The nurse is developing a care plan for a client with schizotypal personality disorder. The client has reported a recent history of magical thinking. What does the nurse note is the priority nursing diagnosis?

Correct Answer: D

Rationale: The correct answer is D: disturbed thought process. This is the priority nursing diagnosis because magical thinking is a common symptom of schizotypal personality disorder, indicating a disturbance in thought process. Addressing this issue is crucial for the client's overall well-being and treatment success. Choice A (anxiety) may be a secondary concern related to the client's symptoms but not the priority. Choice B (risk for loneliness) is not directly related to the client's current symptom of magical thinking. Choice C (risk for self-harm) is important to assess but may not be the priority at this time compared to addressing the core symptom of disturbed thought process.

Correct Answer: D

Rationale: The correct answer is D, "Beneficence." Beneficence refers to the duty to benefit others and promote their well-being, which is parallel to autonomy's focus on self-determination. Autonomy emphasizes individuals making decisions for themselves, while beneficence emphasizes acting in the best interests of others. Nonmaleficence (A) is the duty to do no harm, not necessarily to actively promote good. Justice (B) is about fairness and equal treatment, not specifically about benefiting others. Veracity (C) is about truth-telling, not necessarily about promoting the good of others. In this context, "Beneficence" is the most appropriate choice as it aligns with the concept of promoting the well-being of others.

Correct Answer: A

Rationale: The correct answer is A because inpatient hospitalization for mental illness is typically reserved for patients who present a clear danger to themselves or others. This criterion ensures the safety of the individual and those around them. Patients who pose a risk require immediate intervention and close monitoring in a controlled environment to prevent harm. Choices B, C, and D are incorrect because noncompliance with medication, limited support systems, or developing new symptoms may not necessarily warrant inpatient hospitalization unless they lead to a clear danger to self or others. It is crucial to prioritize safety and address imminent risks in determining the need for inpatient care.

Correct Answer: D

Rationale: The correct answer is D because it shows the patient's willingness to address their issues and actively seek solutions. This indicates a transition to the working phase where the patient is ready to engage in problem-solving and therapeutic work. Choice A indicates denial or reluctance to open up about problems. Choice B suggests difficulty in expressing emotions. Choice C reflects skepticism about the therapeutic process.

Correct Answer: B

Rationale: The correct answer is B because it prioritizes de-escalation and patient cooperation by using a calm and empathetic approach. Accompanied by staff members ensures safety and support. It communicates the purpose of the medication positively. Choice A lacks support and may not address the patient's aggression. Choice C uses a physical hold, which can escalate the situation. Choice D introduces a security guard, potentially increasing hostility and fear. Overall, choice B aligns with best practices for managing aggressive behavior in a therapeutic and respectful manner.