Which is the priority nursing diagnosis when providing care to a client diagnosed with paranoid personality disorder?

Correct Answer: A

Rationale: The correct answer is A: Risk for violence directed toward others R/T suspicious thoughts. This is the priority nursing diagnosis for a client with paranoid personality disorder because individuals with this disorder often have intense distrust and suspicion of others, which can lead to potential violent behaviors. Addressing this risk is crucial for ensuring the safety of both the client and others. Choice B, Risk for suicide, is not the priority as paranoid personality disorder is not typically associated with a high risk of suicide. Choice C, Altered sensory perception, is not directly related to paranoid personality disorder. Choice D, Social isolation, while a common issue for individuals with this disorder, does not pose an immediate risk to others like the potential violence associated with suspicious thoughts.

Correct Answer: D

Rationale: The correct answer is D because individuals with severe intellectual disability often have limitations in communication skills, leading them to express their needs and wants through behaviors rather than verbal communication. This is a common characteristic of severe ID. Choices A, B, and C are incorrect as severe ID typically involves challenges in self-care activities, speech development, and psychomotor skills. These individuals often require significant support in these areas.

Correct Answer: B

Rationale: The correct answer is B because modifying the child's environment to promote independence and encourage impulse control aligns with the holistic care approach for children with Intellectual Disabilities (ID). This intervention focuses on enhancing the child's abilities and autonomy, fostering their development. Encouraging independence and impulse control are key components in managing ID. Choice A is incorrect as it solely focuses on the parents' role without addressing the child's specific needs. Choice C is incorrect as delaying diagnostic studies may hinder early intervention and support. Choice D is incorrect as one-on-one tutorial education may not necessarily address the child's overall development and social interactions.

Correct Answer: C

Rationale: The correct answer is C because recognizing escalating aggressive behaviors and intervening before violence occurs is crucial in managing conduct disorder in children. By addressing aggressive behaviors promptly, the nurse can prevent harm to the child or others. Option A focuses on environmental modifications which may be helpful but not the priority. Option B emphasizes building a therapeutic relationship, which is important but not as urgent as addressing aggression. Option D highlights positive reinforcement, which is valuable but not as critical as managing aggressive behaviors to ensure safety.

Correct Answer: D

Rationale: The correct answer is D because providing an environment free of distractions helps the child with ADHD focus on tasks. This intervention helps the child manage their attention difficulties and complete activities more effectively. By minimizing distractions, the child can enhance their concentration and productivity. A: Establishing goals with rewards may be beneficial but does not directly address the issue of distractions. B: Asking the child to repeat instructions may not address the underlying issue of distractibility. C: Providing one-to-one assistance with simple instructions may be helpful, but creating a distraction-free environment is more essential for managing ADHD symptoms.