The therapeutic approach in the care of an autistic child includes the following EXCEPT:

Correct Answer: D

Rationale: The correct answer is D because rearranging the environment to activate the child is not a recommended therapeutic approach for caring for an autistic child. Autistic children may struggle with changes in their environment, so rearranging it could lead to increased stress and anxiety, rather than therapeutic benefits. A: Engaging in diversionary activities when acting-out can help redirect behavior and provide a positive outlet for emotions. B: Providing an atmosphere of acceptance fosters a sense of security and belonging for the child. C: Providing safety measures is crucial to ensure the well-being of the child and prevent any harm. In summary, D is incorrect as it could potentially disrupt the child's sense of stability, while A, B, and C are all important aspects of the therapeutic approach in caring for an autistic child.

Correct Answer: C

Rationale: The correct answer is C: Claustrophobia. Claustrophobia is an intense fear of confined spaces, such as elevators. In this case, the individual's fear of riding an elevator and the belief of dying inside indicate a fear of being trapped in a small space, which aligns with the symptoms of claustrophobia. Agoraphobia (A) is a fear of open or public spaces, social phobia (B) is a fear of social situations, and xenophobia (D) is a fear of strangers or foreigners, none of which match the symptoms described in the scenario.

Correct Answer: D

Rationale: The correct answer is D: Use the services of an interpreter. This is the best nursing intervention because it ensures accurate communication and understanding between the nurse and the psychiatric client who speaks a foreign language. Using an interpreter helps convey complex and nuanced information effectively, promotes trust and rapport, and ensures the client's needs are accurately addressed. Rationale for why the other choices are incorrect: A: Relying on nonverbal communication may lead to misunderstandings and misinterpretations, especially in a psychiatric setting where verbal communication is crucial. B: Selecting symbolic pictures as aids may be helpful to some extent, but it may not fully address the client's communication needs and may limit the depth of conversation. C: Speaking in universal phrases may be too simplistic and may not capture the complexity of the client's thoughts and emotions when addressing mental health issues.

Correct Answer: C

Rationale: The correct answer is C: The client speaks in coherent sentences. Improvement in disturbed thought processes due to flight of ideas in bipolar disorder is indicated by the client speaking in coherent sentences, demonstrating improved concentration and organization of thoughts. Verbalizing feelings directly (choice A) may not directly relate to improved thought processes. Positive "self" statements (choice B) may reflect self-esteem but do not address the issue of thought processes. Reporting feeling calmer (choice D) is too general and does not specifically address the improvement in thought processes.

Correct Answer: D

Rationale: Step 1: The victim's safety is the top priority in cases of family violence. Step 2: Factors like availability of shelters, caretaker's intervention, and victim's response to relocation directly impact safety. Step 3: Socioeconomic status does not guarantee safety and can be addressed through other means. Step 4: Therefore, the family's socioeconomic status is least important for ensuring the victim's safety.