On an inpatient psychiatric unit, a client who is anxious and distressed states,"God has abandoned me." Which nursing action would initiate collaboration with the member of the mental health-care team who can assist this client with this assessed problem?

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.

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: C

Rationale: During the working phase of the nurse-patient relationship, identified patient issues are explored and resolved. This phase involves active problem-solving and collaboration between the nurse and patient to address the patient's needs. In contrast, the preorientation phase is for preparation, the orientation phase is for establishing trust, and the termination phase is for closure. Therefore, the correct answer is C (Working).

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. Confucianism does not advocate for a caste system. Step 1: Confucianism emphasizes ethical behavior and social harmony, not caste distinctions. Step 2: People are born good (A) aligns with Confucian belief in innate goodness. Step 3: Respecting authority figures (C) is a core Confucian value. Step 4: Self-responsibility for self-improvement (D) is also consistent with Confucian teachings.