Correct Answer: A

Rationale: Rejecting is a non-therapeutic communication technique where the nurse refuses to discuss certain topics with the patient. In this case, the nurse telling the patient not to talk about her history of childhood sexual abuse is an example of rejecting. This approach can make the patient feel unheard or invalidated, which can hinder the therapeutic relationship and impede the patient's healing process. Providing inadequate responses is another non-therapeutic communication technique. It involves giving vague or insufficient responses to the patient's concerns or questions. However, in this scenario, the nurse is not providing an inadequate response but rather refusing to engage in the conversation altogether, which is more aligned with rejecting. Being judgmental is a non-therapeutic communication technique where the nurse makes negative judgments or evaluations about the patient. In this scenario, the nurse is not making any judgments about the patient or her experiences. Instead, the nurse is avoiding the topic, which is indicative of rejecting. Failing to probe is a non-therapeutic communication technique that involves not seeking further information from the patient, thereby missing important details. While the nurse in this scenario is not seeking more information about the patient's history, the behavior is more accurately described as rejecting because the nurse is actively discouraging the patient from discussing her experiences.

Correct Answer: B

Rationale: While the nurse plays an essential role in the therapeutic relationship, the primary focus is not on the nurse's needs or experiences. A therapeutic relationship in nursing focuses primarily on the client's needs, thoughts, feelings, and goals. This type of relationship is centered around helping the client achieve their desired outcomes by providing support, care, and guidance. The plan of care is an important aspect of nursing, but it does not define the primary focus of a therapeutic relationship. Establishing a friendship is not the focus of a therapeutic relationship. Maintaining professional boundaries is crucial to ensure that the therapeutic relationship remains effective.

Correct Answer: C

Rationale: Asperger's syndrome is a type of pervasive developmental disorder. It is characterized by difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests. However, it does not typically involve significant issues with imaginative use. Rett syndrome is a rare genetic disorder that primarily affects girls and leads to severe cognitive and physical impairments. It does not match the description given in the question. Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. Children with autism often have significant issues with social interaction, communication, imaginative use, and a limited range of activities, which matches the description given in the question. Childhood disintegrative disorder is a rare condition characterized by late onset of developmental delays—or severe and sudden reversals—in language, social function, and motor skills. While it involves issues with social interaction and communication, it does not typically involve issues with imaginative use.

Correct Answer: D

Rationale: Maintaining friendships is an important aspect of mental health, but failure to do so does not necessarily indicate a need for immediate mental health assistance. People may have difficulty maintaining friendships for a variety of reasons, including personal choice, lifestyle changes, or conflicts. While failure to complete school can be a sign of underlying issues such as learning disabilities, mental health problems, or socio-economic factors, it does not necessarily indicate a need for immediate mental health assistance. It's important to consider the individual's circumstances and other potential factors. Failure to achieve developmental tasks of age could be a sign of a developmental disorder or delay. However, it does not necessarily indicate a need for immediate mental health assistance. It's important to consider the individual's overall development and other potential factors. Failure to comply with societal rules can be a sign of antisocial behavior or conduct disorders, which may require immediate mental health assistance. This can include behaviors that harm others, violate the rights of others, or majorly violate societal norms.

Correct Answer: A

Rationale: When a nurse is educating a patient about the side effects of a prescribed medication, they are playing the role of a teacher. In this role, the nurse provides information and guidance to help the patient understand their medication and manage its side effects. The role of a change agent involves facilitating changes in behavior or perspectives, often in relation to lifestyle changes or health behaviors. While education can be a part of this role, it is not the primary focus when a nurse is educating a patient about medication side effects. The role of a therapist involves providing therapeutic interventions, often in relation to mental health issues. While a nurse can play this role, it is not the primary role when educating a patient about medication side effects. The role of a technician involves performing technical tasks and procedures. While a nurse can play this role, it is not the primary role when educating a patient about medication side effects.