Psychotic Disorders no. 4011

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."

RATIONALE

RATIONALE: 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: Implementation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Application