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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.

Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.

Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.

Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.

A. "My spouse had a terrible childhood, and I would probably do the same things." B. "If I don't give them money for the drugs, they will just steal it anyway." C. "I told my spouse that in order to be able to come home, they will first have to go to rehab." D. "I am so scared about my spouse getting fired; I often call in sick for them." E. "I can't keep money in the house and have to lock up jewelry in a safe."

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: This statement reflects a justification of the spouse's behavior, which can enable the continuation of abuse.

Choice B reason: Providing money for drugs, even if to prevent theft, is enabling the substance abuse to continue.

Choice C reason: Encouraging rehab is not enabling; it is an attempt to address the problem.

Choice D reason: Calling in sick for the spouse to cover for their potential job loss due to substance abuse is an enabling behavior.

Choice E reason: This is a protective behavior. Both are healthy responses to dealing with a partner’s destructive behavior.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

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