A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse's suspicions?

Correct Answer: A

Rationale: The correct answer is A because it demonstrates grandiosity and a sense of superiority, which are key traits of narcissistic personality disorder. The statement reflects an inflated self-image and a belief that others admire and envy them. Choice B is indicative of paranoid delusions, not narcissism. Choice C suggests introversion and introspection, which are not characteristic of narcissistic personality disorder. Choice D, being the life of the party and making new friends, may suggest extraversion but lacks the sense of superiority and entitlement that is typical of narcissism.

Correct Answer: B

Rationale: The correct answer is B: Dehydration and caffeine overdose. Maxwell's symptoms of feeling like having a stroke are likely due to severe dehydration and excessive caffeine consumption. Dehydration can cause dizziness, confusion, and weakness, mimicking stroke symptoms. Caffeine overdose can lead to increased heart rate, tremors, and anxiety, exacerbating these symptoms. Working for 36 hours straight without eating also contributes to dehydration and electrolyte imbalances. Choices A, C, and D are incorrect as there are no indications of fluid overload, benzodiazepine overdose, or sleep deprivation syndrome in this scenario.

Correct Answer: C

Rationale: Shared psychotic disorder (Choice C) involves an inducer, which is a person already experiencing a psychotic disorder and influences another person to develop similar delusions. This condition is characterized by the transmission of delusional beliefs from one individual (inducer) to another (recipient). Brief psychotic disorder (Choice A) is a short-term psychotic episode without an inducer. Schizophreniform disorder (Choice B) is a separate psychotic disorder with its own set of criteria. Psychotic disorder attributable to a substance (Choice D) is caused by substance use rather than involving an inducer.

Correct Answer: D

Rationale: The correct answer is D: The availability of transportation to the clinic. This is critical because the patient needs to physically get to the clinic every 3 weeks for the injection to ensure medication adherence. Without transportation, the patient may miss appointments, leading to nonadherence. Significant others' attitudes (A) may influence support but not transportation. Nutrition services (B) are important for overall health but not directly related to medication adherence. Trust between patient and nurse (C) is essential but doesn't address the practical issue of getting to the clinic.

Correct Answer: A

Rationale: The correct answer is A. The middle-aged man caring for his disabled mother is at increased risk for depression due to caregiver stress, emotional strain, and social isolation. Caregiving responsibilities can lead to feelings of overwhelm and burnout, impacting mental health. Choice B may also experience stress, but typically single parenting does not carry the same level of physical care needs and constant vigilance as caregiving for a disabled individual. Choice C, being single with no children, may face challenges but not necessarily higher risk of depression compared to caregiving. Choice D, the young adult living with parents and unemployed, may face financial and career-related stress, but typically does not involve the same level of emotional and physical strain as caregiving for a disabled individual.

Correct Answer: B

Rationale: The correct answer is B because nursing forums and professional organizations' websites are reliable sources for finding databases and evidence-based practice resources in nursing. These platforms are specifically curated to provide accurate and up-to-date information for healthcare professionals. They are peer-reviewed and endorsed by experts in the field, ensuring credibility and relevance. In contrast, popular search engines like Google may yield unreliable or outdated information, personal blogs lack authority and validation, and entertainment websites are not relevant to evidence-based practice in nursing.

Correct Answer: A

Rationale: A laissez-faire leader is best suited for an art group because they are typically creative, self-motivated, and independent individuals who thrive in an environment with minimal supervision. This leadership style allows members to have freedom in their artistic expression and encourages innovation. In contrast, a grief group, social skills group, and anger management group would benefit more from a more structured and supportive leadership style to provide guidance, encouragement, and emotional support, which are essential for addressing the specific needs and challenges of these groups.

Correct Answer: B

Rationale: The correct answer is B: Focus on safety needs and provide simple, clear instructions to help them function effectively. Rationale: 1. Safety is the top priority during a disaster situation, ensuring physical well-being. 2. Providing simple, clear instructions helps individuals focus and function effectively amidst chaos. 3. Clear instructions reduce confusion and promote a sense of control and stability. Summary: A: Asking for a medical history is not a priority during a disaster; focusing on immediate safety needs is crucial. C: Long-term goals are important but not the initial focus in a crisis situation. D: Redirecting attention temporarily may help, but addressing safety needs and providing clear instructions are more critical in the immediate aftermath of a disaster.

Correct Answer: A

Rationale: The correct answer is A: Madeleine Leininger. Leininger is known for developing the theory of cultural care diversity and universality, which emphasizes the importance of cultural factors in nursing care. She introduced the concept of transcultural nursing, highlighting the need for nurses to consider cultural beliefs and practices when providing care. This theory promotes culturally sensitive and competent care to meet the diverse needs of patients. Choice B: Sister Calista Roy, is known for the adaptation model, which focuses on the individual's response to stressors. Choice C: Hildegard Peplau, is known for the interpersonal relations theory, focusing on the nurse-patient relationship. Choice D: Dorothea Orem, is known for the self-care deficit theory, which emphasizes the patient's ability to meet their own care needs. These theories are valuable in nursing practice but do not specifically address cultural diversity and universality like Leininger's theory does.