A client with paranoid personality disorder is noted to sit alone in a corner of the unit living room
When anyone approaches, the client 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. fear.
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 client's suspiciousness, rigidity, and distortions of reality related to
projection are responsible.
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When assessing a patient for risks of having delirium or dementia, she should be aware that both are more likely to occur in:
1. children. 2. teenagers. 3. middle-aged adults. 4. older adults.
If an older person wishes to have a DNR status on himself, which of the following is true?
a. he needs to have the physician sign a form that states this b. he will receive less quality care than those who are not DNR status c. he should place a copy on his refrigerator at home d. a and c only
It is recommended that a client with hypertension drink alcohol following which guideline?
a. zero alcohol c. no more than 4 ounces at a time b. no more than 2 ounces at a time d. no more than 6 ounces at a time
Parents of a 3-year-old have noticed an improvement in behavior because of using a "time out" behavioral approach. What aspect of "time out" therapy may be responsible for this child's improved behavior?
A. "Negative reinforcement discourages maladaptive behavior." B. "Positive reinforcement is removed." C. "Covert sensitization is being applied." D. "Reciprocal inhibition is eliminated."