Paranoid Personality Disorder
A client diagnosed with Paranoid Personality Disorder expresses significant distrust of the nursing staff, stating, "I know you're talking about me behind my back and trying to mess with my treatment." Based on the sources, which is the most appropriate initial nursing intervention?
a) Challenge the client's belief directly by providing evidence that staff are not talking about them.
b) Encourage the client to join a group therapy session to improve social interaction.
c) Provide clear, straightforward explanations about the treatment plan using simple language and a neutral, kind affect.
d) Immediately increase the client's social interaction opportunities to build trust.
The correct answer is c) Provide clear, straightforward explanations about the treatment plan using simple language and a neutral, kind affect.
A nurse is assessing a client exhibiting traits of Paranoid Personality Disorder, such as persistent distrust and suspiciousness of others without sufficient reason. Which finding would be most crucial for the nurse to differentiate this from Paranoid Schizophrenia?
a) The presence of generalized distrust of others
b) A history of reacting severely to perceived slights
c) The absence of psychotic delusions or hallucinations
d) Difficulty maintaining personal relationships
The correct answer is c) The absence of psychotic delusions or hallucinations.