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: Serving food in sealed packaging can help alleviate the client's fears of poisoning, as the intact seals provide visual assurance that the food has not been tampered with.

Choice B reason: While serving warm foods with lids may keep the food warm, it does not necessarily provide the same level of reassurance against the fear of poisoning as sealed packaging does.

Choice C reason: Serving the same food as others may not be effective if the client's delusions include beliefs that they are being specifically targeted.

Choice D reason: Although serving the client's favorite foods in an attractive arrangement may be appealing, it does not address the specific paranoid delusion of food being poisoned.

A. "What would you do if a small child was lost in the store?" B. "What city were you born in?" C. "Can you tell me what you had for breakfast this morning?" D. "Who is the president of the United States?"

Correct Answer is A

Explanation

Choice A reason: This question assesses abstract thinking and judgment by asking the client to consider a hypothetical situation and propose a solution.

Choice B reason: Asking about the city of birth is a fact-based question and does not assess abstract thinking or judgment.

Choice C reason: Inquiring about breakfast is a recall question and does not evaluate abstract thinking or judgment.

Choice D reason: Asking who the president is tests knowledge of current events, not abstract thinking or judgment.

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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

A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?

Correct Answer is A

Explanation

Which question will the nurse ask a client when assessing their abstract thinking and judgment?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

The nurse is caring for a patient with severe anemia and a hemoglobin level of 4 g/dL. Which clinical manifestation will the nurse expect the patient to exhibit?

The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

Nurses understand that patients who deliberately pretend to be ill are:

The nurse is collecting admission data on a new patient with a long health history. Which of the following life events is considered a stressor?

The most current thinking on the cause of schizophrenia is that it is: