Which nursing diagnosis best addresses a client problem associated with an IQ of 47?

Correct Answer: B

Rationale: The correct answer is B: Impaired social interaction R/T nonadherence to social convention. This nursing diagnosis addresses the client's problem of having an IQ of 47, as individuals with intellectual disabilities may struggle with social interactions due to difficulty understanding social norms. Impaired social interaction is a common issue for individuals with lower IQs, impacting their ability to engage in appropriate social behaviors. Choice A is incorrect because self-mutilation is not directly related to the client's IQ level. Choice C is incorrect as delusional thinking is not necessarily associated with intellectual disabilities. Choice D is incorrect because decreased gross motor skills do not directly correlate with social isolation in the context of the client's IQ level.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Lack of self-esteem, strong dependency needs, and impulsive behavior. These observations align with the diagnostic criteria for borderline personality disorder. Individuals with this disorder often struggle with a poor self-image, intense fear of abandonment leading to dependency on others, and display impulsive behaviors like quitting jobs abruptly or engaging in risky activities. Option A is incorrect because flat affect, social withdrawal, and unusual dress are more indicative of other mental health conditions like depression or schizophrenia. Option B is incorrect as suspiciousness, hypervigilance, and emotional coldness are more characteristic of conditions like paranoid personality disorder or PTSD. Option D is incorrect as insensitivity to others, sexual acting out, and violence are not typical features of borderline personality disorder. Educationally, understanding the specific behavioral and emotional patterns associated with different psychological disorders is crucial for accurate assessment and effective intervention in mental health settings. This rationale provides insight into the nuanced symptoms of borderline personality disorder, aiding in the development of clinical reasoning skills for mental health professionals.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Overprotection of the child. When caring for a mentally retarded child, overprotection can hinder their development by limiting their opportunities for growth and independence. It can also foster a sense of dependency rather than promoting self-reliance. Option B) Patience, routine and repetition is important because children with mental retardation often benefit from structured routines and consistent reinforcement of learning. This helps in their cognitive and behavioral development. Option C) Assisting the parents set realistic goals is crucial as it enables them to focus on achievable milestones and celebrate small successes, which boosts both the child's and the parents' morale and motivation. Option D) Giving reasonable compliments is essential in building the child's self-esteem and confidence. Positive reinforcement plays a significant role in shaping behavior and encouraging progress. In an educational context, it is vital for healthcare providers and educators to guide parents in understanding the balance between support and allowing the child to explore and learn within their capabilities. By providing appropriate care strategies, parents can create a nurturing environment that promotes the child's overall well-being and development.

Correct Answer: A

Rationale: In the context of demonstrating mentally healthy behavior, option A is the correct answer. This is because seeing oneself as capable of achieving ideals and meeting demands reflects a sense of self-efficacy and positive self-esteem, which are key components of mental health. This attitude suggests a balanced perception of one's abilities and a sense of optimism about achieving goals. Options B and C are incorrect as they describe behaviors that are indicative of potential mental health challenges. Behaving without considering consequences and aggressively meeting needs at the expense of others' rights can be signs of impulsivity, lack of empathy, and disregard for social norms, which are not aligned with mental well-being. Option D is also incorrect in this context as seeking help from others when assuming responsibility for major areas of one's life can be a positive trait, but it does not specifically indicate the achievement of mentally healthy behavior. Independence and self-reliance are important aspects of mental health, but so is the ability to recognize when support is needed. Educationally, this question helps students understand the nuances of mental health behaviors and how various attitudes and actions can be indicators of a person's mental well-being. It encourages students to critically analyze behaviors and their implications on mental health, promoting a deeper understanding of the biological basis of behavior and mental health principles.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Fulfilling relationships. The patient described is exhibiting symptoms characteristic of borderline personality disorder, which often involves unstable and intense relationships. Developing fulfilling relationships is crucial for individuals with this condition as it can help provide stability, support, and a sense of security, ultimately contributing to improved mental health. Option A) Effectiveness in work does not directly address the relational difficulties the patient is experiencing. While being successful in work can be beneficial for mental health, it is not the primary need in this case. Option B) Communication skills play a role in relationships, but the core issue here is not just about communication but about the patient's pattern of idealizing and devaluing significant others. Option C) Productive activities are important for overall well-being, but they do not specifically address the challenges related to forming and maintaining stable relationships, which is the primary concern for the patient in this scenario. Educationally, this question highlights the importance of understanding the link between mental health and interpersonal relationships. It emphasizes the role of fulfilling relationships in promoting mental well-being and how interventions focused on improving relationship skills can be beneficial for individuals struggling with issues like those seen in borderline personality disorder.