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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

    Explanation & Rationale

    A. Rotate staff members caring for the client: Consistency in caregivers helps build trust in clients with paranoid personality disorder. Frequent changes in staff can increase suspicion and worsen paranoia, making care more difficult. B. Speak in a neutral tone when addressing the client: A neutral, calm, and non-threatening tone helps avoid triggering the client’s mistrust or defensiveness. Clear and straightforward communication is essential for maintaining therapeutic rapport. C. Limit the clients opportunities to socialize with others: Social interaction, when appropriate and safe, can help reduce isolation. Restricting social opportunities without cause can reinforce paranoid ideation and hinder recovery. D. Mix the medication with the client's food items: Covertly administering medication violates client autonomy and can intensify paranoia if discovered. Informed consent and transparent communication are essential in psychiatric care.

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