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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: An illusion is a misinterpretation of a real external stimulus. Mr. S is mistaking the cracks in the plaster for snakes, which is an illusion.

Choice B reason: A flashback is a vivid memory of a traumatic event that feels like it is happening again. This does not describe Mr. S's experience.

Choice C reason: A hallucination is a sensory experience of something that does not exist outside the mind. Since Mr. S is misinterpreting an actual visual stimulus (the cracks), it is not a hallucination.

Choice D reason: A delusion is a firmly held false belief resistant to reason or confrontation with actual fact. Mr. S's belief is based on a misinterpretation of a visual stimulus, not a delusion.

A. Lying prone as prescribed. B. Promoting coordination exercises. C. Building upper body strength. D. Maintaining residual limb elevation.

Correct Answer is C

Explanation

Choice A reason: Lying prone may be part of the care plan but is not specifically aimed at promoting ambulation.

Choice B reason: Coordination exercises are important but secondary to building the strength necessary for using mobility aids.

Choice C reason: Building upper body strength is essential for a patient who has had an above-the-knee amputation to be able to use assistive devices for ambulation effectively.

Choice D reason: Maintaining residual limb elevation is important for reducing swelling but does not directly promote ambulation.

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Which of the following are NOT appropriate nursing interventions for Paranoid Personality Disorders? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

Correct Answer is A

Explanation

The nurse is providing care for a patient after an above-the-knee amputation due to diabetes complications. Which nursing care is essential for promoting ambulation?

Correct Answer is C

Explanation

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