The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has 'one ear that is obviously bigger than the other ear.' The nurse observes that one of the client's ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?

Questions 19

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ATI Engage Mental Health Personality Disorders Quizlet Questions

Question 1 of 5

The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has 'one ear that is obviously bigger than the other ear.' The nurse observes that one of the client's ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?

Correct Answer: D

Rationale: The correct answer is D: Body dysmorphic disorder. Body dysmorphic disorder is characterized by an excessive preoccupation with a perceived flaw in physical appearance that is not observable or appears minor to others. In this scenario, the client's belief that one ear is significantly larger than the other, when it is not observable to the nurse, aligns with symptoms of body dysmorphic disorder. This disorder often leads to significant distress and impaired social functioning. A: Complex somatic symptom disorder involves a preoccupation with physical symptoms, but the client's concern is about appearance, not physical symptoms. B: Functional neurologic symptoms involve neurological symptoms without a known neurological condition, which is not evident in this case. C: Factitious disorder involves fabricating or exaggerating symptoms for psychological reasons, which is not the case here.

Question 2 of 5

What is the number one chronic illness according to the National Council on Aging?

Correct Answer: C

Rationale: The correct answer is C: arthritis. Arthritis is the number one chronic illness according to the National Council on Aging due to its high prevalence among older adults. Arthritis causes joint pain, stiffness, and decreased mobility, impacting quality of life. Heart failure (A) and hypertension (D) are also common chronic conditions but are not ranked as the number one chronic illness by the National Council on Aging. Diabetes (B) is a significant chronic illness but is not the primary focus of the National Council on Aging's ranking. Arthritis's impact on daily functioning and quality of life makes it the top chronic illness for older adults.

Question 3 of 5

A nurse is talking with a patient, and 5 minutes remain in the session. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk to you." The nurse should

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the interrupting patient's needs while respecting the current patient's time. By informing the interrupting patient that the current session has 5 more minutes, the nurse sets clear expectations and boundaries. This approach prioritizes both patients' needs and manages the situation effectively. A: Inviting the interrupting patient to join in the session with the current patient may not be appropriate as it could compromise the current patient's confidentiality and disrupt the ongoing session. B: Directly refusing to talk with the interrupting patient may come off as dismissive and unprofessional, potentially escalating the situation. C: Ending the current session abruptly to attend to the interrupting patient disregards the current patient's time and needs, leading to a poor patient experience.

Question 4 of 5

After interviewing a patient about social supports, the nurse determines that the patient is experiencing emotional support from these social supports based on which statement?

Correct Answer: A

Rationale: The correct answer is A because the statement reflects emotional support through the availability of someone to talk to, which is a key aspect of emotional support. Choice B refers to instrumental support (help with tasks), C refers to tangible support (financial assistance), and D refers to informational support (providing health-related information). Emotional support involves providing empathy, listening, and understanding, making choice A the most appropriate selection in this context.

Question 5 of 5

A female patient is an adolescent who recently tried to overdose because her boyfriend broke up with her. Her father is a single parent, and he has been drinking excessively to cope with his stress. The patient tells the nurse that whenever she needs to talk to her father, he is always drunk or away drinking with his drinking buddies. Based on this information, which nursing diagnosis would be most appropriate for this patient's family?

Correct Answer: B

Rationale: The correct answer is B: Compromised Family Coping. This choice is appropriate because the patient's family is struggling to cope effectively with the stressors they are facing. The father's excessive drinking and absence are impacting the patient's emotional well-being and ability to communicate with her father. This diagnosis reflects the family's inability to effectively manage the situation. A: Ineffective Family Therapeutic Regimen Management does not directly address the family's coping mechanisms. C: Ineffective Denial does not capture the family's overall coping ability and focuses more on individual denial behavior. D: Caregiver Role Strain may not fully encompass the family's overall coping difficulties and the impact on the patient's well-being. In summary, choice B is the most appropriate as it directly addresses the family's struggle to cope with the stressors, highlighting the need for nursing intervention to support their coping mechanisms.

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