A child/adolescent psychiatric and mental health clinical nurse specialist conducts a community meeting for children and adolescent patients. Several adolescent patients complain about the intrusive behavior of the younger children. The clinical nurse specialist maintains the therapeutic milieu by:

Correct Answer: C

Rationale: Reviewing rules and consequences (C) reinforces boundaries, maintaining a therapeutic milieu. Solutions (A) may escalate, restrictions (B) punish, and a later meeting (D) delays action.

Correct Answer: C

Rationale: Autistic spectrum disorders (C) feature social, communication deficits, and repetitive behaviors per DSM-5. Conversion (A) involves physical symptoms, PTSD (B) trauma responses, and learning disability (D) academic struggles.

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.