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This statement describes a behavior more closely associated with bulimia nervosa, where individuals engage in compensatory behaviors such as vomiting to prevent weight gain after overeating. Binge eating disorder (BED) does not involve regular purging behaviors.

This statement indicates a focus on healthy eating and calorie counting, which is not characteristic of binge eating disorder. BED involves episodes of eating large quantities of food with a sense of loss of control, not controlled eating habits.

This statement reflects weight loss and improved body image, which does not align with the symptoms of binge eating disorder. BED is characterized by recurrent episodes of eating large amounts of food and feeling a lack of control over eating.

The patient who is superficial in group therapy may not be engaging deeply with the therapeutic process, which can hinder their progress. However, this behavior does not pose an immediate threat to the safety of others or the therapeutic environment. It is important for the nurse to address this issue to encourage more meaningful participation, but it is not the most urgent concern.

The patient who is lying to others in the group can disrupt the trust and cohesion within the therapeutic setting. While honesty is important for effective therapy, this behavior does not pose an immediate danger. The nurse should address this issue to maintain the integrity of the group therapy process, but it is not as urgent as addressing threats of violence.

The patient who makes sexual jokes may be engaging in inappropriate behavior that can make others uncomfortable and disrupt the therapeutic environment. While this behavior needs to be addressed to maintain a respectful and professional atmosphere, it does not pose an immediate threat to safety. The nurse should intervene to correct this behavior, but it is not the highest priority compared to threats of violence.

Asking if the child argues with certain people more than others can help identify patterns of oppositional behavior. However, this question does not directly address the aggressive and harmful behaviors that are more indicative of oppositional defiant disorder (ODD). While arguing can be a symptom of ODD, it is not as specific or severe as bullying or threatening harm.

Inquiring about the parents’ response to angry outbursts provides insight into the family dynamics and how the child’s behavior is managed. This question is more about the parents’ actions rather than the child’s symptoms. It does not directly assess the child’s behavior, which is crucial for diagnosing ODD.

Asking if the child has caused serious property damage can indicate severe behavioral issues, but it is more aligned with conduct disorder rather than oppositional defiant disorder. While property damage can occur in ODD, it is not as central to the diagnosis as the aggressive and defiant behaviors highlighted in option C.

Expressive Arts Therapy involves using various art forms such as drawing, painting, and sculpture to express emotions and thoughts. While it can be therapeutic and help children process their feelings, it does not specifically involve reading stories to reflect on personal experiences.

Journaling is a therapeutic technique where individuals write about their thoughts and feelings. It helps in self-reflection and emotional processing but does not involve reading stories as a primary method.

Music therapy involves using music to address emotional, cognitive, and social needs. It can include listening to music, playing instruments, or composing songs. While it is effective for many therapeutic goals, it does not involve reading stories for self-reflection.

Narcissistic Personality Disorder involves a pattern of grandiosity, need for admiration, and lack of empathy. While individuals with this disorder may also lie and manipulate, the primary features are their self-centeredness and need for admiration, which are not the main focus of the behaviors described.

Histrionic Personality Disorder is characterized by excessive emotionality and attention-seeking behavior. Individuals with this disorder may be dramatic and manipulative, but the behaviors described in the question are more indicative of antisocial traits rather than histrionic traits.

Avoidant Personality Disorder involves a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Individuals with this disorder are typically very anxious and avoidant of social interactions, which does not align with the behaviors described in the question.

While vitamins, including thiamine (vitamin B1), are important in managing alcohol withdrawal to prevent complications like Wernicke-Korsakoff syndrome, vitamin C is not specifically used to prevent cirrhosis or liver damage. This statement reflects a misunderstanding of the appropriate vitamin supplementation for alcohol withdrawal.

The duration of alcohol withdrawal symptoms can vary, but they usually peak within 24-72 hours and can last up to a week. Severe symptoms like delirium tremens can last longer, but the general withdrawal process does not typically last 10-12 days.

The severity of withdrawal symptoms can actually increase with repeated detoxifications due to a phenomenon known as kindling. Therefore, it is incorrect to assume that symptoms would be less severe with subsequent detoxifications.

The patient who overdosed and is under sedation and unconscious is not likely to become violent in their current state. Sedation and unconsciousness significantly reduce the risk of aggressive behavior. This patient needs medical monitoring and care for their overdose, but they do not pose an immediate threat of violence.

The patient with antisocial personality disorder who wants to leave AMA may exhibit manipulative or non-compliant behavior, but this does not necessarily indicate an immediate risk of violence. While patients with antisocial personality disorder can be challenging to manage, their desire to leave AMA is more about non-compliance than aggression.

The patient who is hallucinating and believes God is giving them “clear messages” may be experiencing psychosis, which can sometimes lead to unpredictable behavior. However, hallucinations alone do not directly indicate a likelihood of violence. The content of the hallucinations and the patient’s overall behavior would need to be assessed to determine the risk of violence.

This statement indicates that the parents are actively involved in managing their child’s ADHD by paying attention to behaviors and using a reward system. This approach is consistent with behavioral management strategies recommended for children with ADHD.

This statement shows that the parents are using a non-verbal cue (the peace sign) to help their child calm down, which is a positive strategy for managing ADHD symptoms. It indicates an understanding of using visual signals to support behavior management.

This statement acknowledges the challenges of managing minor behaviors but shows an understanding of the importance of focusing on the child’s homework. It reflects realistic expectations and the need for consistent strategies to help the child stay on task.

Letting the patient think you understand to minimize their anxiety is not an effective strategy. It can lead to further confusion and does not help the patient improve their communication. Honesty and clarity are important in therapeutic interactions.

Using reality testing to help the patient clarify their statements can be useful, but it may not be the best initial approach. It requires the patient to have some level of insight and ability to engage in reality testing, which may not be possible in severe cases of associative looseness.

Telling the patient they are not making any sense can be perceived as judgmental and may increase the patient’s anxiety and frustration. It is not a supportive or therapeutic approach and can hinder effective communication.