Correct Answer: D

Rationale: Control of obesity is not the primary issue with anorexia nervosa and bulimia. These disorders involve much more complex psychological issues. While food plays a central role in these disorders, it is not the primary issue. The primary issue is more related to body image and control. Depression can be a symptom or result of these disorders, but it is not the primary issue. Body image is the primary issue with anorexia nervosa and bulimia. Individuals with these disorders have a distorted body image and extreme fear of gaining weight, which leads to harmful behaviors such as extreme food restriction or binge eating and purging.

Correct Answer: D

Rationale: While loss of interest in activities can be a symptom of depression, it is not the most common behavior exhibited by adolescents with depression. Mood swings can occur in adolescents with depression, but they are not the most common behavior. Depressed mood is a symptom of depression, but it is not the most common behavior exhibited by adolescents with depression. Irritable moods and acting out are the most common behaviors exhibited by adolescents with depression, as per the school health nurse's knowledge.

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: 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: 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.