The nurse is counseling a family with a 10-year-old child after the death of a favorite uncle. The nurse provides guidance to the parents, informing them that the child may exhibit which of the following as a response?

Correct Answer: B

Rationale: The correct answer is B because children often express grief through physical symptoms like aches and pains. This is known as somatic complaints. Children may find it difficult to articulate their emotions verbally, so physical symptoms may manifest instead. Option A is incorrect as talking about scary novels is not a common response to grief in children. Option C is incorrect as fear of leaving home is more associated with separation anxiety. Option D is incorrect as becoming obsessed with religious rituals is not a typical response to grief in children.

Correct Answer: B

Rationale: The correct answer is B because having the client write down information after being directly given the correct information is most effective for clients with schizophrenia. This method helps reinforce learning through repetition and aids memory retention. Writing down information also allows the client to refer back to it for reinforcement. A: Engaging the client in trial and error learning can be frustrating and overwhelming for someone with schizophrenia, leading to confusion. C: Asking the client to guess at the correct answer may increase anxiety and decrease confidence, which can hinder the learning process. D: Using colorful visual aids may be distracting and overwhelming for a client with schizophrenia, making it harder to focus on the information being presented.

Correct Answer: D

Rationale: The correct answer is D because impulsivity is a common characteristic of borderline personality disorder and can lead to self-injurious behaviors. The statement "It is almost as if as soon as I think of doing something, I immediately do it" indicates a lack of impulse control and potential for engaging in harmful behaviors without considering consequences. A: This statement expresses feelings of depression but does not directly indicate self-injurious behavior risk. B: This statement suggests a lack of autonomy but does not directly indicate self-injurious behavior risk. C: This statement describes dissociation, which is common in borderline personality disorder but does not directly indicate self-injurious behavior risk. In summary, choice D is the correct answer as it directly implies impulsivity and potential for self-injurious behavior, while the other choices do not clearly indicate this risk.

Correct Answer: B

Rationale: The correct answer is B because as individuals age, their circadian rhythm tends to shift, resulting in feeling sleepier at night and more alert in the morning. This is known as advanced sleep phase syndrome, common in older adults. Choice A is incorrect as age-related changes in circadian rhythm lead to feeling differences in morning and evening. Choice C is incorrect as older adults often experience difficulty staying asleep rather than feeling sleepy in the morning. Choice D is incorrect as the quality and quantity of sleep become more important with age due to changes in sleep patterns.

Correct Answer: C

Rationale: Step 1: The correct answer is C because it indicates a prolonged period of over 2 months of persistent symptoms such as crying, inability to eat or sleep. Step 2: This prolonged duration of symptoms is indicative of a potential depressive episode. Step 3: The inability to eat or sleep are common symptoms of depression. Step 4: This statement highlights a significant change in the father's behavior following the mother's death, suggesting a possible depressive disorder. Summary: Choice A: The duration of symptoms is not as prolonged as in choice C. Choice B: While agitation and anxiety can be symptoms of depression, they are not as specific or severe as the symptoms in choice C. Choice D: The timeframe of symptoms mentioned here is not as long as in choice C, making it less concerning for depression.