A client with suicidal thoughts tells the nurse, 'It just does not seem worth it anymore. Why not end my misery?' Which of the following responses for the nurse is appropriate?

Correct Answer: B

Rationale: The correct answer is B because asking about a specific plan to end their life assesses the client's level of risk for immediate harm. It helps determine the seriousness of their suicidal thoughts and the need for immediate intervention. Choices A, C, and D are incorrect because they do not directly address the client's suicidal ideation or assess their immediate risk. Option A focuses on the client's perception of life but does not assess their immediate safety. Option C seeks clarification but does not address the urgency of the situation. Option D emphasizes trust but does not assess the client's immediate risk.

Correct Answer: B

Rationale: The correct answer is B because asking about a specific plan to end their life assesses the client's level of risk for immediate harm. It helps determine the seriousness of their suicidal thoughts and the need for immediate intervention. Choices A, C, and D are incorrect because they do not directly address the client's suicidal ideation or assess their immediate risk. Option A focuses on the client's perception of life but does not assess their immediate safety. Option C seeks clarification but does not address the urgency of the situation. Option D emphasizes trust but does not assess the client's immediate risk.

Correct Answer: C

Rationale: The correct answer is C: Projection. This defense mechanism involves attributing one's own unacceptable feelings or traits to others. In this scenario, the nurse is projecting her disappointment onto the nurse manager by suggesting that the manager's headache influenced the decision. This allows the nurse to avoid taking responsibility for not getting the promotion. A: Introjection involves internalizing external beliefs or values, which is not evident in this scenario. B: Conversion involves converting psychological distress into physical symptoms, which is not relevant to the situation. D: Splitting involves viewing people as all good or all bad, which is not demonstrated in this case.

Correct Answer: C

Rationale: The correct answer is C: Depression. Clients with anorexia nervosa often experience co-morbid conditions like depression due to the psychological and emotional impact of the disorder. Depression can exacerbate anorexic behaviors and hinder recovery. Paranoia (A), primary insomnia (B), and aggression (D) are not typically associated with anorexia nervosa. Paranoia is more commonly linked to conditions like schizophrenia, primary insomnia is a sleep disorder, and aggression may occur in various psychiatric disorders but is not a hallmark of anorexia nervosa.

Correct Answer: B

Rationale: The correct answer is B: Creating a quiet study corner in your home will help him to focus. This option is the most appropriate because children with Autism Spectrum Disorder (ASD) often benefit from a quiet and structured environment to focus on tasks. The quiet study corner can minimize distractions and provide a dedicated space for the child to concentrate. Incorrect choices: A: Encouraging the child to get all his work done in one sitting may overwhelm him and lead to frustration, especially for a child with ASD who may need breaks and a structured routine. C: Allowing the TV on in the background can be distracting for a child with ASD who may have sensory sensitivities and struggle to filter out background noise. D: Forcing the child to sit down and complete homework as soon as he gets home may cause stress and resistance, as children with ASD often benefit from predictable routines and gradual transitions.