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: 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: B

Rationale: Verbigeration refers to the constant repetition of certain words or phrases, which is not described in the scenario. Pressured speech is a common symptom of bipolar disorder and other mental health conditions. It typically occurs when a person is experiencing manic episodes. During this time, a person may feel compelled to speak quickly, erratically, and without stopping. Neologism refers to the creation of new words or phrases that only have meaning to the individual using them. This is not described in the scenario. Perseveration refers to the repetition of a particular response, such as a word, phrase, or gesture, despite the absence or cessation of a stimulus. This is not described in the scenario.

Correct Answer: C

Rationale: The preparation phase is the initial stage of the therapeutic relationship where the groundwork for the rest of the relationship is laid. However, the establishment of a working caregiver-client agreement is not a step in this phase. The assessment phase involves gathering information about the client, but it does not typically involve the establishment of a working caregiver-client agreement. The working phase of the therapeutic relationship is where nursing interventions frequently take place. Problems and issues are identified and plans to address these are put into action. This phase includes the establishment of a working caregiver-client agreement. The orientation phase defines the problem and identifies the type of service needed by the patient. However, the establishment of a working caregiver-client agreement is not a step in this phase.

Correct Answer: B

Rationale: Parents who were very lenient disciplinarians may not necessarily lead to conduct disorder in their children. While lack of discipline can contribute to some behavioral issues, it is not specifically associated with conduct disorder. Harsh parental discipline and physical punishment can contribute to the development of conduct disorder. Children who experience harsh discipline may learn to use aggressive behavior as a way of dealing with conflict and may have difficulty developing pro-social behavior. This can lead to a pattern of violating the rights of others and societal norms, which is characteristic of conduct disorder. Schizophrenia is a chronic mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. While some individuals with conduct disorder may also have schizophrenia, the presence of schizophrenia does not necessarily indicate that an individual will develop conduct disorder. Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. It is not typically associated with the aggressive and rule-breaking behavior seen in conduct disorder.