To plan effective interventions the nurse should understand that ...

[AEWBW]

To plan effective interventions the nurse should understand that the underlying reason a client with
  paranoid personality disorder is so critical of others probably lies in the client's
 
  a. need to set limits.
  b. use of intellectualization to protect against anxiety.
  c. inflexible view of the environment.
  d. projection of self-hate, hurt, and rage.

Question 2

A client with depersonalization disorder tells the nurse It's starting again. I feel as though I'm
  going to float away.. The nurse should help the client by
 
  a. advising her to begin meditating.
  b. administering an as-needed anxiolytic.
  c. helping her visualize a pleasant scene.
  d. staying with her to help her focus on the here and now.

[epscape]

Answer to Question 1

D
Projection allows the client to disown negative feelings about self and see these feelings as being
directed at self from an outside source (the nurse). The client then can justifiably retaliate by being
hostile to the nurse. To realize that the client is accusing the nurse of his or her own faults makes the
criticism easier to manage without retaliation. The other options are not related to the dynamics of
critical behaviors on the part of the client.

Answer to Question 2

ANS: D
Talking with someone who can help the client focus on reality allows the client to interrupt the
stimulus to dissociate. Options A, B, and C foster detachment.

[AEWBW]

TYSM

[ttt030911]

Thanks for the timely response, appreciate it