A college student has quit attending classes, isolates self due to hearing voices, and yells accusations at fellow students. Based on this information, which nursing diagnosis should the nurse prioritize?

Correct Answer: B

Rationale: The correct answer is B: Risk for other-directed violence R/T yelling accusations. This is the priority nursing diagnosis because the student's behavior of yelling accusations at fellow students indicates a potential risk for harm towards others. It is crucial to address this immediate safety concern to prevent any harm to others. A: Altered thought processes R/T hearing voices AEB increased anxiety is incorrect because while altered thought processes may be present, the immediate safety concern of potential violence towards others takes priority. C: Social isolation R/T paranoia AEB absence from classes is incorrect because although social isolation and paranoia are present, the immediate risk of harm towards others is more critical to address first. D: Risk for self-directed violence R/T depressed mood is incorrect because the student's behavior is directed towards others, not towards themselves. The immediate concern is the risk of harm towards others.

Correct Answer: A

Rationale: The correct answer is A because a patient with cancer experiencing uncontrolled persistent pain meets the eligibility requirement for hospice care. Hospice care focuses on providing comfort and quality of life for patients with terminal illnesses, such as cancer. Persistent pain is a common symptom in cancer patients, and hospice care can help manage it effectively. Choice B is incorrect because having a prognosis of 3 months to live does not automatically qualify a patient for hospice care. Choice C is incorrect because financial constraints are not a determining factor for hospice eligibility, and immobility alone is not sufficient for hospice care. Choice D is incorrect because lacking family support does not determine eligibility for hospice care, and AIDS alone without terminal prognosis may not meet the criteria.

Correct Answer: D

Rationale: The correct answer is D because before offering spiritual support, it is essential for the nurse to understand the client's perceptions and belief system. This step helps tailor the support to the client's individual needs, ensuring it is culturally sensitive and respectful. Option A is incorrect as it jumps to a specific intervention without understanding the client's needs. Option B assumes faith alone can lead to wellness, which may not align with the client's beliefs. Option C focuses on providing religious literature without assessing the client's preferences, potentially missing the mark on effective support.

Correct Answer: B

Rationale: The correct action is to stop and obtain appropriate PPE (Choice B). This ensures the nurse's safety and prevents potential exposure to harmful substances. Leaving PPE in the room (Choice A) is unsafe and violates infection control protocols. Asking a colleague to perform the task (Choice C) may delay care and compromise patient safety. Completing the task (Choice D) without PPE puts the nurse at risk of contamination. Therefore, stopping to obtain PPE is the most appropriate and responsible action in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Assault. Assault is the intentional act causing another person to fear that they will be physically harmed. In this scenario, the nurse's threatening behavior creates a reasonable fear of harm in the client. Battery involves actual physical contact, which is not present here. Negligence is the failure to exercise reasonable care, which is not applicable as the nurse's actions were intentional. Invasion of privacy involves intrusion into someone's private affairs, which is not the case in this scenario. Therefore, assault is the correct intentional tort in this situation.