Which nursing diagnosis should the nurse identify as appropriate when working with a client diagnosed with schizoid personality disorder?

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: 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.

Correct Answer: B

Rationale: The correct answer is B because a child with separation anxiety disorder often has a close relationship with a parent who also has an anxiety disorder, leading to increased risk of developing separation anxiety. This is because anxiety disorders can have a genetic component, influencing the child's predisposition to anxiety. Option A is incorrect as antisocial behaviors are not typically associated with separation anxiety disorder. Option C is incorrect because a child's temperament is not directly linked to the development of separation anxiety disorder. Option D is incorrect as inconsistent parenting styles may contribute to other behavioral issues but are not specific to separation anxiety disorder.

Correct Answer: A

Rationale: The correct answer is A because evaluating a 3-year-old's behavior based on developmental norms is essential for understanding age-appropriate behavior. This approach considers the child's stage of development and helps differentiate between normal behaviors and potential concerns. Choice B is incorrect because jumping to conclusions about ADHD without considering developmental norms may lead to misdiagnosis. Choice C is incorrect as assuming early stages of ASD without proper evaluation can be premature. Choice D is incorrect because labeling the child with ODD based solely on behavior may overlook developmental factors. Overall, choice A is the most appropriate as it emphasizes the importance of understanding behavior in the context of developmental norms.

Correct Answer: D

Rationale: Step 1: Atomoxetine is a selective norepinephrine reuptake inhibitor (SNRI), which is a crucial pharmacological mechanism in treating ADHD. Step 2: By inhibiting norepinephrine reuptake, atomoxetine increases its availability in the brain, improving attention and impulse control in individuals with ADHD. Step 3: This mechanism differentiates atomoxetine from methylphenidate, which primarily works by increasing dopamine and norepinephrine levels. Step 4: Understanding the specific mechanism of action of atomoxetine is essential in educating on its role in managing ADHD symptoms. Summary: Choices A, B, and C are incorrect as they provide irrelevant or inaccurate information not pertinent to atomoxetine's pharmacological action in treating ADHD.