A client with co-occurring disorders of schizophrenia and substance abuse is admitted for treatment. Which of the following would the nurse be least likely to identify as a priority for this client?

Correct Answer: B

Rationale: The correct answer is B: Group therapy. In the case of a client with schizophrenia and substance abuse, the priority is addressing immediate safety concerns, such as controlling psychiatric symptoms and managing withdrawal symptoms. Group therapy may not be as crucial initially compared to individual therapy and medication management. Treatment decisions should be individualized based on the client's needs. Group therapy can be beneficial but may not be the immediate priority for this client.

Correct Answer: A

Rationale: The correct answer is A because the patient's behavior of searching for child pornography indicates a high risk for acting on harmful impulses. This behavior is illegal and harmful to children, suggesting severe mental health issues. Choice B may indicate relationship problems but not immediate risk of harm. Choice C involves inappropriate behavior but not necessarily self-harm. Choice D indicates concerning thoughts but not immediate risk of harm to oneself. Suicidal risk is highest when an individual shows dangerous behaviors or intentions, such as in choice A.

Correct Answer: D

Rationale: The correct answer is D, Medical-surgical nursing skills. Evidence collection in caring for injured victims requires knowledge of assessing and treating physical injuries, which falls under the domain of medical-surgical nursing. Legal aspects (A) are important for documentation but not direct care. Testifying in court (B) and collaborating with law practitioners (C) are not essential for providing immediate care to the victim. Therefore, D is the most relevant choice.

Correct Answer: C

Rationale: The correct answer is C: client-centered care. Building trust is an essential component of client-centered care, where the nurse respects the patient's values, preferences, and needs. Trust is crucial for effective communication and collaboration in healthcare. Nursing assessment (A) focuses on gathering patient data, client teaching (B) involves educating patients, and quality improvement (D) pertains to enhancing healthcare processes. However, building trust aligns most closely with client-centered care as it emphasizes the patient's perspective and fosters a therapeutic relationship.

Correct Answer: A

Rationale: The correct answer is A because individuals with personality disorders often lack insight into their condition and may not seek help. This can lead to underreporting of symptoms and reluctance to engage in treatment. Maladaptive behaviors (B) are a symptom of personality disorders, not a reason for difficulty in diagnosis. Lack of reliable health history (C) may hinder diagnosis but is not specific to personality disorders. Lack of emotional response (D) from the client may be a symptom of certain personality disorders but is not the main reason for difficulty in diagnosis.