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    ATI RN Mental Health Proctored Exam 2023

    A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?

    Explanation & Rationale

    Choice A reason: Splitting, a defense mechanism, is typical in borderline, not schizoid, personality disorder, which features detachment, not relationship instability. This intervention misaligns with schizoid traits—aloofness and solitude preference—focusing on an irrelevant behavior. It’s inappropriate for this client’s needs. Choice B reason: Identifying anger sources suits clients with externalized emotions, not schizoid disorder, where flat affect and disinterest dominate. Schizoid clients rarely express anger overtly, making this irrelevant. The plan should match their introversion, not force emotional exploration. Choice C reason: Offering solitary activities respects schizoid personality’s preference for isolation and limited social engagement, reducing stress while supporting autonomy. This aligns with their comfort in solitude, a core trait, making it a therapeutic, client-centered intervention for the care plan. Choice D reason: Limiting social contact assumes excessive interaction, opposite to schizoid tendencies of withdrawal. They don’t seek constant connection, so this intervention is unnecessary and misdirected. It fails to address their actual behavior, making it unsuitable here.

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