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A client was arrested for breaking windows in the home of a former domestic partner. The history reveals childhood abuse by a punitive parent, past behavior of torturing family pets, and a previous arrest for disorderly conduct. Which nursing diagnosis has priority for this client?

A psychiatric clinical nurse specialist (CNS) is working with a defendant as a competency evaluator. A staff member asks:”Why are you spending so much time with that defendant? You spend one-to-one time and write volumes. Usually, we give defendants some medication and return them to court.”What is the CNS’s most appropriate response?

A nurse in the emergency department assesses a 7-year-old child who presents with multiple bruises in different stages of healing. The parent states, “He just falls a lot when playing outside.” The nurse suspects possible child abuse. What is the nurse’s legal responsibility in this situation?

In an emergency department counseling room, a client who has experienced ongoing intimate partner violence expresses frustration, saying:”There’s no way out. Nothing will ever change.”The nurse recognizes this statement as an indication of learned helplessness.What is the best nursing intervention at this time?

In a geriatric outpatient clinic, an 82-year-old client with multiple chronic conditions reports persistent pain and fatigue. The nurse reviews the client’s treatment history and notices that minimal interventions have been prescribed. The nurse considers how age-related bias may have influenced healthcare decision-making.Which factors contribute to age-related bias in treatment decisions? (Select all that apply.)

In an inpatient psychiatric unit, a staff nurse with only 2 months of psychiatric nursing experience is assigned to conduct a therapeutic group.Which type of group is this nurse best qualified to lead?

A nurse is teaching a group of families about community services available for persons with serious mental illness (SMI). The nurse explains that some programs provide resources 24 hours a day, 7 days a week to help clients remain safe and stable in the community.Which service would the nurse expect to provide this level of support?

A community health nurse is educating a group of older adult clients about sleep hygiene. The nurse explains that environmental factors, including seasonal changes, may affect sleep patterns. Which season would be most associated with increased periods of wakefulness in the general population?

An elderly client is admitted with delirium secondary to a urinary tract infection. The client’s family asks the nurse, “Will our loved one ever recover from this confusion?” What is the nurse’s best response?

On an inpatient psychiatric unit, a nurse is caring for a client diagnosed with a personality disorder who frequently manipulates others to meet personal needs.What is an appropriate initial outcome for this client?