her needs as a new mother, rather than suppressed anger.
Choice D reason: This statement indicates a recognition of her own expertise and the demand for her skills within the team, which is a positive self-assessment and not suggestive of suppressed anger.
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