A patient who has been hospitalized for 3 days with a serious mental illness says, "I've got to get out of here and back to my job. I get 60 to 80 messages a day, and I'm getting behind on my email correspondence." What is this patient's perspective about health and illness?

Correct Answer: C

Rationale: The correct answer is C: Western, biomedical. The patient's focus on returning to work and managing emails indicates a perspective aligned with Western biomedical views, which prioritize physical health and treatment over spiritual or holistic approaches. This is evident in the patient's concern about productivity and work responsibilities, reflecting a biomedical understanding of illness as a disruption to daily life activities. Choices A, B, and D are incorrect as they do not align with the patient's emphasis on work and productivity, which are more in line with Western biomedical perspectives.

Correct Answer: B

Rationale: The correct answer is B because it reflects an understanding of Histrionic Personality Disorder (HPD) characteristics. Individuals with HPD often have shallow and fleeting relationships, using them to fulfill their dependency needs. This statement shows awareness of the quality of relationships typically seen in individuals with HPD. Choice A is incorrect as it focuses on the dramatic style rather than the depth of relationships. Choice C is incorrect because individuals with HPD often struggle with maintaining deep, meaningful relationships due to their shallow and attention-seeking behavior. Choice D is incorrect as paying attention to details is not a characteristic commonly associated with HPD and does not address the quality of relationships.

Correct Answer: C

Rationale: Rationale: Choice C is correct because OCPD (Obsessive-Compulsive Personality Disorder) is characterized by traits such as inflexibility, perfectionism, and rigidity in interpersonal relationships. This can manifest as a lack of spontaneity and difficulty in adapting to different social situations. Choices A, B, and D are incorrect because they describe symptoms more characteristic of OCD (Obsessive-Compulsive Disorder), which involves unwanted intrusive thoughts (A), repetitive behaviors (B), and obsessive thoughts not externally imposed (D). OCPD focuses more on personality traits and behavior patterns rather than specific intrusive thoughts or behaviors.

Correct Answer: B

Rationale: The correct answer is B because assisting the client to discuss their anger and frustrations helps address the underlying emotions driving the demand for a phone. This approach acknowledges the client's feelings and promotes therapeutic communication. Providing an explanation (Choice A) may not address the client's emotional needs. Calling the physician (Choice C) may not be necessary at this stage. Arranging for a phone installation (Choice D) without addressing the client's emotional state may not resolve the underlying issue.

Correct Answer: A

Rationale: Step 1: Childhood-onset conduct disorder is more severe than adolescent-onset type due to early onset of disruptive behaviors impacting development. Step 2: Individuals with childhood-onset conduct disorder are at higher risk for developing antisocial personality disorder in adulthood due to long-standing behavioral patterns. Step 3: Understanding this progression helps nurses anticipate future challenges and tailor interventions. Summary of other choices: B: Incorrect - Childhood-onset conduct disorder is persistent and unlikely to outgrow without appropriate intervention. C: Incorrect - Diagnosis is not limited to behaviors before age 5, and improvement may require comprehensive treatment. D: Incorrect - Childhood-onset conduct disorder can be treated with various interventions, and not all individuals progress to ODD.