A patient is suspicious and frequently manipulates others. To which psychosexual stage do these traits relate?

Correct Answer: A

Rationale: The correct answer is A: Oral. Suspicion and manipulation are traits associated with fixation at the oral stage, according to Freud's psychosexual development theory. At this stage, the primary focus is on oral activities such as sucking and biting. Fixation can lead to traits like suspicion and manipulation. The other choices are incorrect because they correspond to different stages: B) Anal relates to issues with control and orderliness, C) Phallic relates to Oedipus complex and gender identity, and D) Genital is the mature stage where healthy relationships are formed.

Correct Answer: A

Rationale: The correct answer is A because the instructor's response highlights the potential negative impact of the student's question on the client. By pointing out that the question implied criticism, the instructor is guiding the student to be more mindful of their language and approach with clients. This response promotes patient-centered care and emphasizes the importance of maintaining a non-judgmental and supportive environment for clients. Choice B is incorrect because it focuses on the positive aspect of the student's question without addressing its potential harm. Choice C is incorrect because it assumes the student's question was appropriate when it may have been insensitive. Choice D is incorrect because it only mentions the student's focus on the topic without addressing the underlying issue of possible criticism.

Correct Answer: B

Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence." Rationale: 1. At age 2, children often exhibit defiance and assert independence. Refusal of toilet training and saying 'No' are typical behaviors. 2. Toilet training readiness varies among children, and it is not uncommon for some to resist training until later. 3. Acknowledging the child's developmental stage and need for independence validates their behavior and helps parents understand it's a normal phase. Summary: - Choice A is incorrect as forcing firmer control can lead to power struggles and hinder the child's autonomy. - Choice C is incorrect as toilet training readiness varies, and it's not a definitive sign of developmental problems. - Choice D is incorrect as seeking a child psychologist for typical behavior may be unnecessary and premature.

Correct Answer: A

Rationale: The correct answer is A: Oral. Suspicion and manipulation are traits associated with fixation at the oral stage, according to Freud's psychosexual development theory. At this stage, the primary focus is on oral activities such as sucking and biting. Fixation can lead to traits like suspicion and manipulation. The other choices are incorrect because they correspond to different stages: B) Anal relates to issues with control and orderliness, C) Phallic relates to Oedipus complex and gender identity, and D) Genital is the mature stage where healthy relationships are formed.

Correct Answer: D

Rationale: The correct answer is D because biological theory emphasizes that mental illnesses have biological origins, reducing the misconception that they are solely due to personal weakness or character flaws. This understanding decreases stigma by promoting the view that mental illnesses are medical conditions that can be treated. Choice A is incorrect as there is no universal cure for all psychiatric disorders. Choice B is incorrect as medication is not the only treatment option, and not all clients may need or benefit from medication. Choice C is incorrect as providers' compassion is not directly related to biological theory but rather to their individual attitudes and training.

Correct Answer: B

Rationale: Step 1: Asking "What brings you into the hospital today?" is most helpful as it allows the patient to express their immediate concerns and reasons for admission. Step 2: This question helps establish rapport, gather important information, and set the tone for the assessment. Step 3: Understanding the patient's presenting issues is crucial for providing appropriate care and intervention. Step 4: The other options are not as relevant for the initial assessment as they focus on past psychiatric history, suicidal ideation, or unrelated personal relationships. Summary: Option B is the correct choice as it focuses on the current situation, which is crucial for the initial assessment, while the other options are less relevant for gathering immediate, pertinent information.

Correct Answer: C

Rationale: The correct answer is C: Nonfatal act with the intent to die. Parasuicide refers to self-harming behaviors that are not fatal but are carried out with the intention of causing harm or death to oneself. This differs from a voluntary act of killing oneself (Option A), as parasuicide does not result in death. It also differs from all suicide-related behaviors and thoughts (Option B), as parasuicide specifically involves nonfatal actions. Finally, it is distinct from a voluntary attempt without death as the aim (Option D), as parasuicide is characterized by the intent to die, even though death may not occur.

Correct Answer: A

Rationale: Correct Answer: A Rationale: Individuals with panic disorder often experience sudden and intense physical symptoms mimicking a heart attack, such as chest pain and shortness of breath, leading them to believe they are having a heart attack. This is known as a panic attack. It is crucial for the nurse to include this information in the presentation to accurately describe panic disorder. Summary: - Option B is incorrect because agoraphobia is a separate anxiety disorder and does not necessarily reduce the frequency of panic attacks. - Option C is incorrect as panic disorder can onset at any age, not just after 30 years. - Option D is incorrect as depression is a common comorbid condition with panic disorder.

Correct Answer: A

Rationale: The correct answer is A: Establish trust and rapport. Patient-centered interview techniques focus on building a trusting relationship with the patient, which is crucial when discussing sensitive topics like abuse. Sitting near the patient helps create a sense of closeness and comfort, facilitating open communication. Trust and rapport are essential for the patient to feel safe enough to disclose abuse. Asking lots of questions (B) may feel intrusive and overwhelming for the patient. Interrupting the patient's story (C) can disrupt the flow and hinder the patient's ability to express themselves fully. Utilizing closed-ended questions (D) may limit the information shared and inhibit a deeper understanding of the patient's situation.