Correct Answer: B

Rationale: Regression is a defense mechanism where an individual reverts to a previous stage of development in response to a stressful situation. This is not demonstrated in the patient's statement. Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner's forgetfulness. Projection involves attributing one's own unacceptable thoughts or feelings to others. This is not demonstrated in the patient's statement. Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This is not demonstrated in the patient's statement.

Correct Answer: D

Rationale: While anxiety disorder can cause physical symptoms such as stomach aches, the fact that all labs and x-rays relevant to his abdominal discomfort have been normal suggests that the boy's symptoms may not be due to anxiety. Acute stress disorder is characterized by severe anxiety, dissociative, and other symptoms that occur within one month after exposure to an extreme traumatic stressor. Given the information provided, it is unlikely that the boy's stomach aches are due to acute stress disorder. Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience. Given the information provided, it is unlikely that the boy's stomach aches are due to a personality disorder. Somatoform disorders are characterized by physical symptoms that suggest physical illness or injury, but which cannot be explained fully by a general medical condition. Given that the boy's stomach aches persist despite normal lab and x-ray results, a somatoform disorder may be a possible explanation.

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: B

Rationale: A therapeutic area refers to a specific location or setting where therapeutic activities or treatments occur. However, it doesn't necessarily imply a comprehensive environment designed to assist patients in replacing inappropriate behaviors with more effective personal and psychosocial skills. A therapeutic environment, also known as a therapeutic milieu, is a broad term that describes settings designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills. A therapeutic unit could refer to a specific department or team within a healthcare facility that provides therapeutic services. However, it doesn't necessarily denote an environment designed for behavioral and psychosocial skill development. A therapeutic setting could refer to any location where therapeutic services are provided. It's a more general term and doesn't specifically denote an environment designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.

Correct Answer: C

Rationale: The primary nursing care intervention for an adolescent patient diagnosed with schizophrenia involves educating the patient and their family about the importance of medication adherence. Schizophrenia is a chronic condition that often requires long-term medication management. Ensuring adherence to prescribed medication regimens can significantly improve symptom management and overall quality of life.