Which of the following are NOT appropriate nursing interventions for Paranoid Personality Disorders? (Select all that apply.)
Make decisions for the patient at the patient's request.
Avoid situations that the patient may perceive as demeaning.
Greatly limit social contact to decrease the chance of regressing to prior problematic behavior.
Avoid discussing the treatment plan to decrease the chance of the patient manipulating the plan.
Maintain honest, open communication
Correct Answer : A,C,E
Choice A reason: Making decisions for the patient can undermine their autonomy and is not therapeutic in treating Paranoid Personality Disorder.
Choice B reason: Avoiding situations that the patient may perceive as demeaning is actually an appropriate intervention, as it helps to build trust and rapport.
Choice C reason: Greatly limiting social contact is not recommended as it can increase feelings of isolation and paranoia.
Choice D reason: Avoiding discussion of the treatment plan is not appropriate; patients should be involved in their care decisions to the greatest extent possible.
Choice E reason: Maintaining honest, open communication is an appropriate and necessary intervention for building a therapeutic relationship with a patient with Paranoid Personality Disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Divorce can be a stressor, but it is not universally stressful to every individual; it depends on the person's experience and perception.
Choice B reason: Stress is subjective, and what one person finds stressful may not be stressful to another. Therefore, if the patient identifies an event as stressful, it should be considered as such.
Choice C reason: Loss of job can be a significant stressor due to financial and social implications, but again, it depends on the individual's circumstances and perception.
Choice D reason: Surgery can be a stressor due to its impact on physical health and potential for causing anxiety about medical procedures and outcomes.
Correct Answer is C
Explanation
Choice A reason: While injury and age can be risk factors, they are not the greatest contributors to RA, which is an autoimmune disease.
Choice B reason: Heat therapy can help relieve pain in some cases, but it is not always the best response for acutely inflamed joints; cold therapy is often recommended to reduce inflammation.
Choice C reason: RA can affect multiple body systems beyond the joints, including the cardiovascular and respiratory systems, so it is essential to monitor all body systems.
Choice D reason: Exercise is actually beneficial for patients with RA to maintain joint function and muscle strength; rest is important, but should be balanced with physical activity.
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