The nurse is planning care, which includes a dual-diagnosis group. Which patient would be appropriate for this group? The patient with:

Correct Answer: D

Rationale: The correct answer is D: Schizophrenia and alcohol abuse. This combination is appropriate for a dual-diagnosis group because it involves both a severe mental illness (schizophrenia) and a substance abuse issue (alcohol abuse). Patients with schizophrenia often have co-occurring substance abuse disorders, making them suitable for a dual-diagnosis group to address both issues simultaneously. This group can provide comprehensive treatment and support for individuals struggling with complex mental health and substance abuse issues. Choices A, B, and C are incorrect because they do not involve the combination of a severe mental illness and a substance abuse issue, which is essential for a dual-diagnosis group. Choice A (Depression and suicidal tendencies) may benefit from a different type of group focused on mood disorders and suicide prevention. Choice B (Anxiety and frequent migraine headaches) may require a group focused on stress management and pain coping strategies. Choice C (Bipolar disorder and anorexia nervosa) may benefit from a group addressing

Correct Answer: D

Rationale: The correct answer is D: somatic. This client is experiencing a somatic delusion, which involves a false belief about the body or its functions. In this case, the client believes their uterus was removed despite evidence to the contrary. This delusion is specific to bodily functions or sensations. A: Grandiose delusions involve an exaggerated sense of importance or power, not related to bodily functions. B: Jealous delusions involve unfounded beliefs about a partner's infidelity, not related to bodily functions. C: Persecutory delusions involve beliefs of being targeted or persecuted, not related to bodily functions. In summary, the client's persistent belief about their uterus being removed despite evidence points to a somatic delusion, making it the correct choice over the other options.

Correct Answer: B

Rationale: The correct answer is B because clarification involves seeking understanding by asking for more information or explaining a vague statement. In this case, the statement "I'm not sure what you mean when you use the word fragile" demonstrates the use of clarification by seeking clarity on the meaning of a term used by the client. This technique helps the client to express themselves more clearly and aids in effective communication. Choices A, C, and D are incorrect because they do not involve seeking clarification or further explanation from the client. Choice A focuses on exploring emotions related to a specific topic, choice C reflects an observation rather than seeking clarification, and choice D compares the client's mood without seeking clarification on any specific term or concept.

Correct Answer: B

Rationale: The correct answer is B: DSM-V. The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is the standard classification of mental disorders used by mental health professionals. It provides detailed diagnostic criteria for various mental disorders, including anxiety disorders. The DSM-V is updated regularly and provides the most comprehensive and up-to-date information on diagnostic criteria for anxiety disorders. Rationale for other choices: A: Nursing Outcomes Classification (NOC) does not provide diagnostic criteria for mental disorders, including anxiety disorders. It focuses on outcomes related to nursing care. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide detailed diagnostic criteria for anxiety disorders. D: ICD-10 is a classification system for diseases and health conditions, including mental disorders, but it does not provide detailed diagnostic criteria specific to anxiety disorders like the DSM-V does.

Correct Answer: A

Rationale: The correct answer is A because prohibiting a patient from using the telephone violates their right to communication. Patients have the right to contact others for support or assistance. Choice B is incorrect because opening a package in the patient's presence is not a violation of their rights. Choice C is incorrect because maintaining close supervision of a patient with homicidal ideation is necessary for safety. Choice D is incorrect because allowing a patient with psychosis to refuse medication respects their autonomy and right to make informed decisions about their treatment.