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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?

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?