A client diagnosed with paranoid personality disorder becomes violent on a unit. Which nursing intervention is most appropriate?

Correct Answer: C

Rationale: The correct answer is C because using clear, calm statements and a confident physical stance is the most appropriate intervention to de-escalate a client with paranoid personality disorder who becomes violent. This approach helps establish boundaries, maintain safety, and communicate assertively. Providing objective evidence (choice A) may not be effective due to the client's distorted perceptions. Initially restraining the client (choice B) can escalate the situation and lead to further distress. Empathizing with the client's paranoid perceptions (choice D) may validate their behavior and not address the immediate safety concerns.

Correct Answer: B

Rationale: The correct answer is B because clients diagnosed with Borderline Personality Disorder (BPD) are more likely to engage in self-destructive behaviors such as self-harm or suicidal ideation, requiring inpatient admission for safety. Clients with antisocial personality disorder (A) typically exhibit behaviors that violate the rights of others, not self-destructive behaviors. Clients with schizoid personality disorder (C) avoid social interactions and are unlikely to engage in self-destructive behaviors. Clients with paranoid personality disorder (D) exhibit distrust and suspiciousness but are not typically associated with self-destructive behaviors.

Correct Answer: A

Rationale: The correct answer is A because individuals with paranoid personality disorder often exhibit distrust, suspicion, and a pervasive pattern of interpreting others' motives as malevolent. They commonly criticize others and have difficulty forming close relationships due to their mistrust. Choice B is incorrect as shyness and fading into the background are not typical characteristics of paranoid personality disorder. Choice C is incorrect as expecting special treatment is more characteristic of narcissistic personality disorder. Choice D is incorrect as being expressive and pleased with oneself are not typical traits of paranoid personality disorder.

Correct Answer: B

Rationale: The correct answer is B because a child with separation anxiety disorder often has a close relationship with a parent who also has an anxiety disorder, leading to increased risk of developing separation anxiety. This is because anxiety disorders can have a genetic component, influencing the child's predisposition to anxiety. Option A is incorrect as antisocial behaviors are not typically associated with separation anxiety disorder. Option C is incorrect because a child's temperament is not directly linked to the development of separation anxiety disorder. Option D is incorrect as inconsistent parenting styles may contribute to other behavioral issues but are not specific to separation anxiety disorder.

Correct Answer: A

Rationale: The correct answer is A because evaluating a 3-year-old's behavior based on developmental norms is essential for understanding age-appropriate behavior. This approach considers the child's stage of development and helps differentiate between normal behaviors and potential concerns. Choice B is incorrect because jumping to conclusions about ADHD without considering developmental norms may lead to misdiagnosis. Choice C is incorrect as assuming early stages of ASD without proper evaluation can be premature. Choice D is incorrect because labeling the child with ODD based solely on behavior may overlook developmental factors. Overall, choice A is the most appropriate as it emphasizes the importance of understanding behavior in the context of developmental norms.