A child/adolescent psychiatric and mental health clinical nurse specialist meets regularly with the staff nurses of an adolescent inpatient psychiatric unit to improve the nurses’ therapeutic interactions with the patients. Each nurse keeps a journal describing clinical interactions with an adolescent and examines the factors that hinder the nurse’s ability to interact therapeutically with the patient. The clinical specialist reviews the entries and provides written feedback. This teaching strategy is known as:

Correct Answer: D

Rationale: Journaling and feedback on interactions (D) is reflective practice, enhancing self-awareness and skills. Concept mapping (A), discovery (B), and problem-based learning (C) differ in structure.

Correct Answer: D

Rationale: Enuresis (bedwetting) management includes psychotherapy (A) for emotional factors, medication (B) like desmopressin, and behavioral therapy (C) like alarms; all (D) are valid per clinical guidelines.

Correct Answer: B

Rationale: Conduct disorder (B) includes persistent stealing as a rule-violating behavior, per DSM-5. Anxiety (A), depression (C), and PTSD (D) don’t typically feature theft.

Correct Answer: C

Rationale: Persistent sadness (C) is a major symptom of childhood depression, per DSM-5. Hyperactivity (A) is ADHD, elevated mood (B) contradicts, and none (D) is incorrect.

Correct Answer: B

Rationale: Severe food restriction (B) is a hallmark of anorexia nervosa, per DSM-5, causing significant weight loss. Weight gain (A) and uncontrollable eating (C) contradict.