A) In Mathematics if you start with a true statements, apply various rules, you will always get other true statements. However if you start from a false statement, then the end result might be true or false.
For example suppose we have $x^2 = 2x$. This is true when $x = 2$. We can square both sides to get $x^4 = 4x^2$, which is also true when $x = 2$.
Suppose we have $x^2 = 2x$ again. This is false when $x = 1$. We can square both sides to get $x^4 = 4x^2$ which might be true or false when $x = 1$. In this case the $x^4 = 4x^2$ is false when $x = 1$.
Suppose we have $x^2 = 2x$ again. This is false when $x = -2$. We can square both sides get $x^4 = 4x^2$ which might be true or false when $x = -2$. In this case the $x^4 = 4x^2$ is true when $x = -2$.
Thus giving examples of the first two sentences.
B) Here you started with $\sqrt{x-15} = 3 - \sqrt{x}$. This is false when $x = 16$, however when you apply various rules you will get $x = 16$, which is true when $x = 16$. Here you started with something that is false, and derived something that is true! But there is no contradiction because from a false we can get a true.
You might ask what is the point of manipulating an expression if the end result could be true or false regardless whether the original was true or false.
C) Well, if you start with a true statements, apply various rules, you will never get a false statement. So if you start with a statement that might be true or false, apply various rules, and the end result is false, then the original had to be false as well.
For example if we start with $\sqrt{x-15} = 3 - \sqrt{x}$ and suppose we do not know if it is true or false when $x = 5$. I.e. we do not know whether $\sqrt{5-15} = 3 - \sqrt{5}$ is true. We could square both sides and get $5 = 16$. The final result was false, thus $\sqrt{5-15} = 3 - \sqrt{5}$ was false as well, i.e. $\sqrt{x-15} = 3 - \sqrt{x}$ is false when $x = 5$.
Now you could do this for any $x$ except $16$, showing none of these values work. So when you got $x = 16$, you were not showing that $x$ is $16$, you were showing that no other value could be a solution!
When you substituted $x = 16$ and got $1 = -1$, you were showing $x = 16$ does not work either.
Thus manipulating an equation is useful for eliminating values. Once you eliminated some values, you should substitute all values left over back into the original see whether they work. (Unless you used reversible steps, then I can show that substitution is not needed).