Correct Answer C

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• Answer A is incorrect: Ally likely didn’t complete the questionnaire for a reason. Insisting that she completes it won’t support the therapeutic alliance and is unlikely to result in truthful responses. 
• Answer B is incorrect. We don’t know why Ally didn’t complete the questionnaire and shouldn’t make assumptions without gathering more information. While mental health can be a difficult topic for some patients and families, having open conversations using language the family feels comfortable with can help to destigmatize these concerns. 
• Answer C is CORRECT. Partnering, one of the “Ps” in HELP, with Ally and her mother to talk about their concerns in a respectful manner is the best way to support the therapeutic alliance. This approach will likely help allow Ally to feel comfortable sharing her concerns.
• Answer D is incorrect. Ally’s refusal to complete the questionnaire is probably not because her mother is unable to discipline her. Asking open-ended questions and offering an opportunity to speak privately with the examiner is likely the best approach to understanding Ally’s concerns.