In working with a client with paranoid personality disorder, the MOST therapeutic approach would be for the nurse to:
a. use a strict tone of voice to enforce limit setting
b. avoid giving the client any choices in matters
c. employ a teaching manner to provide information
d. maintain a nonemotional and matter-of-fact manner
D
Maintaining a nonemotional, matter-of-fact manner with the client would be the most therapeutic approach when dealing with a client with paranoid personality disorder. The nurse should not attempt to talk the client out of his or her unfounded fears as this will merely lead to the client becoming more defensive. The nurse should provide feedback to the client's behaviors, as often the client does not realize how he or she comes across to others.
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