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: 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: C

Rationale: The correct answer is C: singing. Singing can help Bobby feel more comfortable talking in class by promoting relaxation, breath control, and confidence in his voice. Singing can also improve his speech fluency and rhythm, which may reduce his stuttering when talking. Additionally, singing can be a fun and engaging way for Bobby to express himself without feeling self-conscious. Other choices are incorrect because: A: scheduling a conference with his mother may not directly address Bobby's communication difficulties in class. B: psychodrama focuses on exploring emotions and thoughts through dramatic expression, which may not specifically target Bobby's speech issues. D: having a hearing assessment is not relevant to Bobby's stuttering and difficulty talking in class.

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.

Correct Answer: A

Rationale: The correct answer is A because it reflects active listening and empathy, which can encourage further communication. By acknowledging the client's feelings of loneliness and fear, the nurse shows understanding and creates a safe space for the client to share more. Choice B is incorrect because it implies judgment and may shut down communication. Choice C focuses on the nurse's experience rather than the client's, which is not helpful. Choice D offers false reassurance and minimizes the client's feelings, not addressing the underlying issues.