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: 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: 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: 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: C

Rationale: The correct answer is C because it presents a misconception. Suicides do not necessarily occur more often during the holiday seasons. The rationale could include statistics showing that suicide rates may actually be lower during certain holidays. This statement may lead to misinformation and a misunderstanding of suicide trends. The other choices are accurate and do not indicate a need for clarification as they reflect common knowledge and understanding regarding suicide warning signs, the seriousness of suicidal talk, and the ambivalence individuals may feel about their decision to live or die.