A Chinese American patient diagnosed with an anxiety disorder says, "My problems began when my energy became imbalanced." The nurse asks for the patient's ideas about how to treat the imbalance. Which comment would the nurse expect from this patient?

Correct Answer: A

Rationale: The correct answer is A because it reflects the patient's belief in traditional Chinese medicine, which focuses on balancing the body's energy or Qi through special foods like herbal remedies. This aligns with the patient's perspective on energy imbalance. Choice B is incorrect because it suggests a Western medical approach involving medication, which may not resonate with the patient's cultural beliefs. Choice C is incorrect as it suggests a support group approach, which may not address the patient's specific cultural beliefs about energy imbalance. Choice D is incorrect as it involves a native healer and ceremony, which may not be in line with the patient's Chinese cultural beliefs about energy imbalance. Ultimately, choice A is the most culturally sensitive and aligned with the patient's beliefs.

Correct Answer: C

Rationale: The correct answer is C because a dependent personality disorder is characterized by an excessive need to be taken care of, leading to submissive and clinging behavior. The client living with parents and relying on public transportation demonstrates an inability to function independently and relies on others for basic needs. Choice A focuses on social needs being met through pets, not necessarily dependence on others for care. Choice B mentions intense relationships, but not necessarily dependence for basic needs. Choice D describes characteristics more aligned with obsessive-compulsive personality disorder, not dependent personality disorder.

Correct Answer: B

Rationale: The correct answer is B because using a behavioral approach involves reinforcing positive behaviors. By contracting with the client to reinforce positive behaviors with unit privileges, it encourages the client to continue displaying appropriate behaviors. Secluding the client (choice A) may worsen feelings of abandonment, teaching about medications (choice C) may not directly address behavioral issues, and journaling (choice D) may not focus on reinforcing positive behaviors. Overall, choice B aligns best with the principles of behavioral interventions for BPD.

Correct Answer: D

Rationale: The correct answer is D. This statement demonstrates impulsivity, a common characteristic of cluster B personality disorders like borderline, histrionic, narcissistic, and antisocial. The individual in this statement acts without considering consequences (taking the ring without money). Choices A, B, and C do not reflect impulsivity or other characteristics typically seen in cluster B personality disorders.

Correct Answer: B

Rationale: The correct answer is B because providing simple directions and praising the client's independent self-care efforts is appropriate for a teenager with moderate ID. This approach promotes independence and self-esteem while offering necessary support. Choice A is incorrect as it does not encourage independence and may hinder the client's growth. Choice C is incorrect as complete autonomy may not be realistic or safe for the client. Choice D is incorrect as it can create dependency and hinder the client's development of self-care skills.