A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states that a house fire is not likely. This counseling demonstrates the principles of:

A veteran of the war in Afghanistan was diagnosed with posttraumatic stress disorder (PTSD). The veteran says, “If there’s a loud noise at night, I get under my bed because I think we’re getting bombed.” What type of experience has the veteran described?

An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle’s behavior, but the parents did not believe the adolescent. What type of crisis exists?

During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, “After discharge, I think everything will be just fine.” Which remark by the nurse will be most helpful to the spouse?

A person attempts suicide by overdose, is treated in the emergency department, and then hospitalized. What is the best initial outcome? The patient will:

A patient admitted for a heroin overdose received naloxone (Narcan). The patient’s breathing pattern improved. Two hours later, the patient reports muscle aches, abdominal cramps, gooseflesh and says, “I feel terrible.” Which analysis is correct?

Read the question below and choose an answer. Give your rationale for choosing that answer in 3-4 sentences. A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. A topic of high priority should be: A) identifying depression in older adults. B) providing cost-effective foot care for older adults. C) identifying nutritional deficiencies in older adults. D) psychosocial stimulation for those who live alone.

A patient experiencing mania has not eaten or slept for 3 days. Which nursing diagnosis has priority?

A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, “Snakes are crawling on my bed. I’ve got to get out of here.” What is the most accurate assessment of the situation? The patient:

A person whose spouse died two years earlier tells friends, “I think I’m ready to start going out socially, maybe even take someone to dinner.” This comment best demonstrates that the individual is: