Category: Uncategorized

A 12-year-old client with conduct disorder and comorbid ADHD has been suspended multiple times for aggression and rule violations. The caregiver reports feeling overwhelmed and states, “Nothing we try works. We punish him, but he just escalates.” The family environment is chaotic, with inconsistent rules and minimal supervision. There is no evidence of abuse or substance dependence in the household.Which nursing intervention plan best reflects health teaching and health promotion principles for this population?

A psychiatric nurse is conducting a risk assessment for a patient with potential bulimia nervosa. Which of the following factors are considered evidence-based risk factors for bulimia nervosa? (Select all that apply)

A psychiatric-mental health nurse is participating in disaster management planning following a large-scale hurricane that disrupted multiple counties. The interprofessional team is categorizing proposed interventions according to FEMA’s disaster management continuum.Which actions are correctly aligned with their respective disaster management phases?Select all that apply.

A 23-year-old client with borderline personality disorder (BPD) presents with recurrent impulsive self-injury, intense interpersonal conflict, and chronic emotional instability. The client reports a biological parent with similar patterns of emotional volatility and self-harming behaviors. Genetic testing performed as part of a research study reveals a short allele variant of the serotonin transporter gene (5-HTT). Functional MRI shows increased limbic activation in response to emotional stimuli and reduced prefrontal regulatory activity.Which interpretation best integrates the biological risk factors underlying this client’s presentation?

A psychiatric-mental health nurse is assessing a male client with a history of paraphilic behavior. The client reports recurrent urges to expose himself, expresses deep remorse and shame, and states, “I want to stop these thoughts before they turn into actions.” Based on the table, which nursing diagnosis-outcome pairing is the most appropriate priority for this client?

A client with chronic difficulty maintaining sleep reports frequent middle-of-the-night awakenings but denies difficulty falling asleep. The provider wants a medication with intermediate duration, FDA approval for both sleep induction and sleep maintenance, and lower concern for habit formation than benzodiazepines. Which medication best meets these criteria based on the table?

An 86-year-old client with moderate Alzheimer’s disease (AD) is started on a cholinesterase inhibitor. The family asks whether the medication will “stop the disease from getting worse.” The client has mild bradycardia and a history of syncope. After 10 months of therapy, the family reports only slight cognitive improvement.Which explanation by the nurse is most accurate regarding cholinesterase inhibitor therapy?

A psychiatric-mental health nurse is conducting an assessment of a client admitted with severe depressive symptoms following a recent job loss and financial strain. The nurse observes that the client reports persistent hopelessness, avoids social interactions, neglects personal hygiene, and states, “Nothing will ever get better.” Based on the ANA standards and the NANDA-I framework, which diagnostic statement demonstrates the most accurate problem-focused nursing diagnosis?

A nurse is collaborating with an interprofessional team to develop a treatment plan for a client with a sexual dysfunction that has persisted despite appropriate first-line pharmacologic therapy. Which plan is most consistent with the stepped, diagnosis-specific treatment approaches shown in the table?

A nurse working in a correctional facility is planning care for inmates with serious mental illness. Which statement most accurately reflects forensic psychiatric care for incarcerated populations?