A child is receiving mental health care in a managed care setting. The child’s father questions the confidentiality of the treatment records, fearing that the information could negatively impact his employment or future insurance coverage. In responding, a child/adolescent psychiatric and mental health clinical nurse specialist recognizes that the father is:

Correct Answer: B

Rationale: Confidentiality concerns in managed care (B) are valid due to potential record exposure, not resistance (A), personal focus (C), or trust issues (D).

Correct Answer: A

Rationale: Validating pain as real (A) builds trust and acknowledges psychosomatic links, avoiding dismissal. Uncertainty (B), agreeing with the mother (C), or deflection (D) undermine the client.

Correct Answer: C

Rationale: Persistent sadness or irritability (C) is a hallmark of childhood depression per DSM-5, distinct from typical mood swings. Tantrums (A) and aggression (B) may occur but aren’t core, and school phobia (D) is anxiety-related.

Correct Answer: B

Rationale: Encopresis (B) is involuntary defecation, often linked to constipation. Enuresis (A) is urination, autism (C) and ADHD (D) are neurodevelopmental, not bowel-related.

Correct Answer: C

Rationale: Juvenile delinquency (C) is defined by law-breaking behavior, contrasting with obedience (A), academic success (B), or social skills (D).