What action should a nurse take to demonstrate genuineness with a patient diagnosed with schizophrenia?

A 47-year-old female with a history of major depressive disorder and generalized anxiety reports persistent self-critical thoughts after a workplace demotion. During cognitive-behavioral therapy (CBT) sessions, she often says, “I failed because I’m not good enough. I’ll never succeed.” The psychiatric mental health nurse introduces cognitive reframing as a strategy to help the patient manage her distorted thinking.Which nurse response best demonstrates the use of cognitive reframing to challenge the patient’s maladaptive thoughts?

A 17-year-old male is brought to the mental health clinic by his mother, who reports a 6-month history of social withdrawal, declining school performance, and unusual speech patterns. The mother expresses concern because the client’s uncle was diagnosed with schizophrenia in early adulthood. The nurse practitioner suspects a prodromal phase of schizophrenia and reviews contributing risk factors with the family.Which statement by the nurse best reflects current understanding of neurodevelopmental and genetic risk factors for schizophrenia?

A 33-year-old male with generalized anxiety disorder (GAD) is being evaluated after reporting persistent fatigue, difficulty sleeping, and “constant tension in my body.” Laboratory tests reveal elevated cortisol levels and mildly increased blood glucose. The psychiatric nurse explains that these symptoms may be linked to prolonged activation of his neuroendocrine stress systems.Which physiological explanation best describes the patient’s symptoms based on prolonged activation of the hypothalamic-pituitary-adrenal (HPA) axis?

A psychiatric-mental health nurse practitioner (PMHNP) in an outpatient community mental health clinic evaluates a 43-year-old client with worsening depression despite current SSRI therapy managed by their primary care provider. The client reports passive suicidal ideation without plan, persistent anhedonia, and cognitive slowing affecting work performance. Which intervention by the PMHNP best exemplifies the advanced practice role in this outpatient setting?

A psychiatric nurse has been working with a young adult client who reminds her of her younger brother, who died from suicide years ago. During sessions, the nurse finds herself feeling overly protective, disheartened when the client resists suggestions, and increasingly frustrated when the client expresses hopelessness.Which nursing response best reflects professional management of this situation?

A nurse assessed a client who reluctantly participated in activities, answered questions with minimal responses, and rarely made eye contact. What information should be included when documenting the assessment? (Select all that apply.)

A psychiatric nurse is educating about brain stimulation therapies. Which are FDA-approved brain stimulation treatments for depression? Select all that apply.

The single most important procedure to prevent the spread of nosocomial infections is:

Genome wide association studies (GWAS):