Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with:

Correct Answer: C

Rationale: The correct answer is C: Anxiety and depression. Schizophrenia is often accompanied by co-occurring anxiety and depression. This is because individuals with schizophrenia may experience significant levels of stress, fear, and sadness due to their symptoms. Alcohol is commonly used as a form of self-medication to cope with these negative emotions. Explanation for other choices: A: Generally good health despite the mental illness - This is incorrect because individuals with schizophrenia often have physical health issues due to poor self-care and lifestyle choices. B: An aversion to drinking fluids - This is incorrect as there is no direct correlation between schizophrenia and aversion to drinking fluids. D: The ability to express his needs - This is incorrect as individuals with schizophrenia may struggle to express their needs effectively due to communication difficulties associated with the disorder.

Correct Answer: B

Rationale: The correct answer is B because a quietly tearful participant expressing suicidal thoughts indicates a serious mental health concern that requires immediate attention and support. This participant may be in distress and at risk of harm, making it crucial for the new nurse facilitator to provide appropriate resources and assistance. Choice A is incorrect because paranoid delusions may not necessarily impact the group dynamics unless they lead to disruptive behavior. Choice C is incorrect as anger alone does not indicate a need for additional support unless it escalates to disruptive behavior. Choice D is also incorrect as being a calm but ineffective communicator may not necessarily indicate a need for additional support unless it hinders the group process.

Correct Answer: A

Rationale: The correct answer is A: assessment. In the assessment stage of the nursing process, the nurse gathers information about the client's personal strengths, weaknesses, and resources. By identifying the client's strengths during assessment, the nurse can tailor the care plan to utilize these strengths effectively. Choice B: analysis, comes after assessment and involves interpreting the data collected. Choice C: planning, is where the nurse develops goals and interventions based on the assessment data. Choice D: implementation, is the stage where the nurse carries out the care plan developed during planning. These choices are incorrect as they occur after the assessment stage in the nursing process.

Correct Answer: C

Rationale: The correct diagnosis suspected in this case is C: schizophreniform disorder. This is because the client is experiencing psychotic symptoms such as hallucinations, delusions, disorganized speech, and behavior for a period of five months. Schizophreniform disorder is characterized by similar symptoms to schizophrenia but with a duration of at least one month but less than six months. Delusional disorder (A) involves persistent delusions without other psychotic symptoms. Brief psychotic disorder (B) lasts less than one month. Schizophrenia (D) requires symptoms to be present for at least six months.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates focusing by redirecting the conversation back to a specific topic or issue, encouraging the client to elaborate on their thoughts and feelings. By asking the client to recount their experience in Vietnam and their emotions after being wounded, the therapist is helping the client concentrate on a particular aspect of their story. Choices A, B, and D are incorrect: A: This statement does not exemplify focusing as it points out a discrepancy between the client's words and body language, which may lead to defensiveness and does not encourage the client to delve deeper into their thoughts or feelings. B: This statement does not involve focusing but rather reflects a literal interpretation of the client's words without guiding the conversation towards a specific topic or emotion. D: While this statement acknowledges the client's behavior, it does not guide the conversation towards a specific topic or emotion, thus not demonstrating the focusing technique.