Nurse Stefan is caring for a ten-year-old client who has ASD. The client's mother is concerned that her child is not getting all his homework completed and she does not want him to get behind in school. Nurse Stefan educates the client's mother by offering several suggestions. What is the nurse's most appropriate response?

Correct Answer: B

Rationale: The correct answer is B: Creating a quiet study corner in your home will help him to focus. This option is the most appropriate because children with Autism Spectrum Disorder (ASD) often benefit from a quiet and structured environment to focus on tasks. The quiet study corner can minimize distractions and provide a dedicated space for the child to concentrate. Incorrect choices: A: Encouraging the child to get all his work done in one sitting may overwhelm him and lead to frustration, especially for a child with ASD who may need breaks and a structured routine. C: Allowing the TV on in the background can be distracting for a child with ASD who may have sensory sensitivities and struggle to filter out background noise. D: Forcing the child to sit down and complete homework as soon as he gets home may cause stress and resistance, as children with ASD often benefit from predictable routines and gradual transitions.

Correct Answer: A

Rationale: The correct answer is A. This response uses therapeutic communication by reflecting the client's statement back to them. By doing so, the nurse acknowledges the client's perspective without being confrontational. It opens the door for further discussion and exploration of the client's beliefs around alcohol and liver damage. This approach helps build rapport and trust with the client, allowing for a more effective therapeutic relationship. Choices B, C, and D are incorrect because they do not address the client's denial or beliefs directly. Choice B focuses on gathering more information about the client's drinking habits without addressing the client's statement. Choice C asks for an explanation without validating the client's feelings. Choice D is a general statement that may come across as judgmental and does not address the client's specific belief.

Correct Answer: B

Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence." Rationale: 1. At age 2, children often assert their independence by resisting authority, which includes refusing toilet training and saying "No." 2. This behavior is typical for toddlers and part of their normal developmental stage. 3. Pressuring the child or imposing firmer control may lead to power struggles and negative outcomes. 4. Recognizing and understanding the child's need for autonomy is crucial in responding effectively to their behavior. Other choices are incorrect: A: "Your child needs firmer control. It is important to set limits now." - This approach may lead to power struggles and may not address the underlying developmental stage the child is going through. C: "There may be developmental problems. Most children are toilet trained by age 2." - Making assumptions about developmental problems based on a single behavior is premature and may cause unnecessary concern for the parent. D: "Some undesirable

Correct Answer: B

Rationale: The correct answer is B because it follows the SOAP (Subjective, Objective, Assessment, Plan) format for problem-oriented charting. In choice B, the subjective information is the patient's statement, the objective information includes the observed behavior, assessment is the diagnosis of auditory hallucinations, and the plan includes offering medication and the outcome. Choice A lacks a clear assessment and plan, focusing more on the intervention and outcome. Choice C does not clearly link the assessment to the plan and lacks details in the subjective and objective sections. Choice D does not provide a clear separation between subjective and objective information and lacks a formal assessment section.

Correct Answer: C

Rationale: The correct answer is C: Projection. This defense mechanism involves attributing one's own unacceptable feelings or traits to others. In this scenario, the nurse is projecting her disappointment onto the nurse manager by suggesting that the manager's headache influenced the decision. This allows the nurse to avoid taking responsibility for not getting the promotion. A: Introjection involves internalizing external beliefs or values, which is not evident in this scenario. B: Conversion involves converting psychological distress into physical symptoms, which is not relevant to the situation. D: Splitting involves viewing people as all good or all bad, which is not demonstrated in this case.