Which nursing action is considered a priority when caring for a client with cluster A personality disorder?

Administering medications as prescribed is a priority nursing action for clients with cluster A personality disorders, which include paranoid, schizoid, and schizotypal personality disorders. Individuals with these disorders often experience significant discomfort in social situations, distorted thinking, and interpersonal difficulties, which can severely impact their ability to function.

Medications—such as antipsychotics or antidepressants—might be necessary to manage specific symptoms like anxiety, paranoia, or mood instability. Ensuring that the client receives their medication as prescribed addresses their immediate health needs and helps to stabilize their condition, allowing for more effective engagement in therapeutic activities later on.

In contrast, while engaging in group therapy or recreational activities can be beneficial, these interventions might not be effective until the client’s symptoms are managed through medication. Furthermore, psychological testing, while useful for diagnosis, does not have the same immediate impact on the client’s wellbeing as ensuring they receive their medications. Thus, addressing pharmacological needs takes precedence in the care of these clients.