A client with paranoid personality disorder is discussing current problems with a nurse. What is the most important intervention for the nurse to implement?

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Pediatric Mental Health Depression NCLEX Questions Quizlet Questions

Question 1 of 5

A client with paranoid personality disorder is discussing current problems with a nurse. What is the most important intervention for the nurse to implement?

Correct Answer: D

Rationale: Clarifying thoughts and beliefs (D) builds trust and addresses mistrust in paranoid PD without confrontation. Frustration (A), interaction (B), and defense mechanisms (C) are less immediate priorities.

Question 2 of 5

A supervisor observes inconsistency in the psychiatric-mental health nurse’s behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

Correct Answer: A

Rationale: Countertransference (A) occurs when a nurse’s unresolved feelings affect patient interactions, explaining inconsistency. Empathic resonance (B) is positive, splitting (C) is patient-driven, and transference (D) is patient-to-nurse.

Question 3 of 5

During an initial patient interview, the psychiatric and mental health nurse begins by asking the patient to describe his or her:

Correct Answer: A

Rationale: Starting with the current situation (A) builds rapport and context, grounding the interview. Feelings (B), history (C), and thoughts (D) follow naturally.

Question 4 of 5

A female patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient’s life. The patient’s treatment plan includes:

Correct Answer: D

Rationale: Systematic desensitization (D) treats phobias like driving fear by gradual exposure, addressing disruption. Assertiveness (A), biofeedback (B), and stress management (C) are less specific.

Question 5 of 5

When planning inpatient psychotherapeutic activities for a patient who has antisocial personality disorder, the psychiatric-mental health nurse:

Correct Answer: C

Rationale: A structured environment (C) sets limits for antisocial PD’s manipulation. Group focus (A) may enable disruption, permissiveness (B) lacks boundaries, and withdrawal (D) mischaracterizes the disorder.

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