Answer to Question 1
A
Paranoid delusions are commonly experienced by both types of clients; thus the nursing diagnosis of
disturbed thought processes is appropriate for both. The other options are not specifically applicable
to both.
Answer to Question 2
A, B, C
Rationale: Defining characteristics for diagnoses A, B, and C are present. Option D: The nurse
cannot assume the mother is cooperating with the uncle's attempted sexual abuse of the client. This
would require investigation.