Author Question: When developing a plan of care for the client with paranoid personality disorder, the nurse ... (Read 160 times)

Arii_bell · **on:** Jun 25, 2018

When developing a plan of care for the client with paranoid personality disorder, the nurse recognizes that a hallmark of the disorder is the client's:

1. impulsive behavior.
2. difficulty with interpersonal relationships.
3. preoccupation with delusions of persecution.
4. violation of the rights of others.

Question 2

A client with a personality disorder has a nursing diagnosis of disturbed thought processes. What should the nurse do when interacting with the client?

1. Allow visitors to stay longer than designated visiting hours.
2. Reassure the client that she is in a safe place.
3. Approach the client in a friendly, jovial manner.
4. Ignore suspicions and fears verbalized by the client.

Ashley I · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Impulsive behavior is a characteristic of antisocial personality disorder.
2. People with this disorder are so vigilant to the imagined malicious intentions of others that they can't develop satisfying relationships.
3. At times, they might express feelings of persecution or feel they are being plotted against.
4. Violation of others' rights is a characteristic of antisocial personality disorder.

Answer to Question 2

Answer: 2

1. Strict adherence to rules conveys assurance of safety.
2. Reassurance of a safe environment can help allay a client's underlying fear and insecurity.
3. Clients should be approached in a matter-of-fact, professional manner; excessive friendliness could be interpreted as a weakness or deceit.
4. Suspicions and fears shouldn't be ignored, but also should not be overemphasized.