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: 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: Intellectual thought process involves the ability to analyze, evaluate, and synthesize information. It is not specifically tied to problem-solving skills grounded in scientific reasoning and logic. Basic thought process refers to the fundamental cognitive operations such as perception, memory, and language comprehension. It does not specifically involve problem-solving skills grounded in scientific reasoning and logic. Concrete thought process is characterized by literal and immediate thinking. It involves thinking on the surface and not looking into the deeper meaning of things. It does not involve problem-solving skills grounded in scientific reasoning and logic. Abstract thought process involves higher-level thinking and reasoning skills. It includes problem-solving skills grounded in scientific reasoning and logic. A teenager employing problem-solving skills grounded in scientific reasoning and logic is demonstrating an abstract thought process.

Correct Answer: B

Rationale: Adjustment disorder is a stress-related condition that can cause emotional and behavioral symptoms. However, the child's withdrawal from previously enjoyed activities and expression of hopelessness about the future are more indicative of depression. Depression is characterized by persistent sadness, a loss of interest in previously enjoyed activities, and feelings of hopelessness. The child's behavior aligns with these symptoms, suggesting that they may be experiencing depression. Stress disorder, also known as acute stress disorder or post-traumatic stress disorder, is characterized by severe anxiety, flashbacks, and uncontrollable thoughts about a traumatic event. While the child's behavior could potentially be related to a stress disorder, the symptoms provided are more indicative of depression. Anxiety disorders are characterized by excessive fear or anxiety. While the child's expression of hopelessness could potentially be related to an anxiety disorder, the withdrawal from previously enjoyed activities is more indicative of depression.

Correct Answer: A

Rationale: Given the client's educational background and reading level, it's important to provide instructions that are simple and straightforward. Telling the client when to take her medication in a clear, concise manner is most appropriate. Using medical terms like 'MAOI' (Monoamine Oxidase Inhibitor) could confuse the client, especially considering her educational background and reading level. Using abbreviations like 'q.d.' (which stands for 'quaque die', meaning 'once a day' in Latin) could also confuse the client. While this instruction is accurate, it might be too complex for the client to understand.