Correct Answer: C

Rationale: Trust is an essential component of a therapeutic relationship, but it is not exemplified in this scenario. Trust involves believing in and relying on the honesty, integrity, and reliability of another person. Acceptance involves acknowledging and respecting the feelings, beliefs, and experiences of others without judgment. While acceptance is important in a therapeutic relationship, it is not demonstrated in this scenario. The therapeutic use of self involves using one's personality, insights, perceptions, and judgments as part of the therapeutic process. In this scenario, the nurse is using her personal experience (having children) to connect with the client, which is an example of the therapeutic use of self. Empathy involves understanding and sharing the feelings of another person. While empathy is crucial in a therapeutic relationship, it is not demonstrated in this scenario.

Correct Answer: C

Rationale: According to Maslow's hierarchy of needs, a person must satisfy their basic physiological needs (e.g., food, water, sleep) and safety needs (e.g., security, stability) before they can fulfill their needs for love/belonging and self-esteem.
Therefore, security is a basic need that must be satisfied before a person can achieve self-esteem.

Correct Answer: C

Rationale: The preparation phase is the initial stage of the therapeutic relationship where the groundwork for the rest of the relationship is laid. However, the establishment of a working caregiver-client agreement is not a step in this phase. The assessment phase involves gathering information about the client, but it does not typically involve the establishment of a working caregiver-client agreement. The working phase of the therapeutic relationship is where nursing interventions frequently take place. Problems and issues are identified and plans to address these are put into action. This phase includes the establishment of a working caregiver-client agreement. The orientation phase defines the problem and identifies the type of service needed by the patient. However, the establishment of a working caregiver-client agreement is not a step in this phase.

Correct Answer: B

Rationale: Therapy can be beneficial for children with disruptive behavioral disorders, but it is not the most effective intervention when implemented alone. Therapy often works best when combined with other strategies, such as consistent limit-setting. Limit-setting is a crucial component of early interventions for children with disruptive behavioral disorders like conduct disorder and oppositional defiant disorder. Consistent limit-setting provides structure and clear expectations, which can help these children understand the consequences of their actions and learn to control their behavior. It is considered the most effective strategy because it directly addresses the behavioral issues that these children often struggle with. While rewarding good behavior can be a useful strategy in managing disruptive behavioral disorders, it is not the most effective intervention when used alone. Rewards can encourage positive behavior, but without the structure provided by consistent limit-setting, children may not fully understand the connection between their actions and the consequences. Punishment can sometimes be a part of the strategy for managing disruptive behavioral disorders, but it is not the most effective intervention. Over-reliance on punishment can actually exacerbate behavioral problems, as it does not teach children appropriate behaviors or help them understand the consequences of their actions.

Correct Answer: C

Rationale: While trying to look on the bright side can be a helpful strategy, it does not necessarily demonstrate empathy. Empathy involves understanding and sharing the feelings of another person. Telling someone they will feel better soon can be seen as dismissive of their current feelings and does not demonstrate empathy. Saying 'It must be difficult for you going through this' is an empathetic response because it acknowledges the person's feelings and shows understanding of their situation. While expressing sorrow for someone's loss can be seen as sympathetic, it does not necessarily demonstrate empathy. Empathy involves understanding and sharing the feelings of another person.