Which nursing diagnosis does the outcome criterion 'will attempt to interact with others in the presence of trusted caregiver' address?

Correct Answer: C

Rationale: The correct answer is C: Impaired social interaction; short-term goal. This outcome criterion addresses impaired social interaction because it focuses on the client's ability to interact with others in the presence of a trusted caregiver. This goal is specific to the social aspect of communication and interaction. Choice A is incorrect because impaired verbal communication does not directly address the client's ability to interact socially. Choice B is also incorrect as it focuses on the long-term goal for verbal communication, not social interaction. Choice D is incorrect as it addresses impaired social interaction as a long-term goal, whereas the criterion in the question pertains to a short-term goal.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Somatoform Pain Disorder. This disorder is characterized by the presence of pain symptoms that cannot be fully explained by a general medical condition, other mental health disorder, or direct effects of a substance. In this case, the client's low back pain is not attributed to any specific medical cause despite negative test results, aligning with the criteria for Somatoform Pain Disorder. Option A) Somatization Disorder involves a history of multiple physical complaints across various organ systems, which is not the case in this scenario as the focus is on the specific complaint of low back pain. Option B) Hypochondriasis entails excessive fear of having a serious illness based on misinterpretation of bodily symptoms, rather than the primary symptom being pain as in the case of the client. Option C) Conversion Disorder presents with neurological symptoms like paralysis or tremors that are inconsistent with known medical conditions, which differs from the somatic pain complaint described. Educationally, understanding somatoform disorders is crucial for healthcare providers to accurately diagnose and treat patients experiencing physical symptoms with no clear medical basis. Identifying the correct disorder ensures appropriate interventions and prevents unnecessary medical procedures. It also emphasizes the importance of considering psychological factors in the manifestation of physical symptoms, highlighting the intricate mind-body connection.

Correct Answer: C

Rationale: The correct answer is C) Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The DSM-V is the primary diagnostic manual used by mental health professionals to classify and diagnose psychiatric disorders. It provides detailed criteria for each disorder, including symptom presentation, duration, and exclusion criteria. By consulting the DSM-V, the nurse can accurately identify and understand the specific criteria used to establish the diagnosis of the unfamiliar psychiatric disorder. Option A, the International Statistical Classification of Diseases and Related Health Problems (ICD-10), is a classification system for diseases and related health conditions used for billing and statistical purposes. While it may include some psychiatric diagnoses, it does not provide the detailed criteria necessary for accurate diagnosis and treatment planning in mental health. Option B, the ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice, outlines the scope of practice and standards for psychiatric-mental health nursing. While it is a valuable resource for guiding nursing practice, it does not contain the specific diagnostic criteria needed to establish a psychiatric diagnosis. In an educational context, understanding the importance of using the appropriate diagnostic resources is crucial for healthcare professionals, especially in psychiatric settings where accurate diagnosis is foundational to effective treatment planning and patient care. Familiarity with the DSM-V is essential for nurses working in mental health to ensure accurate assessment and intervention for patients with psychiatric disorders.

Correct Answer: D

Rationale: In a multidisciplinary patient care planning session, it is crucial for nurses to advocate for patients effectively by considering their cultural background. Option D, "Assessment findings in mental illness reflect a person's cultural patterns," is the best belief to support a nurse's advocacy efforts in this context. This belief emphasizes the importance of understanding how cultural factors can influence the presentation of mental illness symptoms. By recognizing and taking into account a patient's cultural background in assessments, nurses can provide more culturally sensitive and effective care. Option A, "All mental illnesses are culturally determined," is incorrect because while culture can influence how mental illness is perceived and expressed, it is not the sole determinant of mental illness. Option B, "Schizophrenia and bipolar disorder are cross-cultural disorders," is incorrect because it oversimplifies complex mental health conditions by suggesting they manifest uniformly across all cultures. Option C, "Symptoms of mental disorders are unchanged from culture to culture," is incorrect because cultural factors can significantly impact how symptoms of mental disorders are experienced and expressed by individuals from different cultural backgrounds. Educationally, understanding the influence of culture on mental health is essential for healthcare professionals to provide holistic and patient-centered care. By recognizing the cultural nuances in mental health assessment and care, nurses can better advocate for their patients and promote culturally competent practices within multidisciplinary care teams.

Correct Answer: D

Rationale: Active listening is a crucial skill for nurses when engaging with clients to demonstrate empathy and understanding. Option D, where the nurse is looking at the client and nodding to answers, exemplifies active listening. By maintaining eye contact and nodding, the nurse shows attentiveness and validation, encouraging the client to open up. Options A, B, and C are incorrect because they do not reflect active listening. In option A, looking to the family for answers instead of focusing on the client disrupts the communication flow. Option B, with the nurse leaned back in the chair with crossed arms, creates a barrier and implies defensiveness. Option C, looking at the watch frequently, signals impatience and disinterest, which can hinder effective communication. Educationally, it is essential for nurses to master active listening skills to establish rapport, gather accurate information, and provide holistic care. Through active listening, nurses can build trust, demonstrate respect, and better understand the client's needs, ultimately leading to improved therapeutic relationships and positive health outcomes.