The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients' histories?

Correct Answer: C

Rationale: The correct answer is C: Depression. Clients with anorexia nervosa often experience co-morbid conditions like depression due to the psychological and emotional impact of the disorder. Depression can exacerbate anorexic behaviors and hinder recovery. Paranoia (A), primary insomnia (B), and aggression (D) are not typically associated with anorexia nervosa. Paranoia is more commonly linked to conditions like schizophrenia, primary insomnia is a sleep disorder, and aggression may occur in various psychiatric disorders but is not a hallmark of anorexia nervosa.

Correct Answer: A

Rationale: The correct answer is A because in a nontherapeutic relationship, the first step would be the nurse failing to recognize the patient as a person with a need. This sets the foundation for the relationship to be unhelpful and potentially harmful. B, C, and D are incorrect as they are consequences or outcomes of a nontherapeutic relationship, not the initial cause. The nurse-patient relationship starts with the nurse acknowledging the patient's needs to establish trust and promote therapeutic communication.

Correct Answer: D

Rationale: The correct answer is D: Social support. Children benefit from social support as it helps them cope with stress. The death of a pet, chronic illness, and racial discrimination are all recognized as stressful experiences for children. Social support, on the other hand, is not a stressor but rather a protective factor that can help children navigate stressful situations. Thus, the nursing students need additional study to understand the importance of social support in helping children cope with stress effectively.

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: 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.