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 B
Explanation
Choice A reason: This statement suggests a possible external cause for the hair loss, which might not be related to a psychological issue.
Choice B reason: Observing the child pulling out hair and attempting to conceal it indicates trichotillomania, a disorder characterized by a compulsive urge to pull out one's hair.
Choice C reason: Genetic factors could contribute to hair loss, but the statement does not directly suggest a behavioral or psychological disorder.
Choice D reason: The lack of apparent nervousness or upset in the child does not rule out psychological reasons for hair loss, such as trichotillomania, which can sometimes be a covert behavior.
Correct Answer is ["B","D","E","F"]
Explanation
Choice A reason: Physical health is a critical component of overall well-being and can affect mental health recovery.
Choice B reason: Mental health support, including therapy and support groups, is essential for managing depression and preventing relapse.
Choice C reason: Alcohol consumption can interfere with antidepressant efficacy and may worsen depression symptoms.
Choice D reason: Feelings of self-worth are often impacted in depression and can influence the client's motivation and engagement in treatment.
Choice E reason: Family history may provide insights into genetic predispositions and patterns that could affect the client's mental health.
Choice F reason: Access to lethal means is a significant risk factor for suicide and must be addressed in the safety planning for clients with depression.
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