A nurse assesses a patient diagnosed with dissociative identity disorder. Which finding would likely be part of the patient’s history?

Correct Answer: B

Rationale: The correct answer is B: Physical or sexual abuse. Dissociative identity disorder is often linked to a history of trauma, such as physical or sexual abuse. Trauma can lead to the development of different identities as a coping mechanism. Choices A, C, and D are unlikely to be directly related to dissociative identity disorder as they do not align with the typical characteristics or etiology of the disorder.

Correct Answer: A

Rationale: The correct answer is A: decision making. The nursing process involves assessment, diagnosis, planning, implementation, and evaluation. Decision making is crucial at each step to determine the best course of action for patient care. It involves critical thinking, prioritizing, and choosing the most appropriate interventions. Problem solving (choice B) is a component of decision making but not the primary focus of the nursing process. The interview process (choice C) is important for gathering patient information but is just one step in the nursing process. Intellectual standards (choice D) are criteria for evaluating the quality of thinking but are not directly related to the nursing process steps.

Correct Answer: D

Rationale: The correct answer is D because after the patient has met the goals set for improvement of ambulatory status, the next step is to reassess the patient's response to care and evaluate the implementation step of the nursing process. This ensures that the progress is sustained, identifies any new issues, and determines if the care plan needs modification. A: Modifying the care plan may not be necessary if the goals have been met. B: Discontinuing the care plan abruptly without reassessment may lead to regression. C: Creating a new nursing diagnosis is not required as the current goals have been achieved. In summary, reassessing the patient's response to care is essential to ensure continued progress and address any new needs that may arise.

Correct Answer: B

Rationale: The correct answer is B: Identifying risk factors that contribute to the development of a disorder. Epidemiological studies help to identify factors that increase the likelihood of developing mental disorders, leading to better prevention strategies. This is crucial for improving care by targeting interventions early on. Incorrect choices: A: Providing information about effective nursing techniques. This is not the primary role of epidemiological studies, which focus on identifying risk factors at a population level. C: Identifying individuals in the general population who will develop a specific disorder. Epidemiological studies look at populations rather than predicting individual outcomes. D: Identifying which individuals will respond favorably to a specific treatment. This is more related to clinical trials and personalized medicine rather than epidemiological studies.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Sullivan's Interpersonal Theory emphasizes loneliness as the most painful human condition. 2. Asking about loneliness directly assesses this aspect of the theory. 3. Loneliness is a core focus in understanding interpersonal dynamics per Sullivan. 4. Options A, C, and D do not directly address loneliness, making them incorrect. Summary: The correct answer is B because Sullivan's theory highlights loneliness as the most painful human condition, and directly asking about loneliness aligns with the theory. Options A, C, and D do not address loneliness and are therefore incorrect.