A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?

Correct Answer: C

Rationale: The correct answer is C: Avoidant personality disorder. Schizoid personality disorder is characterized by a lack of interest in social relationships, emotional coldness, and detachment. Individuals with schizoid personality traits often also exhibit symptoms of avoidant personality disorder, which involves feelings of inadequacy, hypersensitivity to negative evaluation, and avoidance of social interactions. This comorbidity is common because both disorders share similarities in their core features of social withdrawal and isolation. Depression (A), substance abuse (B), and anxiety (D) are not typically identified as the most common comorbid disorders with schizoid personality traits.

Correct Answer: D

Rationale: The correct answer is D because the publication of the first psychiatric nursing text, "Nursing Mental Disease" by Harriet Bailey, represents the foundational development of psychiatric-mental health nursing practice. This event predates the other choices and laid the groundwork for the field. The other choices occurred later in the timeline of psychiatric-mental health nursing practice. A: Publication of Standards of Psychiatric-Mental Health Nursing by the ANA - This event would have come after the publication of the first psychiatric nursing text and reflects the establishment of standardized practices in the field. B: Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice - This event is more specialized and would have developed after the broader standards of psychiatric-mental health nursing were established. C: Establishment of the first graduate program in psychiatric nursing at Rutgers University - The development of a graduate program typically follows the establishment of foundational texts and standards in a field.

Correct Answer: B

Rationale: The correct answer is B: Teaching parenting skills. This activity aligns with community-based primary prevention by focusing on educating and empowering individuals to prevent health issues before they occur. Teaching parenting skills helps promote healthy behaviors and positive outcomes for children and families. A: Medication follow-up is more aligned with secondary prevention, focusing on early detection and treatment. C: Substance abuse counseling is important but falls under tertiary prevention, addressing existing issues rather than preventing them. D: Making a referral for family therapy is also more related to secondary or tertiary prevention, as it involves addressing existing family dynamics or issues.

Correct Answer: C

Rationale: The correct answer is C: Avoidant personality disorder. Schizoid personality disorder is characterized by a lack of interest in social relationships, emotional coldness, and detachment. Individuals with schizoid personality traits often also exhibit symptoms of avoidant personality disorder, which involves feelings of inadequacy, hypersensitivity to negative evaluation, and avoidance of social interactions. This comorbidity is common because both disorders share similarities in their core features of social withdrawal and isolation. Depression (A), substance abuse (B), and anxiety (D) are not typically identified as the most common comorbid disorders with schizoid personality traits.

Correct Answer: A

Rationale: The correct answer is A: Acknowledge the client's pain. This is the most important step as it establishes trust, validates the client's experience, and shows empathy. By acknowledging the pain first, the nurse can build a therapeutic relationship with the client, which is crucial in developing an effective plan of care. Identifying situations that increase the pain (B) and having the client rate her pain (C) are important but secondary steps that can follow after acknowledging the pain. Reviewing the client's current medications (D) is also important but not the first priority in this scenario.