A client on a psychiatric unit who practices Orthodox Judaism declines to eat any of his ham, rice, and vegetable entrée. Which information about Jewish culture would the nurse attribute to this behavior?

Correct Answer: C

Rationale: The correct answer is C: The client is following kosher dietary laws. In Orthodox Judaism, adherents follow strict dietary laws known as kosher laws. These laws prohibit the consumption of certain foods, including pork (ham) and the mixing of meat and dairy products. Rice is allowed under kosher laws, so the client declining the entrée is likely due to the presence of ham, which is not kosher. Explanation of other choices: A: The client being allergic to rice would not explain why he is declining the entire entrée, which includes ham and vegetables. B: Being a vegetarian would not explain why the client is declining the entrée specifically because of the presence of ham, which is not a vegetarian concern. D: The dietary laws of Islam (halal) are different from kosher laws, so this would not apply to the client's behavior in this context.

Correct Answer: C

Rationale: During the working phase of the nurse-patient relationship, identified patient issues are explored and resolved. This phase involves active problem-solving and collaboration between the nurse and patient to address the patient's needs. In contrast, the preorientation phase is for preparation, the orientation phase is for establishing trust, and the termination phase is for closure. Therefore, the correct answer is C (Working).

Correct Answer: D

Rationale: The correct answer is D: Risk for other-directed violence. This is the priority nursing diagnosis because the patient's history of breaking windows, childhood abuse, and torturing pets suggests a potential for violent behavior towards others. The patient's actions indicate a risk of harm to others, making it essential to address this safety concern first. A: Risk for injury is not the priority as the focus should be on the potential harm the patient may cause to others rather than self-injury. B: Ineffective coping may be a contributing factor, but the immediate concern is the risk of violence towards others. C: Impaired social interaction does not address the urgent safety issue of potential violence towards others. In summary, the priority nursing diagnosis is D as it addresses the immediate risk of harm to others based on the patient's history and behavior.

Correct Answer: B

Rationale: The correct answer is B. Confucianism does not advocate for a caste system. Step 1: Confucianism emphasizes ethical behavior and social harmony, not caste distinctions. Step 2: People are born good (A) aligns with Confucian belief in innate goodness. Step 3: Respecting authority figures (C) is a core Confucian value. Step 4: Self-responsibility for self-improvement (D) is also consistent with Confucian teachings.

Correct Answer: D

Rationale: The correct answer is D: "I never do anything right." This statement reflects a consistent negative self-perception and a lack of self-worth, which aligns with chronic low self-esteem. The patient attributes all their actions as failures, indicating a deep-rooted belief in their inadequacy. Choices A, B, and C focus on specific physical attributes or external factors, which do not directly relate to self-esteem issues. In contrast, choice D directly addresses the patient's perception of themselves and their abilities, supporting the nursing diagnosis of chronic low self-esteem.