A patient with paranoid personality disorder is noted to sit alone in a corner of the unit living room. When anyone approaches, the patient is haughty or simply ignores the other person
When staff invite her to join an activity, she tells them, "I do not care to be with people who do not like me.". A nursing diagnosis that should be considered is: a. splitting.
b. activity intolerance.
c. powerlessness.
d. impaired social interaction.
D
Impaired social interaction is a state in which an individual participates in an insufficient (or excessive) quantity or quality of social exchange. A defining characteristic is dysfunctional interaction with others. The patient's suspiciousness, rigidity, and distortions of reality related to projection are likely responsible in this case. Splitting, powerlessness, and activity intolerance are not evident in this scenario.
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