A child/adolescent psychiatric and mental health clinical nurse specialist learns that a patient with bipolar affective disorder is moving out of state. The clinical nurse specialist refers the patient to a new provider for a followup appointment and prescribes enough medication to last until the appointment with the new clinical nurse specialist. These actions demonstrate the clinical nurse specialist’s understanding of the:

Correct Answer: B

Rationale: Ensuring care continuity and medication (B) avoids abandonment, a legal and ethical duty. Disease (A), timing (C), and standards (D) are relevant but secondary.

Correct Answer: B

Rationale: Nail biting (B) is a frequent sign of nervousness, a repetitive stress response. Aggression (A) may occur, but learning disabilities (C) and schizophrenia (D) are distinct conditions.

Correct Answer: C

Rationale: School phobia (C) is an intense fear of attending school, often anxiety-based. Claustrophobia (A) is confined spaces, agoraphobia (B) open spaces, and social phobia (D) social settings.

Correct Answer: A

Rationale: PTSD (A) develops post-trauma with symptoms like re-experiencing, per DSM-5. ADHD (B) and schizophrenia (C) aren’t trauma-triggered, and depression (D) is less specific.

Correct Answer: D

Rationale: Mental challenges may require CBT (B) for emotions, speech therapy (C) for communication, and physical therapy (A) if motor issues coexist; all (D) apply contextually.