Paranoid Personality Disorder Case Study Examples

Paranoid Personality Disorder Case Study Examples
Disturbed sensory perception
R/T altered sensory reception
AEB mistrust and suspiciousness
of others. (Doenges, Moorhouse,
& Murr,
2013, p. 838).
Client will recognize and correct or
compensate for sensory impairments within
2-3 days. (Doenges, Moorhouse, & Murr,
2013, p. 838).
Nurse will approach pt. In a serious,
straightforward manner. Reasoning: Being
straightforward is essential to the success of
the nurse-client relationship
Nurse will provide explanations of plan of
care w/client Involving client as much as
Nurse will help client validate ideas before
taking action. This requires the ability to trust
and listen to one person.
Risk for Social Isolation R/T
mistrust of others and delusional
thinking AEB statement that
neighbors "are not to be trusted
and could turn against him for no
reason", isolation of self from
mother, and escalating distrust of
wife. (Doenges, Moorhouse, & Murr,
2013, p. 887).
Before discharge, client will be able to identify
causes of and actions to help correct further
isolation. Reasoning: Because of the chronic
paranoid thoughts and delusions, the patient
is often unaware of abnormality of their
thought process that lead to personal
isolation and disruption of interpersonal
relationships.(Doenges, Moorhouse, & Murr,
2013, p. 887).
The nurse will educate the patient about
proper coping techniques dealing with
feelings of anger and anxiety. Example:
Journaling and Though Stopping.
The nurse will education the patient about
the medications he is prescribed and the
need for strict compliance. Reasoning:
Because the of the chronic nature of the
patient's mental diagnosis, strict adherence
to the pharmacological regiment may allow
for lessening of signs and symptoms
The nurse will provide positive reinforcement
when client makes appropriate social
interactions with others
Evaluation: Goals mostly unmet. Patient does
not clearly see the detriment of his behaviors
that are based upon his paranoid dellusions.
What little understanding he has, there is
limited positive skills to take the place of any
lacking negative ones, though what few
positive interactions where made, client
responded well to positive reinforcement.