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Identifying Potential Complications: During the prenatal assessment, the nurse notes that Maria’s blood pressure is 130/85 mmHg, which is slightly elevated for her first visit. Considering this, what is the most appropriate action to take next?

In a Socio-Emotional Relationship Therapy (SERT) session, one partner frequently stays quiet during conflict, expressing that speaking up might escalate tension. What intervention would best reflect a SERT-informed approach?  

Alex, 17, is seeking therapy to help navigate the anxiety and distress they are feeling about deciding when and how to come out as transgender to their family and friends. If using a narrative therapy approach, what would be a useful initial topic to explore with Alex?  

A patient in her third trimester reports feeling short of breath when lying flat. The nurse’s best response is:

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?