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, determining the trigger for the distorted thinking. This is important as it helps identify potential causes of the client's suspiciousness and delusional thinking, allowing for targeted interventions. Option A may increase client distress. Option B may lead to conflict. Option C may invalidate the client's experiences.

Correct Answer: A

Rationale: The correct answer is A: research/client preference/nurse competency. Evidence-based practice involves integrating the best available research evidence with a patient's preferences and the nurse's clinical expertise. Research ensures interventions are based on proven effectiveness. Client preference acknowledges the importance of individual needs and values. Nurse competency ensures that care is delivered skillfully. Choice B (nurse experience/collaboration/teamwork) lacks the essential component of research evidence, which is crucial for evidence-based practice. While collaboration and teamwork are important, they do not encompass all three components. Choice C (research/client safety/client preference) includes client safety, which is essential but does not cover nurse competency, a key component of evidence-based practice. Choice D (nurse experience/client teaching/delegation) misses the mark by not including research evidence and client preference, which are integral to evidence-based practice. Delegation and client teaching are important but not part of the core components.

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: Transaction. In King's model, the nurse-patient interaction is viewed as a transaction where both parties influence each other. This is correct as the nurse and patient exchange information, thoughts, and feelings during the interaction. Choice B, Adaptation, focuses more on the patient adapting to changes, not the interaction itself. Choice C, Transpersonal caring, emphasizes the nurse's caring relationship with the patient but doesn't capture the interactive nature of the model. Choice D, Self-system, refers to the patient's perception of self, which is not the main focus of King's model.