Correct Answer: D

Rationale: Actively seeking is a stage of chemical dependency where the individual actively seeks out the substance. In this scenario, the teenager is not just seeking heroin, but is using it to prevent withdrawal symptoms, which suggests a more advanced stage of dependency. Experimentation is the initial stage of chemical dependency where the individual first tries the substance. However, the teenager in this scenario is past the experimentation stage as she is using heroin regularly to prevent withdrawal symptoms. Burnout is a stage of chemical dependency characterized by physical and mental exhaustion due to prolonged substance use. While the teenager may be experiencing burnout, the scenario specifically mentions her use of heroin to prevent withdrawal symptoms, which is more indicative of the preoccupation stage. Preoccupation is a stage of chemical dependency where the individual is consumed by thoughts of the substance and uses it to prevent withdrawal symptoms. The teenager's belief that she cannot cope without heroin and her use of it to prevent withdrawal symptoms align with this stage.

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: 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: 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: 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.