An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?

Correct Answer: B

Rationale: The correct answer is B because physical aggressiveness, low-stress tolerance, and disregard for the rights of others are common behaviors seen in children with conduct disorder. This behavior pattern aligns with the diagnostic criteria for conduct disorder, which includes aggression towards people or animals, destruction of property, deceitfulness, and violation of rules. Choices A, C, and D do not specifically align with the typical behaviors associated with conduct disorder in children. Choice A describes symptoms commonly seen in ADHD, choice C aligns more with symptoms of anxiety disorders or psychotic disorders, and choice D describes symptoms of depression rather than conduct disorder.

Correct Answer: B

Rationale: The correct answer is B: Coffee. Oxazepam is a benzodiazepine that can cause drowsiness and relaxation. Coffee contains caffeine which can counteract these effects, making the medication less effective. Avoiding excessive coffee intake ensures the desired therapeutic effects of Oxazepam. Choices A, C, and D are incorrect because they do not interact directly with Oxazepam or affect its effectiveness.

Correct Answer: C

Rationale: The correct answer is C: Sundowning. Sundowning refers to increased confusion and behavioral changes in clients with cognitive impairment disorders, typically worsening in the early evening hours. This phenomenon is believed to be influenced by factors such as fatigue, changes in light exposure, and disruption of the body's internal clock. Aphasia (A) refers to language difficulties, agnosia (B) is the inability to recognize objects or persons, and confabulation (D) is the production of false memories. These terms do not specifically relate to the described phenomenon of increased confusion in the early evening hours seen in sundowning.

Correct Answer: C

Rationale: The correct answer is C: To explore a subject, idea, experience, or relationship. This therapeutic communication technique aims to encourage the client to express their thoughts, feelings, and needs freely. By asking the client how they can be helped, the nurse is inviting the client to discuss their concerns and preferences, allowing for a deeper exploration of their situation. This can help establish trust, build rapport, and facilitate a better understanding of the client's perspective. Choices A, B, and D are incorrect: A: Reframing the client's thoughts is not the primary purpose of this communication technique. B: Putting the client at ease is important, but not the main goal of asking this question. D: While showing active listening is essential, the main purpose of this question is to encourage the client to open up and share their concerns.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates empathy and validation of the client's experience without reinforcing the hallucinations. By acknowledging the client's reality while emphasizing the nurse's own perception, it helps the client feel understood and builds trust. Choice A is incorrect as it shifts the focus to the nurse's sister, minimizing the client's experience. Choice C is incorrect as it suggests avoidance rather than addressing the client's feelings. Choice D is incorrect as it dismisses the client's concerns and relies solely on medication without addressing the client's emotional needs.