A 17-year-old male with ADHD and a history of juvenile detention for theft is evaluated for pharmacologic management of inattentiveness. He admits to past misuse of prescription stimulants obtained from peers. The prescriber is considering methylphenidate. Which nursing action best reflects safe, legally compliant prescribing of this medication given its classification under the Controlled Substances Act?
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A 40-year-old female patient undergoing therapy for sexual d…
A 40-year-old female patient undergoing therapy for sexual dysfunction reports a lack of genital response during intimacy despite emotional closeness and desire. Based on Masters and Johnson’s sexual response cycle, which interpretation best explains this disruption in physiological response?
A psychiatric-mental health nurse is preparing a discharge p…
A psychiatric-mental health nurse is preparing a discharge plan for a 22-year-old client with schizophrenia who has completed inpatient treatment following a second acute psychotic episode. The client demonstrates improved reality testing, minimal hallucinations, but continues to show signs of avolition, social withdrawal, and difficulty with problem-solving.Which nursing intervention is most appropriate during the stabilization phase of schizophrenia recovery?
A 50-year-old male truck driver presents to the occupational…
A 50-year-old male truck driver presents to the occupational health clinic with daytime fatigue, irritability, poor concentration, and elevated blood pressure. He reports sleeping only 4-5 hours per night for the past 6 months and frequently driving long shifts without rest breaks. Which finding best differentiates chronic sleep loss from acute sleep deprivation in this patient?
Which action by the nurse violates the civil rights of a psy…
Which action by the nurse violates the civil rights of a psychiatric client? The nurse (Select all that apply.)
A 23-year-old woman from East Africa presents to the clinic…
A 23-year-old woman from East Africa presents to the clinic with recurrent urinary tract infections, dyspareunia, and difficulty with childbirth. Physical examination reveals extensive scarring and partial fusion of the labia majora with a small opening for urination and menstruation. She discloses that this procedure was performed during childhood as part of a cultural ritual. Which nursing action demonstrates the most evidence-based and culturally competent care?
A psychiatric nurse is performing an intake assessment on a…
A psychiatric nurse is performing an intake assessment on a 7-year-old boy referred for concerns about social withdrawal, repetitive speech patterns, and a fixation on specific routines. The nurse prepares to document clinical findings for interprofessional review using the DSM-5 criteria for neurodevelopmental disorders.Which of the following clinical findings support a DSM-5 diagnosis of Autism Spectrum Disorder (ASD)?Select all that apply.
A 28-year-old patient with narcolepsy reports sudden episode…
A 28-year-old patient with narcolepsy reports sudden episodes of bilateral muscle weakness triggered by laughter, during which they remain conscious but unable to move. The nurse recognizes this as cataplexy. Which pathophysiological mechanism best explains this phenomenon?
A psychiatric nurse is educating a group of nursing students…
A psychiatric nurse is educating a group of nursing students about the evolution of theories in psychiatric disorders. Which of the following statements accurately describe key developments in the evolution of psychiatric theories? Select all that apply.
What action should a nurse take to demonstrate genuineness w…
What action should a nurse take to demonstrate genuineness with a patient diagnosed with schizophrenia?