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 C

Explanation

Choice A reason: Fear of heights is known as acrophobia, not agoraphobia.

Choice B reason: Fear of blood is known as hemophobia, not agoraphobia.

Choice C reason: Agoraphobia is the fear of being in situations where escape might be difficult or that help wouldn't be available if things go wrong, such as shopping in a large mall.

Choice D reason: Fear of speaking is known as glossophobia, not agoraphobia.

A. Call the surgeon to talk to the patient. B. Offer to call the chaplain for this patient. C. Inform the patient that the survival rate for this surgery is very high. D. Recommend analgesics only during surgery.

Correct Answer is C

Explanation

Choice A reason:

Calling the surgeon to talk to the patient may be helpful in some cases, but it does not directly address the patient's immediate emotional needs. The surgeon can provide detailed information about the procedure, which might alleviate some fears, but this is not always the immediate solution.

Choice B reason:

Offering to call the chaplain for the patient could provide emotional and spiritual support, which is important in holistic care. However, this should be done in addition to addressing the patient's concerns about the surgery itself.

Choice C reason:

Informing the patient that the survival rate for this surgery is very high directly addresses the patient's fear about not surviving the surgery. Providing factual reassurance about the success rate can help to alleviate anxiety and is an appropriate immediate response.

Choice D reason:

Recommending analgesics only during surgery does not address the patient's expressed fear and is not an appropriate response to the emotional concern. Analgesics are for pain management and do not provide reassurance about the outcome of the surgery.

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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

Agoraphobia is characterized by which of the following?

Correct Answer is C

Explanation

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Correct Answer is C

Explanation

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