The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:

Correct Answer: A

Rationale: The correct answer is A: Overprotection of the child. Overprotecting a mentally retarded child can hinder their development and independence. The rationale is that it is important for the child to learn and grow within their capabilities. Patience, routine, and repetition (B) are essential for their learning process. Assisting parents in setting realistic goals (C) helps in creating achievable milestones. Giving reasonable compliments (D) helps boost the child's self-esteem. In summary, overprotection can hinder growth, while the other options support the child's development and well-being.

Correct Answer: A

Rationale: The correct answer is A: Have episodic binge eating and purging. This is because individuals with bulimia nervosa engage in recurrent episodes of binge eating followed by compensatory behaviors such as purging, which is not typically seen in anorexia nervosa. B is incorrect as weight stabilization is not a distinguishing feature. C is incorrect as peculiar food handling patterns are not unique to bulimia nervosa. D is incorrect as threatened self-esteem is a common feature in both bulimia nervosa and anorexia nervosa.

Correct Answer: D

Rationale: The correct answer is D because it focuses on exploring Nikki's feelings and understanding her perspective on the situation. By asking how she feels, the nurse encourages open communication and helps Nikki reflect on her emotions. Option A dismisses her feelings, B is judgmental, and C is irrelevant to the issue at hand. Option D is therapeutic as it promotes self-awareness and empowers Nikki to make informed decisions regarding her relationship.

Correct Answer: A

Rationale: The correct answer is A because it shows empowerment and independence for the client, which are key goals in therapy for anorexia nervosa. Reinforcing increased decision-making by the client indicates progress towards autonomy and self-efficacy. This is important for long-term recovery. Choice B is incorrect as clear verbalization of expectations by parents may not necessarily indicate successful therapy. It could potentially lead to increased pressure and anxiety for the client. Choice C is incorrect as verbalizing enjoyment of family meals may not necessarily indicate successful therapy. It could be a temporary response or avoidance of conflict. Choice D is incorrect as sharing feelings of low self-esteem with parents may indicate trust and communication but does not necessarily represent successful therapy outcomes for anorexia nervosa.

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.