Blog

An adolescent assigned male at birth presents with persistent gender dysphoria and is being evaluated for GnRH agonist therapy to delay puberty. Which statement by the nurse reflects an evidence-based understanding of the clinical rationale and ethical considerations surrounding the use of puberty blockers in this context?

A 79-year-old woman with a 10-year history of Alzheimer’s disease is admitted from home due to difficulty swallowing and progressive weight loss. On assessment, she is nonverbal, unable to recognize her family, and is fully dependent for all activities of daily living. She exhibits muscle rigidity and is incontinent of bowel and bladder. Which nursing intervention is the priority at this stage of the disease?

A 14-year-old inpatient with oppositional defiant disorder has begun shouting obscenities during a group therapy session after being asked to participate. The patient crosses their arms, glares at the group leader, and refuses to leave the room when redirected. Which nursing intervention is most appropriate for de-escalating the situation while maintaining therapeutic boundaries?

A nurse is educating a patient with major depressive disorder who reports new-onset decreased libido and delayed orgasm after initiating sertraline (an SSRI). Which neurobiological mechanisms related to SSRI use and sexual dysfunction should the nurse include in the explanation? (Select all that apply.)

The nurse is preparing to irrigate a wound infected with vancomycin-resistant enterococci. What personal protective equipment (PPE) would the nurse wear?

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?

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 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 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 psychiatric client? The nurse (Select all that apply.)