During a nurse-client interaction, which nursing statement may belittle the client's feelings and concerns?

Correct Answer: A

Rationale: The correct answer is A because it dismisses the client's feelings and concerns by invalidating them with a generic reassurance. It fails to acknowledge the client's emotions and can come across as patronizing. Choice B acknowledges the client's emotional state, while choice C observes a behavior without judgment. Choice D addresses the client's thoughts without dismissing them, making it a more empathetic response.

Correct Answer: B

Rationale: The correct answer is B: Chronic low self-esteem. This diagnosis is appropriate because the patient's statement reflects a long-standing negative self-view, which aligns with chronic low self-esteem. The patient's feelings of inadequacy and self-doubt are indicative of this diagnosis. Choice A (Risk for other-directed violence) is incorrect because there is no evidence or indication of potential for violence in the patient's statement. Choice C (Deficient knowledge) is incorrect as the patient's concerns are related to self-perception rather than a lack of knowledge. Choice D (Social isolation) is incorrect because although the patient mentions feeling isolated in the past, the primary issue in the statement is low self-esteem rather than social isolation.

Correct Answer: B

Rationale: The correct answer is B, the 24-year-old male professional interpreter, for several reasons. Firstly, a professional interpreter is trained in medical terminology and confidentiality, ensuring accurate communication. Secondly, being closer in age to the patient may help establish rapport and trust, especially with a young male patient experiencing anxiety. Additionally, using a neutral third-party interpreter avoids potential biases or conflicts of interest that could arise with a family member or friend. Therefore, choice B is the best option for effective communication and providing culturally sensitive care. Choices A, C, and D are incorrect because they do not offer the same level of professionalism, expertise, and neutrality required in this situation.

Correct Answer: B

Rationale: The correct answer is B: "I understand that you are angry, but this behavior will not be tolerated." Rationale: 1. Acknowledges the client's emotions: Acknowledging the client's anger shows empathy and validates their feelings. 2. Sets clear boundaries: It establishes that the behavior is not acceptable while still recognizing the underlying emotions. 3. Maintains therapeutic relationship: It addresses the behavior without resorting to judgment or confrontation. 4. Promotes safety: By stating that the behavior will not be tolerated, it ensures a safe environment for both the client and the nurse. Summary of other choices: A: Blaming and shaming the client may escalate the situation and damage the therapeutic relationship. C: Asking the client to modify behaviors may not be effective when dealing with personality disorders characterized by defiance and lack of empathy. D: Asking about medications for antisocial personality disorder is not appropriate during an initial assessment interview and may not address the immediate behavior.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates a belief in supernatural or unusual experiences, which is a characteristic of schizotypal personality disorder. This statement suggests ideas of reference and magical thinking, common in individuals with this disorder. Explanation for why other choices are incorrect: A: This choice suggests paranoia, which can be seen in various mental health conditions but is not specific to schizotypal personality disorder. B: Excitement about nail polish is not a symptom of schizotypal personality disorder. C: Being knowledgeable about a specific topic, like bees, does not directly indicate schizotypal personality disorder.