Correct Answer: B

Rationale: While sadness can be a symptom of many mental health issues in children, it is not typically considered a warning sign of violence. Use of alcohol is a warning sign of violence in children. Substance abuse can impair judgment, increase impulsivity, and lead to aggressive behavior. Relationship difficulties can be a symptom of many mental health issues in children, but they are not typically considered a warning sign of violence. Though thought disorders can lead to behavioral problems, they are not directly associated with violence in children.

Correct Answer: C

Rationale: Failure to explore a client's point of view is a nontherapeutic communication technique, but it's not the most fitting description for the scenario. The nurse's yawning and frequent glancing at the watch doesn't necessarily indicate a lack of exploration of the clients' perspectives. Eliciting vague descriptions can be a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's actions don't suggest that they are eliciting vague descriptions from the clients. Failure to listen is the most appropriate answer. The nurse's yawning and frequent checking of the watch during therapy time could indicate a lack of attention or interest in what the clients are saying, which can be perceived as failing to listen. Failure to probe can be a nontherapeutic communication technique, but it doesn't seem to apply in this context. The nurse's actions don't suggest that they are failing to probe or ask further questions.

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: D

Rationale: When a patient exhibits suspicious behavior and specifically warns the nurse to stay away from a particular area, such as a closet, the most appropriate action is to avoid approaching the closet. This approach respects the patient's personal space and can help de-escalate potential agitation or aggression.

Correct Answer: D

Rationale: Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual's culture. These patterns develop early, are inflexible, and are associated with significant distress or disability. However, the behaviors described in the question are not specific to personality disorders. Affective disorders, also known as mood disorders, involve persistent feelings of sadness or periods of feeling overly happy, or fluctuations from extreme happiness to extreme sadness. The behaviors mentioned in the question do not align with the symptoms of affective disorders. Dysfunctional disorder is not a recognized term in psychiatric diagnosis.
Therefore, it cannot be the correct answer. Conduct disorder is a mental health condition that affects children and teens. People with this condition persistently display severely antisocial and aggressive behaviors. They may bully others, be abusive to small animals, lie, steal, drink alcohol, use drugs, or skip school, often before their teenage years. The behaviors described in the question align with the symptoms of conduct disorder.