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: C

Rationale: The correct answer is C because describing vivid 'flashbacks' of being attacked is a defining behavior of PTSD according to the DSM-5 criteria. This symptom is specific to PTSD and indicates re-experiencing of the traumatic event. Choice A is not specific to PTSD and can occur in other conditions. Choice B is more related to mood disorders than PTSD. Choice D is more indicative of a need to disclose the trauma, which is common but not a defining behavior of PTSD.

Correct Answer: B

Rationale: The correct answer is B because it highlights a common misconception that men may not recognize certain behaviors as abusive. This is important in understanding IPV dynamics as it can lead to underreporting and lack of support for male victims. Choice A is incorrect because typically women are more likely to be seriously injured in IPV situations. Choice C is incorrect as IPV rates are similar in same-sex and heterosexual relationships. Choice D is incorrect as reactions to IPV can vary based on gender due to societal norms and expectations.

Correct Answer: B

Rationale: The correct answer is B: Catharsis. Catharsis refers to the process of emotional release and purification through expressing feelings and emotions. In this scenario, the patient is engaging in bibliotherapy and expressing his feelings, indicating a release of pent-up emotions. This is a therapeutic process that allows the patient to process and cope with their emotions in a healthy way. Choice A: Insight is incorrect as it refers to gaining a deeper understanding or awareness, which is not explicitly mentioned in the scenario. Choice C: Anxiety reduction is incorrect as the scenario does not specify that the patient's goal is to reduce anxiety, but rather to express feelings associated with the reading material. Choice D: Problem solving is incorrect as the scenario does not involve the patient actively working through a specific problem, but rather expressing emotions related to the reading material.

Correct Answer: B

Rationale: Step 1: Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for anxiety disorders due to their efficacy and tolerability. Step 2: SSRIs are also effective in treating somatic symptom disorders by addressing the underlying anxiety symptoms. Step 3: MAOIs are not commonly used for anxiety due to their dietary restrictions and potential for drug interactions. Step 4: Tricyclic antidepressants (TCAs) are less preferred due to their side effect profile and risk of toxicity. Step 5: Atypical antipsychotics are not typically prescribed for anxiety unless there is a specific indication for their use. Summary: B, SSRI is the correct choice for treating both anxiety and somatic symptom disorder, while the other options have limitations or are not commonly used for these conditions.