The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:

Correct Answer: D

Rationale: The correct answer is D, as playacting as a police officer and causing fear in other children could be a potential symptom of traumatization. This behavior may stem from experiencing or witnessing traumatic events, leading the child to reenact them to make sense of their feelings and gain a sense of control. The child may be processing feelings of powerlessness or fear related to trauma through this play. A: The need to dominate others - While the behavior may involve exerting control, it is more likely a coping mechanism for trauma rather than a desire to dominate. B: Inventing traumatic events - There is no indication that the child is inventing traumatic events; rather, the behavior suggests a response to real trauma. C: A need to develop close relationships - The behavior is not indicative of seeking close relationships but rather a way of expressing distress and trying to make sense of traumatic experiences.

Correct Answer: B

Rationale: The correct answer is B because engaging the patient in a discussion about the benefits of the medications and addressing their concerns is the most appropriate action. This approach promotes patient-centered care, helps to understand the reasons for non-compliance, and allows for collaborative problem-solving. It fosters trust and communication between the patient and healthcare provider, leading to a higher likelihood of adherence to the prescribed treatment plan. Choice A is incorrect because judging the patient may lead to defensive reactions and hinder open communication. Choice C is incorrect as ignoring the issue can result in worsening health outcomes. Choice D is incorrect as providing reassurance without addressing the underlying reasons for non-compliance may not effectively resolve the issue.

Correct Answer: A

Rationale: The correct answer is A: Excessive worry about a variety of topics. This is a common symptom of generalized anxiety disorder as individuals experience persistent and excessive worry about various aspects of their lives. This worry is difficult to control and can interfere with daily functioning. Choice B is incorrect because hyperactivity and impulsivity are more characteristic of conditions like ADHD rather than generalized anxiety disorder. Choice C is incorrect as euphoria and grandiosity are symptoms of conditions like bipolar disorder, not generalized anxiety disorder. Choice D is incorrect as hallucinations are not typically associated with generalized anxiety disorder but may be seen in conditions like schizophrenia.

Correct Answer: B

Rationale: The correct answer is B: Using simple, clear language. This is an appropriate communication technique for a patient with dementia because it helps to minimize confusion and enhance understanding. Patients with dementia may have difficulty processing complex information, so using simple language can help them grasp the message. Speaking loudly and slowly (choice A) can be perceived as patronizing and may cause distress. Using complex medical terminology (choice C) can lead to further confusion. Telling the patient they will recover soon (choice D) is inappropriate as it provides false hope and can cause disappointment.

Correct Answer: D

Rationale: The correct answer is D: Assessing for signs of extrapyramidal symptoms. This is the priority intervention because antipsychotic medications can cause extrapyramidal symptoms, which can be serious and require immediate attention. Monitoring for these symptoms allows for early detection and intervention to prevent further complications. A: Monitoring for signs of weight loss and dehydration is important but not the priority compared to assessing for extrapyramidal symptoms. B: Encouraging the patient to maintain adequate hydration and nutrition is important for overall health but not the priority in this case. C: Providing education on the importance of taking the medication daily is essential but assessing for potential side effects takes precedence.