Which nursing reply is most appropriate when a mother of a child diagnosed with autism spectrum disorder (ASD) asks, "What did I do to cause this?"

Correct Answer: B

Rationale: The correct answer is B because it provides an empathetic and accurate response. It reassures the mother that her parenting did not cause autism, highlighting research on brain abnormalities as the primary factor. This response promotes understanding and reduces guilt. Option A is incorrect as it only mentions one potential factor (fetal alcohol syndrome) and does not address the broader causes of ASD. Option C is incorrect as it wrongly implies that the mother's role is greater than the father’s in causing ASD, which is not supported by research. Option D is incorrect as it wrongly suggests that lack of early bonding or breastfeeding might cause autism, which is not substantiated by scientific evidence.

Correct Answer: B

Rationale: The correct answer is B because verbal abuse poses an immediate risk to the safety and well-being of others. Addressing this behavior first is crucial to ensure a safe therapeutic environment. The other choices, A, C, and D, do not pose an immediate threat to others' safety. Client A's behavior, although inappropriate, is not directly harmful to others. Client C's demand for attention may be disruptive but does not present an immediate safety concern. Client D's history of self-mutilation is concerning but does not indicate an immediate risk to others on the unit. Prioritizing the client diagnosed with conduct disorder who is verbally abusing a peer addresses the most urgent situation.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.