To plan effective interventions the nurse should understand that the underlying reason a client with
paranoid personality disorder is so critical of others probably lies in the client's
a. need to set limits.
b. use of intellectualization to protect against anxiety.
c. inflexible view of the environment.
d. projection of self-hate, hurt, and rage.
D
Projection allows the client to disown negative feelings about self and see these feelings as being
directed at self from an outside source (the nurse). The client then can justifiably retaliate by being
hostile to the nurse. To realize that the client is accusing the nurse of his or her own faults makes the
criticism easier to manage without retaliation. The other options are not related to the dynamics of
critical behaviors on the part of the client.
You might also like to view...
The nurse recognizes which of the following as behaviors indicating negative resolution of the generativity-versus-stagnation stage of development?
1. Creativity 2. Productivity 3. Concern for next generation 4. Concern for self
A 72-year-old man is being treated with doxazosin (Cardura) for his BPH. What nursing diagnosis would be important to include in this patient's plan of care?
A) Sexual dysfunction B) Chronic pain C) Disturbed sensory perception D) Risk of impaired urinary elimination
The nurse is caring for a burn-injured patient who weighs 154 pounds, and the burn injury covers 50% of his body surface area
The nurse calculates the fluid needs for the first 24 hours after a burn injury using a standard fluid resuscitation formula of 4 mL/kg/% burn of intravenous (IV) fluid for the first 24 hours. The nurse plans to administer what amount of fluid in the first 24 hours? a. 2800 mL b. 7000 mL c. 14 L d. 28 L
Which type of theory is often a precursor to predictive theories?
A) Explanatory theory B) Grand theory C) Middle-range theory D) Situation-specific theory