Correct Answer: B

Rationale: While understanding a patient's past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It's important to focus on the present situation and the patient's current feelings. If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient's suicidal intent. This information is crucial for determining the appropriate level of care and intervention. This question could be interpreted as validating or encouraging the patient's suicidal thoughts. It's essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide. While it's important to understand the feelings driving a patient's suicidal thoughts, asking why they want to end their life can come across as judgmental. It's more helpful to ask about their feelings and listen empathetically.

Correct Answer: D

Rationale: Sympathy refers to the ability to understand what a person is feeling. However, it doesn't necessarily involve sharing in a client's life. Trust is an essential component of a therapeutic relationship, but it doesn't specifically define the ability to share in a client's life. Mutuality might suggest a reciprocal relationship, but it doesn't specifically refer to the ability to share in a client's life. Empathy in nursing is the ability to see, understand, and share your patient's feelings and views on a more personal level and without being judgmental. This makes it the most fitting answer as it involves sharing in a client's life.

Correct Answer: D

Rationale: Developing the ability to establish and maintain an intimate relationship is an important aspect of personal growth. However, it might not directly help the client develop a positive personal identity. Improving his strength in the ability to adapt to new situations can enhance the client's coping skills. However, it might not directly help the client develop a positive personal identity. Outlining his life's dream can provide direction and purpose to the client's life. However, it might not directly help the client develop a positive personal identity. Discerning his feelings about relationship choices and level of commitment can help the client understand his own values and beliefs. This self-understanding is crucial for developing a positive personal identity.

Correct Answer: D

Rationale: Actively seeking is a stage of chemical dependency where the individual actively seeks out the substance. In this scenario, the teenager is not just seeking heroin, but is using it to prevent withdrawal symptoms, which suggests a more advanced stage of dependency. Experimentation is the initial stage of chemical dependency where the individual first tries the substance. However, the teenager in this scenario is past the experimentation stage as she is using heroin regularly to prevent withdrawal symptoms. Burnout is a stage of chemical dependency characterized by physical and mental exhaustion due to prolonged substance use. While the teenager may be experiencing burnout, the scenario specifically mentions her use of heroin to prevent withdrawal symptoms, which is more indicative of the preoccupation stage. Preoccupation is a stage of chemical dependency where the individual is consumed by thoughts of the substance and uses it to prevent withdrawal symptoms. The teenager's belief that she cannot cope without heroin and her use of it to prevent withdrawal symptoms align with this stage.

Correct Answer: D

Rationale: Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual's culture. These patterns develop early, are inflexible, and are associated with significant distress or disability. However, the behaviors described in the question are not specific to personality disorders. Affective disorders, also known as mood disorders, involve persistent feelings of sadness or periods of feeling overly happy, or fluctuations from extreme happiness to extreme sadness. The behaviors mentioned in the question do not align with the symptoms of affective disorders. Dysfunctional disorder is not a recognized term in psychiatric diagnosis.
Therefore, it cannot be the correct answer. Conduct disorder is a mental health condition that affects children and teens. People with this condition persistently display severely antisocial and aggressive behaviors. They may bully others, be abusive to small animals, lie, steal, drink alcohol, use drugs, or skip school, often before their teenage years. The behaviors described in the question align with the symptoms of conduct disorder.