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 D

Explanation

Choice A reason: This statement is incorrect because it suggests that higher oxygen levels trigger breathing, which is not the case in hypoxic drive.

Choice B reason: While carbon dioxide levels do influence breathing, this statement is not accurate in the context of hypoxic drive, which is specifically about oxygen levels.

Choice C reason: This choice is incorrect because the client does notice the need to breathe, but the trigger is low oxygen rather than high carbon dioxide levels.

Choice D reason: This is correct. In clients with COPD, chronic high levels of carbon dioxide can lead to a reliance on low oxygen levels to stimulate breathing.

A. Empty the drain device every shift. B. Minimize use of the affected arm. C. Measure the circumference of both arms. D. Place the affected arm below the level of the heart.

Correct Answer is A

Explanation

Choice A reason: Emptying the drain device every shift is important to prevent infection and accumulation of fluid, which can impede healing.

Choice B reason: Minimizing use of the affected arm is not recommended; rather, gentle exercises to promote circulation and prevent lymphedema are usually encouraged.

Choice C reason: Measuring the circumference of both arms can be part of monitoring for lymphedema, but it is not the priority in immediate post-mastectomy care.

Choice D reason: Placing the affected arm below the level of the heart is not recommended as it can increase swelling; elevation is usually advised.

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

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Naxlex Comprehensive Predictor Exams

A client with COPD should receive only 1-2 liters per minute of oxygen, if needed, or they may lose their hypoxic drive. Which of the following statements is correct about hypoxic drive?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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