A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:

Correct Answer: D

Rationale: The correct answer is D: Severe. This classification is based on the child's IQ score of 45, which falls within the range for severe mental retardation. Children with severe mental retardation typically have significant limitations in communication, social skills, and daily living activities. The IQ score of 45 indicates a significant intellectual impairment affecting the child's overall functioning. Choices A, B, and C are incorrect because they correspond to different levels of mental retardation that do not align with the child's IQ score and functional limitations.

Correct Answer: B

Rationale: The correct answer is B: Weight gain. In anorexia nervosa, weight gain is a key indicator of improvement as it signifies the client is increasing their nutritional intake and addressing their malnourishment. This is a tangible and measurable sign of progress in treatment. Choices A, C, and D may also be positive indicators, but weight gain directly addresses the core issue of the disorder by improving physical health and reversing the effects of malnutrition. Eating in the dining room (A) may not necessarily mean the client is consuming adequate calories. Attending ward activities (C) and having a more realistic self-concept (D) are important psychosocial aspects but do not directly address the physical health aspect of anorexia nervosa.

Correct Answer: C

Rationale: The correct answer is C: The conversion symptom has symbolic meaning to the client. In conversion disorder, physical symptoms arise unconsciously due to psychological stress. The symptom may represent an underlying emotional conflict or distress that the individual is unable to express verbally. Understanding the symbolic meaning of the symptom is crucial for effective treatment. Choice A is incorrect because conversion symptoms are not consciously created to control anxiety. Choice B is incorrect as the client may not necessarily experience high anxiety in response to the paralysis; anxiety may be present but is not the primary cause of the symptom. Choice D is incorrect as a confrontational approach can be counterproductive in conversion disorder, as it may increase resistance and worsen symptoms.

Correct Answer: C

Rationale: The correct answer is C because helping the client establish a plan using privileges and restrictions based on compliance with refeeding is crucial during initial hospitalization for anorexia nervosa. This approach provides structure and support to promote healthy eating behaviors and weight restoration. Option A is incorrect as simply emphasizing good nutrition may not be sufficient for a client with anorexia nervosa who likely has deep-seated psychological issues related to food and body image. Option B is incorrect as ignoring mealtime behavior can be detrimental to the client's recovery process. Option D is incorrect as focusing on long-term consequences may not be effective during the initial phase of treatment when the priority is refeeding and stabilizing the client's health.

Correct Answer: C

Rationale: The correct answer is C: Rationalization. Rationalization is a defense mechanism where an individual justifies their undesirable behavior with seemingly logical reasons. In this case, the client is attributing their substance abuse to external stressors (marriage and job) to make it seem more acceptable. Displacement (A) involves redirecting emotions to a substitute target, projection (B) is attributing one's own thoughts or feelings to others, and sublimation (D) is channeling unacceptable impulses into socially acceptable activities. In this scenario, the client is rationalizing their substance abuse, making choice C the most appropriate.