Which pervasive developmental disorder is diagnosed when a child exhibits significant issues with social interaction, communication, imaginative use, and a limited range of activities?

Choice B rationale:
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.
Choice A rationale:
While the nurse plays an essential role in the therapeutic relationship, the primary focus is not on the nurse's needs or experiences.
Choice C rationale:
The plan of care is an important aspect of nursing, but it does not define the primary focus of a therapeutic relationship.
Choice D rationale:
Establishing a friendship is not the focus of a therapeutic relationship. Maintaining professional boundaries is crucial to ensure that the therapeutic relationship remains effective.

Choice A rationale
Therapy can be beneficial for children with disruptive behavioral disorders, but it is not the most effective intervention when implemented alone. Therapy often works best when combined with other strategies, such as consistent limit-setting.
Choice B rationale
Limit-setting is a crucial component of early interventions for children with disruptive behavioral disorders like conduct disorder and oppositional defiant disorder. Consistent limit-setting provides structure and clear expectations, which can help these children understand the consequences of their actions and learn to control their behavior. It is considered the most effective strategy because it directly addresses the behavioral issues that these children often struggle with.
Choice C rationale
While rewarding good behavior can be a useful strategy in managing disruptive behavioral disorders, it is not the most effective intervention when used alone. Rewards can encourage positive behavior, but without the structure provided by consistent limit-setting, children may not fully understand the connection between their actions and the consequences.
Choice D rationale
Punishment can sometimes be a part of the strategy for managing disruptive behavioral disorders, but it is not the most effective intervention. Over-reliance on punishment can actually exacerbate behavioral problems, as it does not teach children appropriate behaviors or help them understand the consequences of their actions.