The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?

Correct Answer: A

Rationale: The correct answer is A: Risk for Other-Directed Violence. This diagnosis is the priority because individuals with antisocial personality disorder often display behaviors such as irritability, aggressiveness, and callousness towards others. This places them at a higher risk for exhibiting violent behaviors directed towards others. It is crucial for the nurse to prioritize assessing and managing this risk to ensure the safety of both the client and others. Summary of why the other choices are incorrect: B: Risk for Self-Injury - Individuals with antisocial personality disorder are more likely to harm others rather than themselves. C: Risk for Suicide - Antisocial personality disorder is not typically associated with an increased risk for suicide. D: Risk for Self-Directed Violence - Individuals with antisocial personality disorder are more inclined towards externalizing behaviors rather than self-directed violence.

Correct Answer: B

Rationale: The correct answer is B because during the first interview with a grieving parent, it is crucial to be sensitive to the patient's cultural and individual interpretation of touch. By reaching out to take the patient's hand, the nurse may unintentionally make the patient uncomfortable or feel intruded upon. It is important to establish trust and rapport first before physical touch is initiated. This approach respects the patient's boundaries and preferences, promoting a more effective therapeutic relationship. Incorrect answers: A: While empathy and compassion are important, premature physical touch may not always be well-received by the patient. C: Assuming the patient will perceive the gesture as intrusive is a generalization. However, it is important to be cautious and respect the patient's boundaries. D: This answer is not relevant to the scenario provided and does not address the cultural sensitivity and individual interpretation of touch.

Correct Answer: B

Rationale: The correct answer is B because prescribing psychotropic medication is within the scope of practice of an advanced practice nurse (APN), such as a psychiatric nurse practitioner. APNs have advanced education and training that allows them to diagnose and prescribe medications for mental health conditions. A: Conducting mental health assessments is a common role for staff nurses and does not require advanced practice training. C: Establishing therapeutic relationships is a fundamental nursing skill that staff nurses and APNs both perform. D: Individualizing nursing care plans is also a standard nursing practice that does not necessarily require advanced practice skills.

Correct Answer: A

Rationale: The correct answer is A because the term "sandwich generation" refers to individuals who are simultaneously caring for their own young children and aging parents. In this scenario, the patient has a young adult child at home and an elderly parent to care for, indicating that she fits the definition of the sandwich generation. Choices B, C, and D are incorrect because they do not meet the criteria for being part of the sandwich generation. Choice B states that the young adult child is married and living away from home, which means the patient is not actively caring for the child. Choice C mentions that the patient's young adult child is away at college and without living parents, which also does not align with the sandwich generation definition. Choice D indicates that the patient has no responsibilities regarding her children or parents, which would not qualify her as part of the sandwich generation.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Genes on the Y chromosome determine the sex of a fetus. 2. The presence of the SRY gene on the Y chromosome leads to male development. 3. Absence of the Y chromosome results in female development. 4. This genetic factor is crucial in determining the sex of the fetus. Summary: - Choice B is incorrect as it refers to the formation of ovaries, which is not directly related to the sex determination process. - Choice C is incorrect because rising testosterone levels are a consequence of male development, not the primary determinant. - Choice D is incorrect as neurochemical inhibition is not a factor in determining the sex of the fetus.