Which intervention best demonstrates that a nurse correctly understands the cultural needs of a hospitalized Asian American patient diagnosed with a mental illness?

Correct Answer: B

Rationale: The correct answer is B because involving the patient's family to assist with activities of daily living demonstrates understanding of the cultural needs of Asian American patients. In many Asian cultures, family involvement in caregiving is crucial for mental health treatment. This intervention promotes holistic care and respects the cultural values of the patient. A: Encouraging the family to attend community support groups may not directly address the patient's immediate needs and may not align with their cultural preferences. C: Providing educational pamphlets is informative but may not actively involve the family in the patient's care. D: Restricting homemade herbal remedies without discussion or alternative solutions may disregard the family's beliefs and practices.

Correct Answer: C

Rationale: The correct answer is C because using clear, calm statements and a confident physical stance is the most appropriate intervention to de-escalate a client with paranoid personality disorder who becomes violent. This approach helps establish boundaries, maintain safety, and communicate assertively. Providing objective evidence (choice A) may not be effective due to the client's distorted perceptions. Initially restraining the client (choice B) can escalate the situation and lead to further distress. Empathizing with the client's paranoid perceptions (choice D) may validate their behavior and not address the immediate safety concerns.

Correct Answer: D

Rationale: The correct answer is D: Social isolation R/T inability to relate to others. This is because individuals with schizoid personality disorder often have difficulty forming and maintaining relationships, leading to social isolation. This nursing diagnosis directly addresses the primary issue of the disorder. A: Altered thought processes related to (R/T) increased stress is incorrect because schizoid personality disorder is not typically associated with altered thought processes in the same way as other psychotic disorders. B: Risk for suicide R/T loneliness is incorrect because while individuals with schizoid personality disorder may experience loneliness, it is not necessarily linked to an increased risk for suicide. C: Risk for violence: directed toward others R/T paranoid thinking is incorrect as schizoid personality disorder is not typically characterized by violent behavior or paranoid thinking towards others.

Correct Answer: B

Rationale: The correct answer is B because clients diagnosed with Borderline Personality Disorder (BPD) are more likely to engage in self-destructive behaviors such as self-harm or suicidal ideation, requiring inpatient admission for safety. Clients with antisocial personality disorder (A) typically exhibit behaviors that violate the rights of others, not self-destructive behaviors. Clients with schizoid personality disorder (C) avoid social interactions and are unlikely to engage in self-destructive behaviors. Clients with paranoid personality disorder (D) exhibit distrust and suspiciousness but are not typically associated with self-destructive behaviors.

Correct Answer: A

Rationale: The correct answer is A because individuals with paranoid personality disorder often exhibit distrust, suspicion, and a pervasive pattern of interpreting others' motives as malevolent. They commonly criticize others and have difficulty forming close relationships due to their mistrust. Choice B is incorrect as shyness and fading into the background are not typical characteristics of paranoid personality disorder. Choice C is incorrect as expecting special treatment is more characteristic of narcissistic personality disorder. Choice D is incorrect as being expressive and pleased with oneself are not typical traits of paranoid personality disorder.