Question: Which intervention is most appropriate for a client diagnosed with a schizoid personality disorder?
1. Assist the client to enter a group recreation activity.
2. Convince the client that the nursing staff is trying to be helpful.
3. Help the client learn to trust the staff through selected experiences.
4. Arrange the unit environment so that contact with other clients is limited.
Rationale: Demonstrating that the staff can be trusted is a vital initial step in the therapy for a client with a schizoid personality disorder. This is done slowly by exposing the client to experiences that demonstrate the staff's consistent behavior. Assisting the client to enter a group recreation activity (1) may be attempted after trust is established. Convincing the client of the staff trying to be helpful (2) is less of a priority than gaining trust. Arranging the unit environment so that contact with other clients is limited (4) is an inappropriate action.
Cognitive Level: Analysis
Nursing Process: Implementation
NCLEX Test Plan Category: Physiological Integrity
This week’s NCLEX exam practice question came from:
Manno: Mosby's Review Cards for the NCLEX-RN Examination, 3rd Edition, Card 225, question98
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