A nurse in an outpatient clinic is assessing a child, and the nurse will interview the child and the child's parents separately. Which of the following comments would the nurse anticipate the child making during the upcoming interview?

Correct Answer: C

Rationale: The correct answer is C because the child expressing sadness and having trouble sleeping may indicate underlying emotional or mental health issues. This information can help the nurse assess the child's well-being and provide appropriate support. Incorrect Answers: A: "I can't get along with my parents" - This statement may suggest conflict in the parent-child relationship but does not directly indicate the child's emotional state. B: "I yell at my parents a lot" - This statement implies behavioral issues rather than emotional distress. D: "I refuse to do what my parents tell me to" - This statement indicates defiance or disobedience but does not necessarily reflect the child's emotional well-being. In summary, choice C is correct as it provides valuable insight into the child's emotional state, whereas the other choices focus on different aspects of the parent-child relationship or behavior.

Correct Answer: D

Rationale: The correct answer is D because it encourages the speaker to express their feelings and allows for open communication. It shows empathy and a willingness to understand the other person's perspective. A: A is an example of a leading question that assumes the speaker is angry due to someone else. B: B is an example of a judgmental question that implies the speaker's idea may be invalid. C: C is an example of a contradictory statement that may confuse the speaker and hinder communication.

Correct Answer: B

Rationale: The correct answer is B: DSM-V. The DSM-V (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is the standard classification of mental disorders used by healthcare professionals, including nurses. It provides detailed diagnostic criteria for various mental health conditions, including anxiety disorders. The DSM-V is considered the most comprehensive and up-to-date resource for diagnosing mental health disorders. Incorrect Choices: A: Nursing Outcomes Classification (NOC) focuses on outcomes rather than diagnostic criteria for mental disorders. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide diagnostic criteria. D: ICD-10 (International Classification of Diseases, Tenth Revision) is primarily used for coding and billing purposes and does not offer detailed diagnostic criteria for mental health disorders like anxiety disorders.

Correct Answer: B

Rationale: The correct answer is B because presenting information in a calm manner using simple language helps the patient with moderate anxiety better understand preoperative information. This approach acknowledges the patient's anxiety and promotes effective communication. Choice A is incorrect because it addresses postoperative care rather than preoperative information. Choice C is incorrect as it focuses on recovery rather than addressing the patient's anxiety and understanding of preoperative information. Choice D is incorrect because it encourages expression of feelings rather than directly addressing the patient's understanding of preoperative information.

Correct Answer: C

Rationale: The correct answer is C: Discussing these feelings with a mental health professional. This option is the most helpful response because it addresses the nurse's emotional distress and offers professional support to help her process and cope with her trauma. By seeking help from a mental health professional, the nurse can work through her feelings and develop strategies to handle her difficulties working with trauma patients. A: Discussing with the nurse supervisor may provide some support, but a mental health professional is better equipped to address the nurse's emotional needs. B: Requesting patient assignment changes may avoid the issue temporarily, but it does not address the root cause of the nurse's distress. D: While important, accepting her role in providing unbiased care does not directly address the nurse's emotional struggles and may not be sufficient in helping her cope with her trauma-related difficulties.