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A 28-year-old client with a history of schizophrenia is admitted voluntarily after stopping medication 3 weeks ago. Assessment findings: Minimal eye contact Guarded responses States, “People have been acting differently around me.” Eating small amounts of food Sleeping 3–4 hours per night Denies suicidal or homicidal ideation On day 2, the client is observed pausing during conversation and staring toward the doorway. When asked what they are looking at, the client states, “You don’t hear that?” The client begins isolating in their room and avoids eye contact. Which interpretation is most appropriate?

The nurse receives report on four clients with bipolar disorder. Which client should be assessed first? 

A nurse is caring for clients newly prescribed antidepressants. Which client should the nurse see first?

A client reports feeling “empty and tired” for the past 3 years. The client continues working but reports low energy, poor concentration, and chronic low mood. There are no episodes of mania. Which type of depression is most consistent with this presentation?

A nurse is caring for a 29-year-old client with a diagnosis of post-traumatic stress disorder following a physical assault. During morning rounds, a loud noise from the hallway causes the client to crouch down, cover their head, and appear disoriented. The client’s breathing becomes rapid, and they do not respond when the nurse initially calls their name. Which nursing intervention is most appropriate at this time?

The client with a depressive disorder has been consistent with taking 12.5 mg of paroxetine extended release daily. The nurse judges the client to be benefiting from this drug therapy when the client demonstrates which behaviors? Select all that apply. 

A client is taking diazepam while establishing a therapeutic dose of antidepressants for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.

Self-concept is the overall assessment (note: evaluative in nature) about who we are. Self-concept is influenced at an early age by the people who mattered most to you (parents, siblings, teachers, coaches), so that their reactions to us served as a mirror for our early concept. This can change over time, and it is important to evaluate where it is now, and what had constructed it. Beliefs: What is consistently true about you? Attitudes: (Evaluations about yourself): What is good and great about you? What needs improvement?  Values: (Principles that guide you): What is acceptable and unacceptable behavior for yourself? What or who has influenced your understanding of what is right and wrong?

A person’s self-esteem requires a comparison between two mental standards: the ideal self consisting of all the qualities one wants to possess the ought self which is the person you think others want you to be. High self-esteem stems from consistency among your self-concept, your ideal self, and your ought self; conversely, low self-esteem occurs when the self-concept is inferior. Self-concept: simply list the beliefs, attitudes, and values that make your self-concept. Place a positive or negative sign next to each. Overall, do you view yourself in a positive or negative light? Ideal self: perhaps a better qualifier: who is your best self? Physically, emotionally, mentally, financially, spiritually describe your best you. Ought self: Who do others want you to be? Physically, emotionally, financially, spiritually, what would you have to do to become this person?

The following are compounds, EXCEPT: