Amadi is a 40-year-old African national being treated in a psychiatric outpatient setting due to a court order. Amadi's medical record is limited in scope, so where can Renata, his registered nurse, obtain more data on Amadi's condition within legal parameters? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A: Emergency department records. Renata, as Amadi's nurse, can obtain more data on his condition from the emergency department records because they may contain relevant information about his psychiatric evaluation at the time of the court order. It is within legal parameters since it pertains to his current treatment. B: Police records related to the offense are not directly related to Amadi's psychiatric condition and may not provide necessary medical information. C: Calling his family in Africa for details is a breach of patient confidentiality and violates legal and ethical boundaries. D: Past medical records in the current facility may be limited in scope, as mentioned in the question, and may not provide a comprehensive understanding of Amadi's condition.

Correct Answer: C

Rationale: The correct answer is C because it exemplifies a double-bind message where Noah appears to comply with the request to tell anything but his sneer and purring tone indicate sarcasm or insincerity, creating conflicting messages. This can confuse the receiver, making it difficult to discern the true intention. Choice A involves inappropriate behavior but lacks the conflicting messages typical of a double-bind. Choice B shows resistance but doesn't present contradictory messages. Choice D shows emotional distress and a clear request to avoid a topic, but it lacks the contradictory nature of a double-bind message.

Correct Answer: D

Rationale: The correct answer is D: Progressive muscle relaxation. This technique involves tensing and then relaxing different muscle groups, helping to release tension and promote relaxation. For Jackson, who suffers from migraine headaches triggered by muscle tension, this can be effective in reducing his symptoms. Choice A, biofeedback, focuses on monitoring physiological responses, not directly addressing muscle tension. Choice B, guided imagery, involves visualization techniques, not muscle relaxation. Choice C, deep breathing, can be helpful but may not directly target muscle tension as effectively as progressive muscle relaxation.

Correct Answer: C

Rationale: The correct answer is C because teaching Harper relaxation techniques is crucial for managing PTSD symptoms. This goal focuses on providing her with coping mechanisms to reduce anxiety and restore a sense of control over her thoughts, which is a fundamental step in PTSD treatment. Play therapy (A) may be beneficial but is secondary to addressing immediate distress. Access to resources (B) is important but not the initial priority. Understanding human response (D) is valuable but does not directly address Harper's immediate need for symptom management.

Correct Answer: A

Rationale: The correct answer is A: A lack of bonding as an infant. This response suggests the child may not have a secure attachment to their parents, leading to a lack of trust and safety. It indicates a potential emotional neglect or lack of consistent caregiving in early childhood. Other choices are incorrect because B (healthy confidence) would not lead a child to seek refuge with a stranger, C (adequate parental bonding) would not result in such behavior, and D (normal parenting) assumes the child's behavior is typical, which in this case, it is not.