Correct Answer: C

Rationale: Trust is an essential component of a therapeutic relationship, but it is not exemplified in this scenario. Trust involves believing in and relying on the honesty, integrity, and reliability of another person. Acceptance involves acknowledging and respecting the feelings, beliefs, and experiences of others without judgment. While acceptance is important in a therapeutic relationship, it is not demonstrated in this scenario. The therapeutic use of self involves using one's personality, insights, perceptions, and judgments as part of the therapeutic process. In this scenario, the nurse is using her personal experience (having children) to connect with the client, which is an example of the therapeutic use of self. Empathy involves understanding and sharing the feelings of another person. While empathy is crucial in a therapeutic relationship, it is not demonstrated in this scenario.

Correct Answer: C

Rationale: Leaving the client alone to eat might not address the client's paranoid belief that the food is poisoned. It could potentially exacerbate the client's anxiety and paranoia. Asking the client's family to bring in favorite foods might not be feasible in all situations. Moreover, the client might still harbor paranoid beliefs about the food being poisoned. Allowing the client to observe other clients eating the same food can help alleviate the client's paranoid belief that the food is poisoned. Seeing others safely consuming the same food can provide reassurance. Giving the client an 'anti-poison' placebo prior to meals is not an ethical practice. It can potentially undermine the trust in the therapeutic relationship.

Correct Answer: D

Rationale: Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual's culture. These patterns develop early, are inflexible, and are associated with significant distress or disability. However, the behaviors described in the question are not specific to personality disorders. Affective disorders, also known as mood disorders, involve persistent feelings of sadness or periods of feeling overly happy, or fluctuations from extreme happiness to extreme sadness. The behaviors mentioned in the question do not align with the symptoms of affective disorders. Dysfunctional disorder is not a recognized term in psychiatric diagnosis.
Therefore, it cannot be the correct answer. Conduct disorder is a mental health condition that affects children and teens. People with this condition persistently display severely antisocial and aggressive behaviors. They may bully others, be abusive to small animals, lie, steal, drink alcohol, use drugs, or skip school, often before their teenage years. The behaviors described in the question align with the symptoms of conduct disorder.

Correct Answer: A

Rationale: According to various studies, white adolescent males who have expressed intentions to die are at the highest risk for suicide. This group has been found to have higher suicide rates compared to other racial and age groups. While African American males who have expressed intentions to die are also at risk for suicide, the rates are not as high as those for white adolescent males. Asian adolescent males who have expressed intentions to die also face a risk of suicide, but again, the rates are not as high as those for white adolescent males. Hispanic American males who have expressed intentions to die are at risk for suicide, but the rates are not as high as those for white adolescent males.

Correct Answer: C

Rationale: While trying to look on the bright side can be a helpful strategy, it does not necessarily demonstrate empathy. Empathy involves understanding and sharing the feelings of another person. Telling someone they will feel better soon can be seen as dismissive of their current feelings and does not demonstrate empathy. Saying 'It must be difficult for you going through this' is an empathetic response because it acknowledges the person's feelings and shows understanding of their situation. While expressing sorrow for someone's loss can be seen as sympathetic, it does not necessarily demonstrate empathy. Empathy involves understanding and sharing the feelings of another person.