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A psychiatric-mental health nurse is presenting to a group of colleagues about the relationships between anger, aggression, and violence. Which statement by the nurse would be most appropriate to include?

A nurse has a reasonable suspicion that another member of the nursing staff suffers from substance use disorder that is resulting in impaired care practices. What action should the nurse take to protect both the patients and the staff member?

All of the following actions indicate that the relationship between a nurse working on the psychiatric unit and their patient may be moving outside the professional boundaries except?

A 27-year-old final year nursing student at a local university has come to the clinic to discuss the stress she is experiencing because of failing two exams at school. Initially, she described her failures as “the worst thing that has ever happened to me,” and she stated, “there is absolutely nothing I can do to pass this course now.” Based on the patient’s responses to questions, the nurse finds out there are three more equally weighted exams scheduled for this course. The nurse and patient collaborate and decide to use interventions to facilitate emotion-focused coping. Which additional comment from the patient would the nurse identify as providing support for this decision?

The health care provider (HCP) recommends that a patient have a partial bowel resection and an ileostomy. Later, the patient says to the nurse, “That doctor of mine surely likes to play big. I will bet the more he can cut, the better he likes it.” Which reply by the nurse is most therapeutic?

A nurse is working with a patient diagnosed with chronic depression in an outpatient psychiatric office. Which statement made by the nurse demonstrates compliance with the basic principles of therapeutic communication?

During assessment, the patient reports, “I feel empty and depressed most of the time.” The nurse recognizes this statement is an example of which clinical term?

A 24-year-old legal office assistant and secretary is seeking counseling because of a recent unexpected job loss. Which question would be most appropriate for the nurse to use in assessing the patient’s response to this loss?

A 31-year-old female psychiatric patient is talking to a nurse on the medical-surgical unit about her reasons for being hospitalized. The patient begins to discuss their relationship with their same-sex partner. The patient is describing the things in their relationship that cause discomfort, and she asks the nurse, “Should I break up with my partner?” Which response by the nurse would be most effective in building rapport between the patient and nurse?

Extra Credit – Up to 5 Extra Points How do you feel the course is going for you? Is there anything you’d like to see more of? I’m open to all thoughtful and respectful feedback.