Which nursing statement would be most appropriate when confronting a client about secondary gains related to extreme dependency on her spouse?

Correct Answer: D

Rationale: The correct answer is D because it directly addresses the concept of secondary gains related to extreme dependency on the spouse. By asking about the specific benefits gained from the relationship, the nurse can uncover underlying motivations for the dependency. A: This choice focuses on a broad question about lifelong concerns, not specifically targeting the secondary gains of dependency. B: This choice asks about anxiety related to decision-making, which is not directly addressing the benefits gained from dependency. C: This choice is too general and does not directly address the issue of secondary gains in the context of dependency.

Correct Answer: D

Rationale: The correct answer is D because clients with moderate intellectual disabilities typically struggle with academic tasks, making it unlikely for them to successfully complete elementary school without significant support. This indicates a need for further instruction on understanding the developmental characteristics of clients with moderate ID. A: This choice is incorrect because clients with moderate ID can often work in a sheltered workshop setting with appropriate accommodations and support. B: This choice is incorrect because clients with moderate ID can usually perform some personal care activities independently or with assistance. C: This choice is incorrect because clients with moderate ID may indeed have difficulty relating to peers due to social and communication challenges associated with their disability.

Correct Answer: D

Rationale: The correct answer is D: An 8-year-old boy. Boys are around four times more likely to be diagnosed with Autism Spectrum Disorder (ASD) compared to girls. Additionally, ASD is typically diagnosed in early childhood, with symptoms manifesting around the age of 2-3 years old. By the age of 8, a child would have likely shown clear signs of ASD if they have it. Choices A, B, and C (young girls) are less likely to be diagnosed with ASD based on prevalence and age of onset.

Correct Answer: C

Rationale: The correct answer is C: Impaired social interaction; short-term goal. This outcome criterion addresses impaired social interaction because it focuses on the client's ability to interact with others in the presence of a trusted caregiver. This goal is specific to the social aspect of communication and interaction. Choice A is incorrect because impaired verbal communication does not directly address the client's ability to interact socially. Choice B is also incorrect as it focuses on the long-term goal for verbal communication, not social interaction. Choice D is incorrect as it addresses impaired social interaction as a long-term goal, whereas the criterion in the question pertains to a short-term goal.

Correct Answer: A

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