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","D","E"]
Explanation
Choice A reason: Sharing personal feelings openly with the client can blur the professional boundaries necessary for a therapeutic relationship and is not typically encouraged.
Choice B reason: Establishing boundaries is crucial in maintaining a professional and therapeutic relationship, ensuring that both the nurse and client understand the limits and expectations of their interactions.
Choice C reason: While offering advice can be part of the therapeutic process, it is more important for the nurse to guide clients in finding their own solutions rather than providing direct advice.
Choice D reason: A therapeutic relationship should be professional and not based on personal feelings. The nurse's concern should be on the client's well-being rather than being liked.
Choice E reason: Maintaining a client focus at all times ensures that the care provided is centered on the client's needs, which is essential in a therapeutic relationship.
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.
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