Correct Answer: D

Rationale: While this is an important goal for improving self-esteem and mood, it may not be the highest priority when the client's safety is at risk. This goal focuses on future planning and motivation, which is important for recovery but may not be as urgent as ensuring immediate safety. Understanding one's grief process is important for emotional healing, but it is not typically as critical as ensuring safety in the immediate term. This goal addresses the immediate safety and well-being of the client. Depression, especially severe depression, can increase the risk of suicidal ideation and behaviors. It is crucial to ensure the client's safety and have measures in place for her to reach out for help if she feels overwhelmed or unsafe.

Correct Answer: B

Rationale: Lorazepam is a benzodiazepine used primarily for its anxiolytic (anti-anxiety) effects. It is not an SSRI and is not typically prescribed as a first-line treatment for depression. Sertraline is a commonly prescribed SSRI used to treat depression, anxiety disorders, obsessive-compulsive disorder (OC
D), and other conditions. It works by increasing the levels of serotonin in the brain, which helps improve mood and reduce symptoms of depression. Amitriptyline is a tricyclic antidepressant (TC
A), not an SSRI. TCAs are older antidepressants that work on multiple neurotransmitter systems, including serotonin, but they are less commonly prescribed as first-line treatment due to their side effect profile. Clonazepam is also a benzodiazepine used for treating anxiety disorders and certain types of seizures. Like lorazepam, it is not an SSRI and is not typically used as a first-line treatment for depression.

Correct Answer: D

Rationale: While positive communication between teachers and teenagers can contribute to academic success and emotional support, it is not typically listed as a primary factor directly related to depression in adolescence. Issues related to academics and school performance may indirectly affect depression, but direct communication with teachers is less likely to be a significant factor compared to other options. Effective communication between parents and teenagers plays a crucial role in adolescent development. Supportive and open communication can help adolescents feel understood, validated, and supported, which can have a protective effect against depression. Conversely, poor communication or conflict within the family environment can contribute to feelings of isolation, distress, and ultimately depression. Academic stress, performance pressure, and difficulties in school can significantly impact an adolescent's mental health. High expectations, bullying, academic failure, or feeling overwhelmed by schoolwork can contribute to feelings of inadequacy, low selfesteem, and depression in adolescents. Peer relationships are critically important during adolescence. Positive peer relationships can provide emotional support, a sense of belonging, and opportunities for socialization and development of social skills. On the other hand, negative peer relationships, such as bullying, social exclusion, or conflicts with peers, can contribute to feelings of loneliness, rejection, and depression.

Correct Answer: A,C,D,F

Rationale: A. Purging is a behavior associated with bulimia nervosa, where individuals engage in self-induced vomiting, misuse of laxatives, diuretics, or enemas to compensate for binge eating episodes. C. Night eating disorder is characterized by recurrent episodes of night eating, typically waking up from sleep to consume food, often accompanied by a lack of appetite in the morning and a significant portion of daily caloric intake occurring after the evening meal. D. Pica is a disorder characterized by persistent eating of non-nutritive substances, such as clay, dirt, chalk, or paper. Pica involves eating non-food substances and is recognized as an eating disorder due to the potential harm it can cause. F. Binge eating disorder involves recurrent episodes of consuming large amounts of food within a discrete period, accompanied by a sense of loss of control over eating behavior. Unlike bulimia nervosa, individuals with binge eating disorder do not engage in purging behaviors. B. Cataplexy is a symptom of narcolepsy, characterized by sudden episodes of muscle weakness or loss of muscle tone, often triggered by strong emotions. E. Nocturnal myoclonus, also known as periodic limb movement disorder, involves involuntary muscle contractions or jerks during sleep, which can disrupt sleep but is not related to eating behaviors.

Correct Answer: D

Rationale: While adolescents with anorexia may exhibit behaviors related to food restriction, excessive exercise, or other rituals, the core issue goes beyond simply adhering to appropriate behavior. Control is a central issue in anorexia nervosa. Adolescents often use strict control over food intake and exercise as a way to manage overwhelming feelings of anxiety, fear, and uncertainty. By controlling their food intake and weight, individuals with anorexia may seek to regain a sense of mastery and control over their lives amidst other stressors. Anxiety is a common comorbidity in individuals with anorexia nervosa, but it is not the primary issue. Anxiety often stems from fears related to weight gain, body image dissatisfaction, and the perceived loss of control. Anxiety exacerbates the obsessive thoughts and behaviors around food and weight seen in anorexia nervosa. Body image disturbance is a fundamental issue in anorexia nervosa. Adolescents with anorexia often have a distorted perception of their body size and shape, seeing themselves as overweight even when significantly underweight. This distorted body image drives their obsessive behaviors around food restriction and excessive exercise in an attempt to achieve an unrealistic and unhealthy body image.