The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?

Correct Answer: A

Rationale: The correct answer is A: Major depression. Physical neglect during childhood can lead to feelings of worthlessness and hopelessness, which are common symptoms of major depression. The nurse should assess the client for signs such as persistent sadness, changes in appetite or sleep, low energy, and thoughts of suicide. B: Schizophrenia is a severe mental disorder characterized by hallucinations and delusions, not directly related to childhood neglect. C: Narcissistic personality disorder is a personality disorder characterized by a grandiose sense of self-importance, not typically linked to childhood neglect. D: Panic disorder is an anxiety disorder characterized by recurrent panic attacks, not directly associated with childhood neglect.

Correct Answer: C

Rationale: The correct answer is C: Desire waning with age. As individuals age, their sexual desires and behaviors may change. In this case, Phillip may be experiencing a decrease in his desire for exhibitionism as he grows older. This is a common phenomenon as people's sexual interests and behaviors can evolve over time. A: An increasing sense of shame - While shame could potentially be a factor, it is not the most likely reason for the change in Phillip's behavior. B: Disgust over his lack of control - This choice does not directly address the decrease in thrill experienced by Phillip and is less likely to be the primary reason for his change in behavior. D: Progression into actual assault - This choice is not supported by the information provided in the question and is an extreme assumption without any evidence.

Correct Answer: B

Rationale: The correct answer is B because providing an immediate drug/alcohol treatment plan is crucial for addressing Naomi's substance use issue effectively. By providing immediate treatment, Naomi can receive the necessary support and interventions to address her substance use and prevent potential relapse. This approach ensures that Naomi's needs are addressed promptly and increases the likelihood of successful recovery. A: Recommending treatment after release may delay necessary interventions and increase the risk of substance use continuation. C: Immediately withdrawing all medications can be harmful and dangerous, especially without proper medical supervision. D: Isolating the patient can lead to feelings of abandonment and worsen the substance use issue without addressing the root cause.

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.

Correct Answer: A

Rationale: The correct answer is A: Cluster A. This cluster includes personality disorders such as paranoid, schizoid, and schizotypal disorders, which are characterized by eccentric, odd, or peculiar behavior, thinking, and beliefs. These individuals often have difficulty forming and maintaining social relationships due to their unusual behaviors and beliefs. Choices B and C (Cluster B and Cluster C) do not specifically encompass personality disorders with eccentric or odd traits. Choice D (General personality disorders) is not a recognized category in the DSM-5 for personality disorders, making it an incorrect choice.