The client with a paranoid personality disorder is described as haughty, aloof, and superior acting in
addition to being highly suspicious. Whenever the nurse interacts with this client, she describes
feelings of being belittled.
The nurse adds "Sometimes I'd like to tell the client ‘I don't think you're
so hot, either.'" The nurse's mentor would correctly advise
a. "Feel free to show the client you feel angry.".
b. "The relationship will deteriorate if you retaliate.".
c. "Tell the client the belittling behavior hurts your feelings.".
d. "You need to get some distance from the client. Stay away for a day or two.".
B
Courtesy, honesty, and respect are the cardinal rules in treating a paranoid individual. Option A: The
nurse cannot act out countertransference reactions. The goal is to make the client feel comfortable
and secure in his or her surroundings. Retaliation and rejection thwart that goal. Option C is
inappropriate advice. Option D promotes withdrawal from the client. The behavior is inconsistent
with earlier behavior and would destroy trust.
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When abusive parents who have had a child removed by the courts are expecting another child, the pregnancy should be regarded as likely to be
a. A normal response to the grief of losing a child b. A sign of continued poor judgment c. A pathological reaction d. An attempt to receive additional attention from the nurse
Despite being seen as a safe environment where victims of violence are treated, hospitals are the site of a large number of assaults. Which of the following care environments is associated with the greatest risk of physical violence?
A) Psychiatric mental health B) Geriatrics and gerontology C) Critical care and acute medicine D) Labor and delivery
To ensure safe handling of a client's dentures, the nurse will:
1. Clean biting surfaces. 2. Place a washcloth in the bowl of the sink. 3. Replace the upper dentures first. 4. Rinse dentures thoroughly with hot water.
An operating room nurse prepares a patient with type 2 diabetes for surgery. Which type of insulin will the surgical nurse have available?
a. Regular insulin (Humulin R) b. Isophane insulin suspension (NPH insulin) c. Insulin zinc suspension (Lente insulin) d. Insulin glargine (Lantus)