When obtaining a client's history, the nurse determines that the client has been experiencing delusions and hallucinations for the past 3 months, which has caused some problems in his ability to function on a daily basis at work. He also is exhibiting catatonic excitement, echopraxia, loose associations, and pressured speech. The nurse suspects which of the following?

Correct Answer: D

Rationale: The correct answer is D: Schizophreniform disorder. This disorder is characterized by symptoms similar to schizophrenia but lasting between 1 to 6 months. In this case, the client has been experiencing delusions, hallucinations, catatonic excitement, echopraxia, loose associations, and pressured speech for the past 3 months. This aligns with the timeframe and symptomatology of schizophreniform disorder. A: Schizophrenia is a long-term mental disorder lasting for at least 6 months. The client's symptoms have been present for only 3 months, making schizophrenia less likely. B: Schizoaffective disorder involves both psychotic symptoms and mood disturbances. There is no mention of mood disturbances in the client's presentation, making this choice less likely. C: Brief Psychotic disorder involves sudden onset of psychotic symptoms lasting less than 1 month. The client's symptoms have been present for 3 months, ruling out this diagnosis. In summary, the client's presentation of symptoms

Correct Answer: D

Rationale: The correct answer is D. The priority for the family who has just lost their home in a fire is to ensure their immediate basic needs are met, such as shelter and food. This is essential for their safety and well-being. Arranging for emergency shelter and food supplies takes precedence over other actions as it addresses the most urgent requirement following a traumatic event like a house fire. Choices A, B, and C are important but not as immediate as ensuring the family has a safe place to stay and access to necessary supplies. Follow-up therapy, genogram completion, and lifestyle assessment can be addressed once the family's immediate needs are met.

Correct Answer: B

Rationale: The correct answer is B: social media platforms. They are commonly used for hosting online communities and support groups due to their user-friendly interface, accessibility, and communication features. Social media allows for easy interaction among members, sharing information, and building a sense of community. Video game forums (A) are more focused on gaming discussions. Encrypted email services (C) prioritize privacy and security in communication, not community-building. Corporate intranets (D) are internal networks for employees, not suitable for client and family support groups.

Correct Answer: A

Rationale: The correct answer is A because it shows active listening and empathy by acknowledging the patient's nonverbal cue. By stating "I notice you keep looking toward the door," the nurse demonstrates understanding and opens up the opportunity for the patient to express any concerns or reasons for their behavior. This response validates the patient's feelings and encourages further communication. Choice B is incorrect because it dismisses the patient's behavior and does not address the underlying issue of why the patient is looking toward the door. Choice C is incorrect as it assumes the patient wants to end the discussion without confirming the patient's actual feelings or reasons for looking toward the door. Choice D is incorrect because it jumps to a solution without first addressing the patient's nonverbal communication. It may not be the environment that is causing the discomfort, so moving may not be the best approach without further exploration.

Correct Answer: D

Rationale: The correct answer is D because it shifts the focus away from the monopolizing member and encourages participation from others, balancing the group dynamic. By asking who else would like to share feelings about the issue, the nurse leader promotes equal participation and prevents one member from dominating the discussion. A is incorrect because it directly addresses the monopolizing member's emotions, potentially escalating the situation. B is incorrect because it only addresses the individual's process, not the group dynamic. C is incorrect because it delves into personal experiences, which may not be relevant to the group's discussion.