A 5-year-old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?

Correct Answer: B

Rationale: The correct answer is B: Intolerance to change, disturbed relatedness, stereotypes. Children with autistic disorder often struggle with changes in routine, have difficulties in forming relationships, and exhibit repetitive behaviors or fixations. Intolerance to change is a common feature due to their need for predictability and structure. Disturbed relatedness refers to challenges in social interactions and communication. Stereotypical behaviors like hand-flapping or insistence on sameness are also typical. A: Argumentativeness, disobedience, angry outburst - While children with autism may exhibit behavioral challenges, these specific manifestations are more commonly associated with oppositional defiant disorder or conduct disorder, not necessarily autistic disorder. C: Distractibility, impulsiveness, and overactivity - These symptoms are characteristic of attention-deficit/hyperactivity disorder (ADHD) rather than autistic disorder. D: Aggression, truancy, stealing, lying - While some children with autism may display aggression or difficulties with honesty, truancy, and

Correct Answer: B

Rationale: Correct Answer: B Rationale: Discussing eating behavior may lead to feelings of shame or guilt in bulimic patients, hindering the therapeutic relationship. A: Establishing trust is essential for effective communication and support. C: Helping patients identify feelings encourages self-awareness and emotional regulation. D: Educating patients about bulimia nervosa promotes understanding and empowers them in managing their condition.

Correct Answer: C

Rationale: Step-by-step rationale for choice C (Stress management technique) being correct: 1. Linda's condition involves psychological factors contributing to physical symptoms. 2. Stress management techniques help address the underlying stress that may exacerbate her symptoms. 3. Techniques such as relaxation exercises and cognitive-behavioral therapy can help Linda cope with stress. 4. By managing stress effectively, Linda can reduce the frequency and severity of her symptoms. Summary of why other choices are incorrect: A. Medical regimen: Linda's condition is primarily psychological, so solely focusing on medications may not address the root cause. B. Milieu therapy: This therapy focuses on the environment, which may not directly target Linda's stress and psychological factors. D. Psychotherapy: While psychotherapy is beneficial, stress management techniques specifically target stressors that may worsen Linda's symptoms.

Correct Answer: C

Rationale: The correct answer is C because questioning the client directly about suicidal thoughts is an evidence-based practice known as suicide risk assessment. It allows the nurse to gather crucial information on the client's mental state and intent. This direct approach can help identify potential risk factors and allow for appropriate interventions to be implemented promptly. Choice A is incorrect because waiting for the client to bring up the subject of suicide may delay necessary intervention. Choice B is incorrect as solely observing behavior may not provide enough information for an accurate assessment. Choice D is incorrect because questioning about future plans does not directly address the client's potential risk for suicide.

Correct Answer: D

Rationale: The correct answer is D, ensuring an unbroken chain of evidence. This is crucial in cases of sexual assault to maintain the integrity of evidence for legal proceedings. By preserving and documenting evidence properly, it increases the chances of bringing the perpetrator to justice. A: Determining the assailant's identity is important but not the nurse's role. B: Preserving the client's privacy is important but secondary to maintaining evidence. C: Identifying the extent of injury is relevant for treatment but doesn't take precedence over preserving evidence.