A patient was arrested for breaking windows in the home of a former domestic partner. The patient's history also reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?

Correct Answer: D

Rationale: The correct answer is D: Risk for other-directed violence. This is the priority nursing diagnosis because the patient's history of breaking windows, childhood abuse, and torturing pets suggests a potential for violent behavior towards others. The patient's actions indicate a risk of harm to others, making it essential to address this safety concern first. A: Risk for injury is not the priority as the focus should be on the potential harm the patient may cause to others rather than self-injury. B: Ineffective coping may be a contributing factor, but the immediate concern is the risk of violence towards others. C: Impaired social interaction does not address the urgent safety issue of potential violence towards others. In summary, the priority nursing diagnosis is D as it addresses the immediate risk of harm to others based on the patient's history and behavior.

Correct Answer: B

Rationale: The correct answer is B: Behavioral problems. In children with mood disorders, behavioral problems are commonly observed, such as irritability, aggression, defiance, or hyperactivity. This is because children may have difficulty expressing their emotions verbally, leading to behavioral manifestations. Choices A, C, and D are less likely in a primary mood disorder assessment in a child, as they are more indicative of other conditions like anxiety disorders (C) or obsessive-compulsive disorder (D). While children with mood disorders may feel sad, it is more common for them to exhibit behavioral issues as a primary symptom.

Correct Answer: B

Rationale: The correct answer is B: Overgeneralization. This cognitive distortion involves making broad conclusions based on limited evidence or a single incident. In this scenario, the patient is overgeneralizing their positive feelings to wearing a size 2 petite, assuming that it always makes them feel good. This conclusion is not logically supported by the limited information provided. A: Disqualifying the positive involves ignoring positive experiences or qualities. This is not the case here as the patient is emphasizing a positive feeling. C: Catastrophizing involves magnifying or exaggerating negative events. This is not evident in the patient's statement. D: Personalization involves attributing external events to oneself. This is not relevant to the patient's statement about clothing size.

Correct Answer: B

Rationale: The correct answer is B: Identifying risk factors that contribute to the development of a disorder. Epidemiological studies help identify factors such as genetics, environment, and lifestyle that increase the likelihood of developing mental disorders. Understanding these risk factors allows for early intervention and prevention strategies. A: Providing information about effective nursing techniques is not the primary focus of epidemiological studies, which are more concerned with identifying patterns and causes of diseases. C: Identifying individuals in the general population who will develop a specific disorder is not the main purpose of epidemiological studies, as they focus on identifying risk factors rather than predicting individual outcomes. D: Identifying which individuals will respond favorably to a specific treatment is important but not the primary goal of epidemiological studies, which are more focused on population-level data and trends.

Correct Answer: D

Rationale: The correct answer is D: Consult with the chaplain and describe the client's concerns. This option recognizes the client's spiritual distress and seeks collaboration with a member of the mental health-care team who is trained to address spiritual and religious concerns. The chaplain can provide emotional and spiritual support, guidance, and counseling to help the client cope with feelings of abandonment. Option A is incorrect because solely relying on medication for spiritual distress may not address the root cause. Option B is incorrect as community resources are not directly addressing the client's spiritual concerns. Option C is incorrect as testing may not be necessary for addressing this specific issue of feeling abandoned by God.