A child diagnosed with autism is hospitalized in an inpatient mental health unit. When developing the plan of care for this child, which of the following would the nurse most likely include?

Correct Answer: B

Rationale: Correct Answer: B - Providing a consistent, structured environment with predictable routines Rationale: Children with autism thrive in structured environments with predictable routines. Consistency helps reduce anxiety and promote feelings of safety and security. By providing a structured environment, the child's behavior can be better managed, leading to improved outcomes. Incorrect Choices: A: Ensuring that a variety of caregivers are available for the child - This may disrupt the child's routine and cause further distress. C: Allowing the child frequent visits off the unit to provide stimulation - This can overwhelm a child with autism due to sensory sensitivities. D: Sending the child to the 'time out' area if the child repeats phrases continually - Time-outs are not effective for children with autism and may increase their anxiety and self-stimulatory behaviors.

Correct Answer: D

Rationale: The correct answer is D: Autonomy versus shame and doubt. At 26 months, the child is in the toddler stage according to Erikson's psychosocial development theory. During this stage, children are developing a sense of autonomy and independence. The negative behavior, refusal of toilet training, and saying 'No!' are all indicative of the child asserting their autonomy and testing boundaries. If the child is met with criticism or punishment for their attempts at independence, they may develop feelings of shame and doubt. This aligns with the psychosocial crisis of Autonomy versus shame and doubt. Summary of other choices: A: Trust versus mistrust - This crisis occurs in infancy, where the primary focus is on developing trust in the caregiver. Not applicable in this scenario. B: Initiative versus guilt - This crisis occurs in early childhood, focusing on taking initiative in activities. Not relevant to the behaviors described. C: Industry versus inferiority - This crisis occurs in middle childhood, emphasizing the development of

Correct Answer: A

Rationale: The correct answer is A because a fear of gaining weight is a common symptom of anorexia nervosa. People with anorexia nervosa often have an intense fear of gaining weight or becoming fat, leading to restrictive eating habits. This statement aligns with the diagnostic criteria for anorexia nervosa outlined in the DSM-5. Choice B is incorrect because it does not directly relate to the typical symptoms of anorexia nervosa. While social isolation and lack of support can be factors in eating disorders, this statement does not specifically support the diagnosis of anorexia nervosa. Choice C is incorrect because alcohol abuse is not a primary symptom of anorexia nervosa. While co-occurring substance abuse disorders can sometimes occur with eating disorders, this statement does not directly support the diagnosis of anorexia nervosa. Choice D is incorrect because a lack of pleasure in life is a symptom commonly associated with depression, not specifically anorexia nervosa. While depression can co-

Correct Answer: B

Rationale: The correct answer is B because it focuses on the perpetrator recognizing destructive patterns and learning alternate responses, which are essential in addressing and preventing abusive behavior. This outcome promotes long-term change by targeting the root cause of the abuse and promoting healthier behaviors. A: Decreasing family interaction does not address the underlying issues of abuse and may not lead to behavior change in the perpetrator. C: Removing the perpetrator from the family may not address the root cause of the abuse and may not lead to sustainable change. D: While a combination of treatment modalities can be beneficial, the focus should be on addressing the behavioral patterns and mindset of the perpetrator.

Correct Answer: C

Rationale: In Piaget's theory, the type of development described is cognitive development. Piaget focused on how individuals acquire knowledge, understand the world, and solve problems as they grow. He identified key stages like sensorimotor, preoperational, concrete operational, and formal operational. Cognitive development involves mental processes such as thinking, memory, problem-solving, and language acquisition. Moral development (A) refers to understanding right and wrong, interpersonal development (B) focuses on social relationships, and emotional development (D) pertains to managing emotions. Therefore, the correct answer is C (cognitive) as it aligns with Piaget's emphasis on intellectual growth and understanding.