An adolescent asks a nurse conducting an assessment interview, "Why should I tell you anything? You'll just tell my parents whatever you find out." Which response by the nurse is appropriate?

Correct Answer: C

Rationale: The correct answer is C because it acknowledges the adolescent's concerns about privacy while also emphasizing the importance of safety and appropriate reporting. By mentioning that certain information, like suicidal thoughts, must be shared with the treatment team, the nurse maintains transparency and prioritizes the well-being of the adolescent. This response respects confidentiality while also upholding ethical and legal obligations to ensure the adolescent's safety. Choice A is incorrect because it inaccurately states that information shared with the nurse is completely confidential, which may not be the case in situations involving potential harm to the individual or others. Choice B is incorrect because it dismisses the adolescent's concerns about privacy and does not address the specific issue of mandatory reporting for certain serious matters. Choice D is incorrect because it does not address the core issue raised by the adolescent and may come across as judgmental or dismissive of their feelings and concerns.

Correct Answer: B

Rationale: The correct answer is B because the statement suggests a potential misunderstanding or negative perception of the baby's behavior. The nurse should explore further to address any underlying issues, provide education, and offer support. Choice A is a personal decision. Choice C reflects a common desire for support. Choice D is a general acknowledgment of the challenges of parenting. By exploring statement B, the nurse can ensure the well-being of both the mother and the baby.

Correct Answer: A

Rationale: The correct answer is A: Formulation of an idea. This is the first component of the process of verbal communication because it involves generating thoughts and ideas that need to be communicated. Before encoding a message (B), transmitting it (C), or receiving a message (D), one must first formulate the idea that they want to express. Encoding and transmission come after formulating the idea. Message reception is the final step in the process, where the receiver interprets and understands the message. Therefore, understanding the process of verbal communication starts with formulating an idea.

Correct Answer: C

Rationale: The correct answer is C: Environmental stimuli. Self-monitoring in behavioral therapy for bulimia nervosa involves tracking external triggers like locations, people, or activities that may lead to binge eating. This helps the client identify patterns and develop strategies to cope with or avoid these triggers. Choice A (Feelings of hunger) focuses on internal cues, which are not the primary target of self-monitoring in bulimia nervosa. Choice B (Efforts at distraction) is not typically recorded in a self-monitoring diary but may be addressed through other therapeutic techniques. Choice D (Rigid rules about eating) is more related to cognitive restructuring rather than self-monitoring of environmental stimuli.

Correct Answer: C

Rationale: The correct answer is C because recovery in mental health focuses on helping the patient live a meaningful life to their fullest potential. This statement aligns with the recovery model which emphasizes empowerment, hope, and self-determination. Choice A is incorrect as recovery is not always a linear process. Choice B is incorrect as recovery involves addressing various aspects of the individual's life, not just emotions. Choice D is incorrect because while peer support and self-acceptance are essential, they are not the sole focus of the recovery process. Overall, choice C best reflects the holistic approach to mental health recovery.