A client with a diagnosis of paranoid personality disorder appears hypervigilant and sits alone in an isolated area of the unit. The client does not acknowledge other clients and often uses sarcasm when addressing staff
The nurse invites the client to attend a milieu group, but the client ignores the nurse's efforts. An appropriate nursing diagnosis for this client is which of the following? 1. Activity Intolerance
2. Fear
3. Impaired Social Interaction
4. Powerlessness
3
Rationale: Individuals with paranoid personality disorder mistrust others and may appear hypervigilant. Impaired Social Interaction is a diagnosis for a client who participates in an insufficient quantity of social exchange and exhibits dysfunctional interactions. Fear and Powerlessness would be appropriate nursing diagnoses in the anxious–fearful cluster. Activity Intolerance is a nursing diagnosis appropriate for a client with physical limitations.
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