A client is admitted to a day hospital following an episode in which he purchased a gun to use while standing guard over his property to prevent a neighbor from erecting a boundary fence
His wife describes him as distrustful of the motives of others and often interpreting others' mo-tives as threats. She mentions that one time he accused her of having an affair with a neighbor with whom she chatted occasionally. The care plan will list the priority outcome as "Client will:
1. admit his action was excessive based on the circumstance."
2. write the neighbor a letter of apology."
3. demonstrate trust in the nurse."
4. identify positive role models."
ANS: 3
The paranoid distrustful individual must develop trust in at least one staff member before other therapeutic interventions can succeed in bringing about behavioral change. Option 1 would be an outcome that will require a longer time to achieve. Option 2 might not be an identified outcome. Option 4 is not a relevant outcome for this client.
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