A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:

Correct Answer: D

Rationale: In the context of psychiatric-mental health nursing, the correct answer is D) DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition). The DSM-5 is the most comprehensive and widely used classification system for psychiatric disorders. It provides detailed criteria for diagnosing specific mental health conditions, helping healthcare professionals accurately identify symptoms and make informed clinical decisions. Option A) Nursing Interventions Classification (NIC) and Option B) Nursing Outcomes Classification (NOC) are not appropriate resources for identifying symptoms of psychiatric disorders. NIC and NOC are frameworks used for planning and evaluating nursing care interventions and outcomes, respectively, rather than for diagnosing specific psychiatric conditions. Option C) NANDA-I nursing diagnoses provide a standardized language for nurses to communicate patient needs and responses to actual or potential health problems. While NANDA-I diagnoses are important for nursing care planning, they do not offer the detailed diagnostic criteria needed to identify specific symptoms of psychiatric disorders. Educationally, understanding the correct resource for identifying symptoms in psychiatric disorders is crucial for nursing students entering the field of psychiatric-mental health nursing. Familiarity with the DSM-5 is essential for accurate assessment, diagnosis, and treatment planning in mental health practice. It ensures that nursing students can effectively collaborate with other healthcare professionals and provide evidence-based care to individuals with psychiatric conditions.

Correct Answer: A

Rationale: The correct answer is A) Family history of anxiety and symptoms of anxiety. This option indicates a potential predisposition to anxiety and current symptoms in the patient, making them more likely to benefit from relaxation techniques. Option B) Significant other has a chronic health issue is not directly related to the patient's need for relaxation techniques. While caregiving stress may be present, it does not specifically indicate a need for relaxation techniques for the patient themselves. Option C) Hopes to retire in 6 months is a future-oriented goal and does not directly indicate a current need for relaxation techniques. Option D) Recently adopted infant twins may indicate increased stress and workload for the patient, but it does not specifically address the patient's own anxiety symptoms or family history, which are more directly linked to the need for relaxation techniques. In an educational context, understanding the rationale behind selecting assessment data for interventions is crucial for nurses to provide individualized and effective care. Recognizing the relevance of a patient's family history and current symptoms in relation to implementing relaxation techniques can enhance the nurse's ability to address the patient's specific needs and promote holistic care.

Correct Answer: A

Rationale: In the context of educating a newly licensed nurse about comorbidities associated with histrionic personality disorder, it is important to understand the connection between this specific personality disorder and other mental health conditions. The correct answer, General Anxiety Disorder (A), is a common comorbidity of histrionic personality disorder. Individuals with histrionic personality disorder often experience intense and excessive anxiety, which can manifest as general anxiety disorder. Option B, Schizophrenia, is not typically a comorbidity of histrionic personality disorder. Schizophrenia is a separate psychotic disorder characterized by symptoms such as hallucinations, delusions, and disorganized thinking, which differ from the traits of histrionic personality disorder. Option C, Anorexia nervosa, is more commonly associated with conditions like obsessive-compulsive disorder or body dysmorphic disorder rather than histrionic personality disorder. Individuals with histrionic personality disorder may focus more on seeking attention and approval rather than the body image concerns seen in anorexia nervosa. Option D, Obsessive-compulsive disorder, although it can co-occur with other mental health conditions, is not typically considered a primary comorbidity of histrionic personality disorder. Obsessive-compulsive disorder is characterized by intrusive thoughts and repetitive behaviors, which are distinct from the attention-seeking behaviors seen in histrionic personality disorder. By understanding these distinctions, the nurse can better recognize the potential comorbidities of histrionic personality disorder and provide appropriate care and support to individuals with this condition. This knowledge enhances the nurse's ability to assess and address the complex mental health needs of patients, promoting holistic and effective patient care.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Antisocial personality disorder. This disorder is characterized by a disregard for and violation of the rights of others. Individuals with antisocial personality disorder often exhibit a pattern of deceit, impulsivity, aggressiveness, and a lack of remorse for their actions. In the case described, the client's refusal to follow rules and belief that they are exempt from them align with the traits of antisocial personality disorder. Option B) Histrionic personality disorder is characterized by attention-seeking behavior, emotional instability, and a need for approval. This does not align with the client's behavior in the scenario. Option C) Narcissistic personality disorder is characterized by a grandiose sense of self-importance, a need for admiration, and a lack of empathy for others. While there may be some overlap in behaviors with antisocial personality disorder, the primary focus of narcissistic personality disorder is on self-aggrandizement rather than disregard for rules. Option D) Borderline personality disorder is characterized by unstable relationships, self-image, and emotions. While individuals with borderline personality disorder may engage in impulsive behaviors and have difficulties with interpersonal boundaries, the key feature of defiance and disregard for rules seen in the scenario is not typically associated with this disorder. In an educational context, understanding different personality disorders is crucial for nurses working in mental health settings. Recognizing the specific traits and behaviors associated with each disorder enables nurses to provide appropriate care and interventions tailored to the individual needs of clients. By correctly identifying the manifestations of personality disorders, nurses can better assess, communicate, and collaborate with other healthcare professionals to ensure effective treatment and support for clients.

Correct Answer: A

Rationale: Rationale: The correct answer is A) Personality disorders often manifest from childhood emotional trauma. This information is crucial to include when teaching about personality disorders because research and clinical evidence support the idea that childhood experiences, especially trauma and neglect, can significantly contribute to the development of personality disorders. Understanding this link helps nurses provide more effective care and support to individuals with these disorders by addressing underlying emotional issues. Option B) Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders is incorrect. Socioeconomic status does not determine the likelihood of developing a personality disorder. These disorders can affect individuals from all walks of life, regardless of their economic background. Option C) Personality disorders are often seen in children under the age of 10 is incorrect. While some behavioral issues may emerge in childhood, personality disorders are typically diagnosed in late adolescence or early adulthood when personality traits become more fixed and stable. Option D) Strict parental guidelines contribute to the development of personality disorders is also incorrect. While parenting styles can influence child development, the presence of strict parental guidelines alone does not directly cause personality disorders. Multiple factors, including genetics, environment, and individual experiences, contribute to the development of these disorders. In an educational context, emphasizing the role of childhood emotional trauma in the development of personality disorders can help nurses better recognize and address the root causes of their patients' symptoms. By understanding the complex interplay of factors involved in these disorders, nurses can provide more holistic and compassionate care to individuals struggling with their mental health.