A client believes that their uterus was removed when they had a gynecological examination. Despite evidence on ultrasound that it is still intact, they hold firm to the belief. What delusion is the client experiencing?

Correct Answer: D

Rationale: The correct answer is D: somatic. This client is experiencing a somatic delusion, which involves a false belief about the body or its functions. In this case, the client believes their uterus was removed despite evidence to the contrary. This delusion is specific to bodily functions or sensations. A: Grandiose delusions involve an exaggerated sense of importance or power, not related to bodily functions. B: Jealous delusions involve unfounded beliefs about a partner's infidelity, not related to bodily functions. C: Persecutory delusions involve beliefs of being targeted or persecuted, not related to bodily functions. In summary, the client's persistent belief about their uterus being removed despite evidence points to a somatic delusion, making it the correct choice over the other options.

Correct Answer: B

Rationale: The correct answer is B: DSM-V. The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is the standard classification of mental disorders used by mental health professionals. It provides detailed diagnostic criteria for various mental disorders, including anxiety disorders. The DSM-V is updated regularly and provides the most comprehensive and up-to-date information on diagnostic criteria for anxiety disorders. Rationale for other choices: A: Nursing Outcomes Classification (NOC) does not provide diagnostic criteria for mental disorders, including anxiety disorders. It focuses on outcomes related to nursing care. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide detailed diagnostic criteria for anxiety disorders. D: ICD-10 is a classification system for diseases and health conditions, including mental disorders, but it does not provide detailed diagnostic criteria specific to anxiety disorders like the DSM-V does.

Correct Answer: A

Rationale: The correct answer is A because prohibiting a patient from using the telephone violates their right to communication. Patients have the right to contact others for support or assistance. Choice B is incorrect because opening a package in the patient's presence is not a violation of their rights. Choice C is incorrect because maintaining close supervision of a patient with homicidal ideation is necessary for safety. Choice D is incorrect because allowing a patient with psychosis to refuse medication respects their autonomy and right to make informed decisions about their treatment.

Correct Answer: C

Rationale: The correct answer is C because utilizing silence during patient interviews allows for meaningful moments of reflection, fostering a deeper connection and promoting patient introspection. This principle aligns with therapeutic communication techniques that encourage patients to explore their thoughts and feelings. Choice A is incorrect because nurses should respect and utilize silence when appropriate. Choice B is incorrect as prolonged silences can encourage patient self-reflection. Choice D is incorrect because silence is not solely about confirming understanding, but also about creating a space for patients to process their thoughts.

Correct Answer: B

Rationale: The correct answer is B: Identifying a clinical question. This is the first step in implementing evidence-based practice because it helps focus the research efforts on a specific issue or problem. By identifying a clinical question, the nurse can then conduct research to gather evidence that will guide decision-making. The other choices are incorrect: A: Conducting research - While conducting research is an essential part of evidence-based practice, it comes after identifying a clinical question. C: Determining outcomes - Determining outcomes is crucial for evaluating the effectiveness of interventions, but it is not the first step in developing evidence-based practice. D: Collaborating with the patient - Collaborating with the patient is important in providing individualized care, but it is not the initial step in implementing evidence-based practice.