Psychotic Disorders no. 4011
QUESTION: A client with paranoid personality disorder is admitted to a psychiatric facility. Which remark by the nurse would best establish rapport and encourage the client to confide in the nurse?
✓O a.) "I get upset once in a while, too."
✘O b.) "I know just how you feel. I'd feel the same way in your situation."
✘O c.) "I worry, too, when I think people are talking about me."
✘O d.) "At times, it's normal not to trust anyone."
RATIONALERATIONALE: Sharing a benign, nonthreatening, personal fact or feeling helps the nurse establish rapport and encourages the client to confide in the nurse. The nurse can't know how the client feels. Telling the client otherwise, as in option 2, would justify the suspicions of a paranoid client; furthermore, the client relies on the nurse to interpret reality. Option 3 is incorrect because it focuses on the nurse's feelings, not the client's. Option 4 wouldn't help establish rapport or encourage the client to confide in the nurse.NURSING PROCESS STEP: ImplementationCLIENT NEEDS CATEGORY: Psychosocial integrityCLIENT NEEDS SUBCATEGORY: NoneCOGNITIVE LEVEL: Application
