A school nurse is meeting with a group of elementary school teachers to talk about motor disorders. One of the teachers raises their hand and says, 'I have a student in my class who cannot stop moving her arms unless she sits on her hands. Could this be a movement disorder?' What diagnosis would the nurse suggest as a possibility for this student?

Correct Answer: B

Rationale: The correct answer is B: a stereotypic movement disorder. Stereotypic movement disorder involves repetitive, nonfunctional motor behavior such as hand flapping. In this case, the student's inability to stop moving her arms unless she sits on her hands aligns with the characteristics of stereotypic movement disorder. A tic disorder (choice A) involves sudden, rapid, recurrent, non-rhythmic motor movements or vocalizations. Developmental coordination disorder (choice C) is characterized by difficulties with motor coordination. Normal development for the student's age (choice D) would not explain the specific behavior described by the teacher. Therefore, the most likely diagnosis for the student in this scenario is a stereotypic movement disorder.

Correct Answer: A

Rationale: Rationale: A is the correct answer because it demonstrates the strategy of providing feedback at an appropriate time and place, which is the conference room after visiting hours. This allows for privacy and a conducive environment for discussion. B, C, and D are incorrect because they do not consider the appropriateness of the time and place for feedback. B is insensitive to the patient's situation, C brings up a sensitive topic without regard for privacy, and D suggests discussing a grievance in a group setting, which may not be appropriate for addressing personal concerns.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates a sense of self-actualization by focusing on finding meaning and positivity in a difficult situation. The sibling acknowledges the unfairness of the death but aims to create a service that celebrates life, showing acceptance, growth, and a higher level of personal fulfillment. Choice A: This statement focuses on the sibling's experience rather than reflecting on the significance of the funeral service. Choice B: While this statement emphasizes conducting the funeral respectfully, it lacks the personal growth and positive outlook that characterize self-actualization. Choice D: This statement is judgmental and places blame on the deceased sibling, showing a lack of understanding and empathy, which is not indicative of self-actualization.

Correct Answer: C

Rationale: The correct answer is C: Social isolation. In this scenario, the individual is experiencing isolation due to feelings of shyness and lack of social skills, leading them to watch TV alone every evening. This choice directly reflects the situation described and addresses the root cause of the behavior. A: Deficient knowledge does not address the social aspect of the issue. B: Ineffective coping implies the individual is trying to cope with a specific stressor, not necessarily related to social interactions. D: Powerlessness does not capture the essence of the individual's situation, which is more about social withdrawal than a sense of powerlessness.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates rationalization by shifting blame onto the provoked person instead of taking responsibility for the abusive behavior. The person justifies their actions by claiming the other person provoked them, which is a common tactic used by abusers to avoid accountability. Choice A lacks justification or reasoning for the behavior. Choice B refers to a lack of impulse control, not rationalization. Choice D shows introspection and self-awareness, which is not characteristic of rationalization. Thus, C is the best example of rationalization in this context.