The nurse is reviewing the drawing that a patient completed as a self-portrait. The nurse observes that the drawing lacks arms and feet. The nurse interprets this as indicating which of the following? Select all that apply.

Correct Answer: D

Rationale: The correct answer is D: Inadequacy. The patient's drawing lacking arms and feet suggests feelings of inadequacy, as these missing body parts symbolize a lack of capability and completeness. The absence of arms and feet can be interpreted as the patient feeling incapable or incomplete in some aspect of their life. This interpretation aligns with the concept of inadequacy, where the individual may perceive themselves as not measuring up to standards or feeling insufficient. In contrast, choices A, B, and C do not directly relate to the specific symbolism of the missing body parts and are not supported by the information provided in the question.

Correct Answer: B

Rationale: The correct answer is B: Tachycardia. Sympathetic nervous stimulation in the fight-or-flight response leads to increased heart rate to pump more blood to the muscles. This helps prepare the body for physical activity during stress. A: Hypoglycemia is incorrect because sympathetic stimulation actually leads to increased blood sugar levels for energy. C: Hypotension is incorrect as sympathetic activation causes vasoconstriction, raising blood pressure, not lowering it. D: Hypercoagulability is incorrect as sympathetic activation can lead to increased blood clotting but is not a direct result of sympathetic nervous stimulation.

Correct Answer: C

Rationale: The correct answer is C: Non-adherence to prescribed medications. Non-adherence to medications is a major reason for relapse in schizophrenia due to the importance of medication in managing symptoms and preventing relapses. Lack of family support (A) can impact recovery but may not directly lead to relapse. Accessibility to community resources (B) is important for support but not a major reason for relapse. Stigmatization of mental illness (D) can affect treatment seeking behavior but is not a direct cause of relapse.

Correct Answer: A

Rationale: The correct answer is A: Dopamine. In the context of panic disorder, serotonin and norepinephrine are typically implicated due to their roles in regulating mood and anxiety. GABA is involved in inhibiting neurotransmission, thus helping to reduce anxiety. Dopamine, however, is not directly associated with panic disorder and its dysregulation is more commonly linked to disorders like schizophrenia and Parkinson's disease. Therefore, if students identify dopamine as being implicated in panic disorder, it indicates a need for additional teaching to correct this misconception and emphasize the roles of serotonin, norepinephrine, and GABA instead.

Correct Answer: B

Rationale: The correct answer is B: Munchausen's syndrome by proxy. This is a form of abuse where the caregiver fabricates or induces illness in someone under their care to gain attention or sympathy. In this scenario, the client's repeated attempts to harm the child for attention align with this syndrome. The other options do not fit the situation: A (Schizoid personality traits) doesn't involve intentional harm, C (Functional neurologic symptoms) is not related to fabricating illness in another, and D (Borderline personality disorder) doesn't typically involve this specific type of behavior.