The nurse caring for the client with a paranoid personality disorder tells the advanced practice nurse

"I tried being caring and nurturing, but the client just kept telling me to stay away.".

The advanced
practice nurse can be helpful by advising "Clients with paranoid personality disorders respond best
to
a. a cynical, joking approach.".
b. interpretation of their behaviors.".
c. a neutral but courteous and concerned manner.".
d. active friendliness, but they require a longer time to establish a relationship than
you allowed.".


C
A detached, neutral, straightforward, and courteous approach is most effective. Option A is never
appropriate. Option B would be a counterproductive approach. Option D: A warm, actively pursuant
approach will be interpreted as intrusive and threatening by the suspicious client.

Nursing

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The nurse is caring for a 6-month-old infant who has been brought to the pediatrician's office with another suspected urinary tract infection. The infant has had two urinary tract infections since birth. The nurse suspects:

1. Sexual abuse. 2. Renal failure. 3. Obstructive uropathy. 4. Wilms' tumor.

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The pharmacology instructor is explaining balanced anesthesia to the students. What agents would the instructor say are involved in balanced anesthesia? (Select all that apply.)

A) Neuromuscular junction blockers B) Narcotics C) Anticholinergics D) Salicylates E) Nonsteriodal anti-inflammatory drugs (NSAIDs)

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When carrying heavy objects, the nurse should place the load:

a. in a low position. b. to the side of the body. c. close to the body midline. d. with another's assistance.

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Which of the following would not be considered a normal aging change when assessing an older adult?

a. presbyopia b. presbycusis c. a score of 3 on the geriatric depression scale (GDS) d. macular degeneration

Nursing