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A client has tried a variety of complementary and alternative medicine (CAM) approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?” What is he client most likely response?

An 82-year-old client is admitted following a myocardial infarction. Over the past 3 weeks, the client has become withdrawn, tearful, and expresses hopelessness about recovery. The staff nurse documents “possible dementia” due to decreased participation in therapy and poor appetite. The client is oriented to person, place, and time but reports persistent sadness and guilt. Vital signs are stable, and no acute metabolic abnormalities are present.Which interpretation by the psychiatric-mental health nurse is most clinically accurate?

A psychiatric-mental health nurse compares two clients with schizophrenia:• Client A is 72 years old and spent most of early adulthood in a state psychiatric hospital prior to deinstitutionalization.• Client B is 26 years old with multiple brief hospitalizations over the past 5 years and inconsistent outpatient follow-up.Which interpretation by the nurse most accurately reflects serious mental illness (SMI) across the lifespan?

A client contacts a crisis hotline 12 hours after a sexual assault and states, “I shouldn’t have been drinking. I put myself in that situation. I don’t even know if I should go to the hospital.” The counselor must apply evidence-based crisis counseling principles. Which response by the nurse best reflects the most therapeutically sound intervention?

A hospitalized client with a history of chemical dependence and borderline personality traits becomes verbally abusive when informed that opioid medication cannot be administered early. The client states, “You people don’t care if I’m in pain. This place is useless.” The client has a pattern of escalating from anxiety to intimidation when frustrated. Baseline anxiety is high.Which nursing approach is most therapeutically effective for managing this client’s marginal coping style?

A client with advanced amyotrophic lateral sclerosis (ALS) has decision-making capacity and states, “I do not want artificial feeding or a ventilator if my condition worsens.” The family is divided. One sibling insists that withholding tube feedings would be “starving” the client to death and equivalent to euthanasia. The interdisciplinary team meets to clarify ethical and legal principles.Which statements accurately reflect evidence-based and legal principles related to facilitating death?Select all that apply.

A 42-year-old incarcerated client with a history of antisocial personality disorder and recurrent impulsive physical aggression is being evaluated for long-term pharmacologic management. The client has normal renal and thyroid function, no history of bipolar disorder, and no seizure disorder. The goal is reduction of chronic impulsive aggression rather than treatment of acute agitation.Which medication strategy is most appropriate?

A psychiatric-mental health nurse is participating in a case conference discussing a 24-year-old client hospitalized after a serious suicide attempt. The client has a strong family history of suicide across multiple generations. Laboratory research findings in similar high-risk populations demonstrate low cerebrospinal fluid serotonin metabolites. The interdisciplinary team is discussing how biological factors may contribute to suicide risk.Which statement by the nurse reflects the most accurate and comprehensive understanding of biological risk factors for suicide?

A 22-year-old client with a history of recurrent nonsuicidal self-injury (cutting) reports, “When my emotions get overwhelming, I lose control and cut. Sometimes I also think about dying, but mostly I just want the feelings to stop.” The client has difficulty regulating intense anger and anxiety and describes acting impulsively during emotional surges.The psychiatric-mental health nurse practitioner is selecting the most appropriate primary psychological therapy.Which intervention reflects the most accurate treatment approach for this client?

A psychiatric-mental health nurse assesses a client who states, “Nothing is ever going to get better. I feel completely alone and there’s no way out of this situation.” The client denies having a specific suicide plan but reports intense emotional pain and a belief that the future is uncontrollable.Based on the table provided, which nursing outcomes would be most appropriate for this client’s primary nursing diagnosis?Select all that apply.