A client with a diagnosis of paranoid personality disorder appears hypervigilant and sits alone in an isolated area of the unit. The client does not acknowledge other clients and often uses sarcasm when addressing staff.
The nurse invites the client to attend a milieu group, but the client ignores the nurse's efforts. An appropriate nursing diagnosis for this client is which of the following? A) Powerlessness
B) Fear
C) Activity intolerance
D) Impaired social interaction
Question 2
Nurses must care for the abuser, as well the abused person. You are caring for a middle-aged man who is under medical and psychiatric care for molesting a 7-year-old girl. You inform him that dinner is being served in the dining room.
He tells you to leave and that he does not want anyone to see him or know what I did. You respond:
A) You will need to face people sooner or later.
B) You are here for treatment of an illness, not judgment of an action.
C) I guess I wouldn't want to been seen either. You may stay here.
D) Only the staff knows the reason for your admission.
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