Author: Anonymous

A psychiatric nurse is caring for an involuntarily hospitalized adult client with schizophrenia who refuses antipsychotic medication. The client is alert, oriented, and able to articulate their understanding of the risks and benefits of treatment. According to current U.S. legal precedents, which statement best reflects the client’s rights to refuse treatment?

A client reports new-onset sexual dysfunction after several recent medication changes. The nurse notes gynecomastia, decreased libido, and impotence, but the client denies alcohol use and has no history of endocrine disease. Based only on the drug-effect relationships in the table, which medication is the most likely contributor to this cluster of symptoms?

A nurse is conducting a psychosocial assessment for a client hospitalized with a chronic medical condition. Which of the following questions best reflects the purpose of assessing concurrent physical conditions affecting psychosocial well-being?

A nurse working in an occupational mental health clinic evaluates a client who reports routinely staying awake for extended periods due to rotating night shifts and unstable sleep schedules. The client denies alcohol use but reports “brief moments of zoning out” while driving to work. Which interpretation by the nurse most accurately reflects the safety risk associated with the client’s sleep pattern?

A client presents to the emergency department after a sudden job termination and reports feeling overwhelmed and unable to think clearly. The client denies suicidal or homicidal intent but appears visibly anxious and states, “I can’t figure this out. Just tell me what to do.”Which nursing intervention best reflects appropriate crisis-intervention implementation?

A psychiatric nurse is conducting a comprehensive assessment on a newly admitted client presenting with depression, fatigue, and anxiety. Which actions best reflect a thorough, age- and condition-appropriate data-gathering process? Select all that apply.

A nurse is planning care for a patient who frequently somaticizes and presents with multiple unexplained physical complaints. Which nursing intervention best aligns with the evidence-based psychosocial approach to care for this patient?

A psychiatric-mental health nurse is assessing an adolescent who reports persistent distress related to sex characteristics, avoidance of pubertal changes, and a desire to be treated as another gender. The adolescent also states, “People assume this means I’m gay, but that’s not how I experience it.” Which interpretation by the nurse is most accurate and clinically appropriate based on the clinical picture of gender dysphoria?

A client reports persistent depressed mood, difficulty sleeping, loss of appetite, and trouble making simple decisions. Based on the client’s symptoms, which neurotransmitter alteration is most likely contributing to this clinical presentation?

A nurse is differentiating among sexual desire, excitement, and orgasmic disorders during assessment. Which clinical findings are most consistent with correct classification of sexual dysfunctions?Select all that apply.