The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.
Honor commitments to the client and be on time for scheduled appointments.
Initiate the interaction with superficial social conversation.
Use humor when interacting with the client.
Include the client when developing a plan of care.
Use a formal businesslike approach with the client.
Correct Answer : A,D,E
Choice A reason: Honoring commitments and punctuality are fundamental in building trust, especially with clients who may have trust issues due to paranoid personality disorder.
Choice B reason: Superficial social conversation may not be effective in fostering trust with a client who has paranoid personality disorder, as they may perceive it as insincere.
Choice C reason: Using humor can be misinterpreted and may not be appropriate when working with clients who have paranoid personality disorder, as they might suspect ulterior motives.
Choice D reason: Including the client in the development of their plan of care is crucial as it gives them a sense of control and involvement, which can foster trust.
Choice E reason: A formal businesslike approach can provide a sense of professionalism and boundaries, which can help in building trust with a client who has paranoid personality disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Psychotic behavior is not common in postpartum depression; it is more associated with postpartum psychosis, a rare and severe form of the condition.
Choice B reason: Harming the infant is not a common manifestation of postpartum depression and is a misconception.
Choice C reason: Postpartum depression does not typically begin 48 hours after childbirth; this is more indicative of the "baby blues," which are less severe and more transient.
Choice D reason: Women with a history of depression are at a higher risk for postpartum depression, making this statement accurate.
Correct Answer is D
Explanation
Choice A reason: Sleeping excessively can be a response to depression or trauma, but it is not a specific symptom of PTSD.
Choice B reason: A constant need to talk about the event is not typical for PTSD, as individuals with PTSD often avoid reminders of the trauma.
Choice C reason: An increasing sense of attachment to others is not commonly associated with PTSD, which often involves feelings of detachment.
Choice D reason: Increasing feelings of anger are common in PTSD as individuals may have difficulty managing their emotions related to the trauma.
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