What is the most appropriate short-term goal for a client with paranoid personality disorder and impaired social skills?

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Pediatrics Mental Health Cognition Questions Questions

Question 1 of 5

What is the most appropriate short-term goal for a client with paranoid personality disorder and impaired social skills?

Correct Answer: D

Rationale: Identifying feelings hindering social interaction (D) targets mistrust and improves skills in paranoid PD. Feedback (A) may overwhelm, anxiety (B) is secondary, and self-mutilation (C) is irrelevant.

Question 2 of 5

Older adults have reached Erikson’s developmental stage of ego integrity when they:

Correct Answer: B

Rationale: Ego integrity (B) involves reflecting on life with acceptance and purpose, per Erikson. Acknowledgment (A) is partial, regret (C) is despair, and punishment (D) is negative.

Question 3 of 5

A psychiatric-mental health nurse, who is teaching a couple how to use positive reinforcement techniques with their child, recommends:

Correct Answer: D

Rationale: Rewarding positive behaviors (D) reinforces recurrence, per behavioral theory. Agreeing (A) lacks reinforcement, control (B) is impractical, and removing consequences (C) is negative reinforcement.

Question 4 of 5

The psychiatric-mental health nurse knows that the patient’s spouse clearly understands the side effects of lithium carbonate (Eskalith), when he or she says:

Correct Answer: A

Rationale: Tremors (A) are a lithium side effect warranting a doctor call. Water (B) is good but not specific, salt-free (C) is incorrect (salt is needed), and 1.6 mEq/L (D) is toxic.

Question 5 of 5

When a research study is based on a small sample size, the findings may:

Correct Answer: A

Rationale: Small samples may yield significant results but lack generalizability (A) due to limited representation. Clinical significance (B) isn’t sample-dependent, and design (C) or quality (D) aren’t assumed.

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