The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?

Correct Answer: B

Rationale: The correct answer is B because using substances like alcohol and marijuana is a common maladaptive coping mechanism in individuals with dissociative disorders to escape or numb painful emotions. This behavior indicates ineffective coping as the patient is not addressing their underlying issues. A: Having no memory of abuse is a symptom of dissociative disorders, not necessarily indicative of ineffective coping. C: Being unaware of surroundings is a symptom of dissociative disorders, not a direct indicator of coping strategies. D: Feeling detached or not present is a symptom of dissociative disorders, not a specific behavior related to coping mechanisms.

Correct Answer: B

Rationale: The correct answer is B: "I've never really liked myself." This statement supports the diagnosis of an eating disorder because low self-esteem and poor self-image are common underlying factors in individuals with eating disorders. Adolescents with eating disorders often have negative thoughts about themselves which can lead to disordered eating behaviors. Rationale: 1. Choice A is incorrect because mentioning the father's thinness does not directly relate to the adolescent's own feelings or behaviors towards food and body image. 2. Choice C is incorrect because having a lot of confidence in oneself is less likely to be indicative of an eating disorder, as individuals with eating disorders typically have low self-esteem. 3. Choice D is incorrect because feeling close to family members does not directly suggest the presence of an eating disorder; it is more related to relationships rather than the underlying psychological issues associated with eating disorders.

Correct Answer: C

Rationale: The correct answer is C, Running amok, as it is a culture-bound syndrome specific to certain cultures where individuals exhibit sudden outbursts of violence. This behavior is not seen as a mental disorder in those cultures but rather a culturally accepted phenomenon. Epilepsy, schizophrenia, and major depressive disorder are not culture-bound syndromes as they are recognized and diagnosed across various cultures without cultural specificity.

Correct Answer: D

Rationale: Erikson defined growth as development in stages with a positive and negative consequence if not met. He introduced the concept of psychosocial development, emphasizing the importance of resolving conflicts at each stage. Peplau focused on interpersonal relations in nursing, Orenstein is known for her work on gender development, and Freud's psychosexual theory is different from Erikson's psychosocial theory. Erikson's stages are distinct for each age group, with specific tasks to be accomplished, making choice D the correct answer.

Correct Answer: B

Rationale: The correct answer is B because using substances like alcohol and marijuana is a common maladaptive coping mechanism in individuals with dissociative disorders to escape or numb painful emotions. This behavior indicates ineffective coping as the patient is not addressing their underlying issues. A: Having no memory of abuse is a symptom of dissociative disorders, not necessarily indicative of ineffective coping. C: Being unaware of surroundings is a symptom of dissociative disorders, not a direct indicator of coping strategies. D: Feeling detached or not present is a symptom of dissociative disorders, not a specific behavior related to coping mechanisms.

Correct Answer: D

Rationale: The correct answer is D because it accurately distinguishes between a diagnosis in DSM-V and a nursing diagnosis. A DSM-V diagnosis typically focuses on identifying mental health disorders and guiding medical treatments. On the other hand, a nursing diagnosis is more holistic, focusing on patient issues and providing a framework for interventions. This answer is correct as it highlights the primary functions of each type of diagnosis. Choice A is incorrect because there are clear distinctions between the two types of diagnoses in terms of their focus and purpose. Choice B is incorrect because nursing diagnoses do consider cultural factors. Choice C is incorrect as nursing diagnoses do explore underlying causes and contributing factors.

Correct Answer: B

Rationale: The correct answer is B. The patient's response of yelling at the dog is an example of a defense mechanism. Here's a step-by-step rationale: 1. Automatic response: The patient's reaction to the dog was immediate and instinctive. 2. Protecting from anxiety: Yelling at the dog allowed the patient to release some of the anxiety and frustration caused by the pay cut. 3. Unconscious protection: The patient may not be fully aware that his behavior towards the dog is a defense mechanism to cope with the stress. 4. Coping mechanism: By displacing his anger onto the dog, the patient avoids directly confronting his feelings about the pay cut. In summary, the other choices are incorrect because the patient's behavior was not intentionally meant to address the dog's behavior (A), nor implemented to avoid coping with the pay cut (C), or rationalize the pay cut (D).

Correct Answer: A

Rationale: The correct answer is A because the statement reflects egocentrism, a characteristic of adolescent cognitive development where they believe they are the center of the world and attribute events to their actions or feelings. In choice A, the boy believes his yelling at his dad caused his death, showing a self-centered view of the situation. Choices B, C, and D do not demonstrate egocentrism as they focus on the boy's feelings, understanding of grief, and emotional attachment to his father without attributing causation to his actions.

Correct Answer: C

Rationale: The correct answer is C: Industry. According to Erikson's psychosocial theory, the developmental task for children around the age of 7 involves developing a sense of competence and accomplishment in their activities. The boy's achievement of the most-improved player award in his baseball tournament reflects his engagement in mastering skills and feeling successful in his endeavors, aligning with the concept of industry. Autonomy (A) typically refers to toddlers asserting their independence, while Identity (B) is associated with adolescents' exploration of personal identity. Initiative (D) focuses on preschoolers' curiosity and eagerness to explore the world.