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Clinical Case Vignette A: Taylor Placement Site: Hospital-Based IOP (Adult Mood & Trauma Track)This IOP offers structured daily programming focused on emotional regulation, trauma-informed care, and group work. Supervisors favor approaches that balance stabilization with exploration of relational patterns and identity. Client Factors:Taylor is a 24-year-old white, nonbinary, queer adult admitted following a major depressive episode. They are estranged from their conservative evangelical family and report trauma from conversion therapy attempts. Taylor recently relocated to a new city for safety and is trying to rebuild a support network. They experience frequent panic attacks and describe feeling “fractured.” They express high motivation to engage in therapy but fear being judged or misunderstood. Taylor currently works a part-time retail job and shares housing with roommates. They are exploring spirituality on their own terms and have recently begun attending a progressive faith-based community that affirms LGBTQ+ identities. —————————– Question 1. Who is the client, and what is the client’s presenting problem? 

Which of the following is NOT a distinctive feature of Solution-Focused Brief Therapy (SFBT)?

A patient at 12 weeks gestation reports intermittent spotting and mild cramping. What should the nurse advise?

Marcus, a 29-year-old graduate student, reports feeling unmotivated and “like a failure” after receiving critical feedback on a project. He has since avoided starting new assignments, telling himself there’s no point if he’s “just going to mess it up again.” From a cognitive-behavioral therapy perspective, what does this scenario best illustrate?

A pregnant patient with a BMI of 32 asks about appropriate weight gain during pregnancy. The nurse should respond:

A nurse is providing discharge teaching to a patient with gestational diabetes. Which statement indicates the need for further teaching?

You plan to use solution-focused brief therapy with Miles and Sandra, a cohabitating couple who have been arguing frequently over finances, frequency of sex, and division of household chores. Which of the following is an example of a solution-focused brief therapy intervention?

Name That Theory: This approach views people as meaning-makers shaped by context and dialogue. It emphasizes re-authoring dominant stories and creating alternative accounts of identity through collaboration and language. Which theory is being described?  

Carmen and Ryan are seeing Tony, a psychoanalytic couples therapist, for help with recurring conflict. Ryan expresses frustration that Carmen often accuses him—without evidence—of having an affair. Carmen, in turn, shares that she feels emotionally abandoned, as Ryan is frequently absorbed in his work. In exploring Carmen’s early experiences, Tony learns that her parents divorced when she was 10 due to her father’s infidelity, after which her mother was granted full custody. Carmen had minimal contact with her father afterward. What is one way Tony might work with this couple from a psychoanalytic perspective?

A postpartum patient is breastfeeding and reports nipple soreness. The nurse should recommend: