A 7-year-old male client has severe bruising on his arms and injuries to his abdomen. The nurse should consider child abuse if the parents act in what manner?

Correct Answer: B

Rationale: The correct answer is B because delaying seeking treatment for injuries in a child can indicate neglect or intentional harm. This behavior raises suspicion of child abuse as it shows a lack of concern for the child's well-being. Choices A, C, and D do not directly suggest child abuse as they could be seen as normal parental behavior. Asking the child to explain (A) could be a way to understand the situation, showing concern (C) is a common parental reaction, and staying with the child (D) is also expected during an assessment.

Correct Answer: D

Rationale: The correct answer is D: Panic anxiety. This level of anxiety is characterized by extreme withdrawal, delusions, and emotional exhaustion, which align with the client's symptoms. Panic anxiety is the highest level of anxiety, causing overwhelming feelings of fear and loss of control. The client's severe symptoms indicate an intense level of anxiety beyond what is typically seen in mild, moderate, or severe anxiety levels. Mild anxiety (choice A) is characterized by slight discomfort, moderate anxiety (choice B) involves increased tension and focus on a specific concern, and severe anxiety (choice C) includes an inability to think clearly and physical symptoms like sweating and trembling. Panic anxiety is the most appropriate choice due to the severity of the client's symptoms.

Correct Answer: C

Rationale: The correct answer is C: Reaction formation. This defense mechanism involves expressing the opposite of one's true feelings or impulses. In this scenario, the boy may actually have feelings of attraction towards the girl but is teasing her as a way to mask those feelings. Displacement (A) involves redirecting emotions from the original source to a substitute target. Projection (B) is attributing one's own unacceptable feelings onto others. Sublimation (D) is channeling unacceptable impulses into constructive activities. In this case, the boy's behavior aligns most closely with reaction formation as he is displaying the opposite of his true emotions.

Correct Answer: C

Rationale: According to Maslow's hierarchy of needs, self-fulfillment and realizing full potential are at the top of the hierarchy, representing the highest level of mental health achievement. This is known as self-actualization. It signifies personal growth, creativity, and a sense of purpose beyond fulfilling basic needs. Choices A and D are important for mental health but fall below self-actualization in the hierarchy. Choice B, achieving self-confidence, is a step below self-actualization as it pertains to esteem needs. Therefore, choice C is the correct answer as it aligns with the pinnacle of Maslow's hierarchy, indicating the highest level of mental health achievement.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.