Author Question: The client with a paranoid personality disorder is described as haughty, aloof, and superior acting ... (Read 34 times)

audragclark · **on:** Jul 19, 2018

The client with a paranoid personality disorder is described as haughty, aloof, and superior acting in
addition to being highly suspicious. Whenever the nurse interacts with this client, she describes
feelings of being belittled.

The nurse adds Sometimes I'd like to tell the client I don't think you're
so hot, either.' The nurse's mentor would correctly advise
a. Feel free to show the client you feel angry..
b. The relationship will deteriorate if you retaliate..
c. Tell the client the belittling behavior hurts your feelings..
d. You need to get some distance from the client. Stay away for a day or two..

Question 2

Which of the following tips would be useful to an American nurse preparing for a cross-cultural
encounter with a female client from Japan? (More than one answer may be correct.)

A. Anticipate diversity.
B. Promote a feeling of acceptance.
C. Learn what it means to be the client by assessing health beliefs.
D. Facilitate communication by using direct eye contact and a handshake.
E. Remember that all Eastern women adhere to the same cultural norms.

batool · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Courtesy, honesty, and respect are the cardinal rules in treating a paranoid individual. Option A: The
nurse cannot act out countertransference reactions. The goal is to make the client feel comfortable
and secure in his or her surroundings. Retaliation and rejection thwart that goal. Option C is
inappropriate advice. Option D promotes withdrawal from the client. The behavior is inconsistent
with earlier behavior and would destroy trust.

Answer to Question 2

ANS:
A, B, C
Rationale: Options A, B, and C are helpful hints. Option A: Anticipating diversity puts the nurse in a
position of guarding against stereotyping and opens the nurse to cultural awareness. Option B:
Promoting feelings of acceptance prevents cultural pain. Option C: Learning about the position of
the client facilitates empathy. Option D: The least useful strategy would be to use direct eye contact
and touch. In a cross-cultural encounter strategies known to be acceptable to the client are
preferable. When particular strategies have not been identified, try to avoid offending the client.
Direct eye contact and touch may be offensive to clients whose culture calls for more reserved
cultural practices. Option E: This stereotype may lead to culturally insensitive care decisions.