Blog

A 45-year-old client diagnosed with illness anxiety disorder presents with persistent preoccupation with having a serious illness, frequent body checking, and excessive anxiety. The client reports minimal somatic symptoms but high distress. Which treatment approach is most appropriate to address the primary symptom of this disorder?

A nurse is planning culturally competent care for a diverse outpatient psychiatric population. Which statements accurately reflect concepts of minority status, race, ethnicity, and culture? Select all that apply.

A psychiatric nurse on an inpatient unit verbally threatens a patient by saying, “If you don’t take your medication, you’ll never leave this hospital,” and then immediately administers the medication against the patient’s will. Which legal concept is the patient most likely able to claim occurred?

A 23-year-old client reports recurrent episodes of sudden bilateral muscle weakness triggered by laughter, vivid sensory experiences while falling asleep, and brief inability to move upon awakening. The client states, “I feel refreshed when I wake up, but within a few hours I’m overwhelmingly sleepy again.” Which finding would most strongly support narcolepsy as the primary diagnosis rather than another hypersomnia disorder?

A 28-year-old patient with dissociative identity disorder is admitted to the psychiatric unit after a recent suicide attempt. The patient exhibits frequent switching between alternate personality states, reports flashbacks of severe childhood trauma, and demonstrates impaired reality testing during episodes of high stress. The patient also has comorbid major depressive disorder.When developing a care plan for this patient during the initial inpatient admission, which approach should the psychiatric nurse prioritize?

Which statements accurately describe developmental tasks or possible fixations in Freud’s psychosexual stages? Select all that apply.

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?