A male arrested for inappropriate sexual contact in a subway car denies the allegation. Upon interviewing the man, the nurse suspects frotteuristic disorder due to his:

Correct Answer: A

Rationale: The correct answer is A because frotteuristic disorder involves non-consensual touching or rubbing against a non-consenting person for sexual gratification. The choice of "Lack of relationships" is correct as individuals with this disorder often have difficulty forming and maintaining intimate relationships. Choices B, C, and D are incorrect because frotteuristic disorder is not associated with overall aggressive nature, criminal history including robbery, or intense hatred of women. These factors are not specific to the diagnosis of frotteuristic disorder.

Correct Answer: A

Rationale: The correct answer is A: Intentional self-injurious behavior. In factitious disorder, individuals intentionally feign or produce physical or psychological symptoms to assume the "sick role." This behavior is not for any external gain but rather to assume the identity of a patient. The other choices are incorrect because B refers to malingering, which is not the case in factitious disorder; C involves faking illness for external benefits, which is different from factitious disorder; and D is unrelated to the core characteristic of factitious disorder.

Correct Answer: A

Rationale: Step 1: Encouraging participation in activities can help the client re-engage in pleasurable experiences, combating reduced interest. Step 2: Increasing activity levels can improve mood and motivation, addressing symptoms of depression. Step 3: This intervention aligns with evidence-based practice for managing depression. Summary: B: Collaborating with the prescriber is important but not a direct intervention for addressing reduced interest and pleasures in depression. C: Assisting the client to list positive self-characteristics can boost self-esteem but doesn't directly address reduced interest and pleasures. D: Scheduling rest periods may be helpful but doesn't specifically target the core symptom of reduced interest and pleasures.

Correct Answer: A

Rationale: The correct answer is A: Interrupted Family Processes. This nursing diagnosis is most appropriate because the family's ability to engage in their usual supportive and nurturing roles has been disrupted due to the traumatic event of losing their belongings in a house fire. The parents' inability to help their children with homework reflects a disruption in their usual family functioning. Choice B: Compromised Family Coping may seem relevant due to the family's current situation, but it does not specifically address the disruption in family processes caused by the house fire. Choice C: Ineffective Family Therapeutic Regimen Management does not apply as the family is not currently receiving any therapeutic treatment that they are unable to manage. Choice D: Caregiver Role Strain may be relevant if the parents were experiencing strain specifically related to caregiving responsibilities, but the primary issue in this scenario is the disruption in family processes rather than caregiver strain.

Correct Answer: C

Rationale: The correct answer is C: schizotypal personality disorder. This disorder is characterized by magical thinking, where individuals believe they can influence events through unrelated actions. This is a key feature of schizotypal personality disorder, along with other symptoms such as odd beliefs or behaviors, social anxiety, and eccentricity. A: Obsessive-compulsive personality disorder is characterized by perfectionism, rigidity, and control, not magical thinking. B: Schizoid personality disorder is characterized by social detachment and limited emotional expression, not magical thinking. D: Avoidant personality disorder is characterized by extreme shyness and fear of rejection, not magical thinking. In summary, schizotypal personality disorder is the correct answer due to its specific association with magical thinking, distinguishing it from the other options.