A client diagnosed with major depressive disorder tells the nurse, “I want to try supplementing my selective serotonin reuptake inhibitor (SSRI) with St. John’s wort.” Which action should the nurse take first?

During arraignment, a defendant behaves bizarrely, fails to respond to the judge’s questions, and shouts obscenities. The judge orders an evaluation by a forensic nurse examiner. Which information provided by the examiner will be most important to the Court at this time?

Explain the importance of culturally relevant care in psychiatric–mental health nursing practice.

An 81-year-old client with chronic non-cancer-related lumbar pain and stage 3 renal insufficiency requests stronger medication after reporting inadequate relief with nonopioid therapy. The provider considers initiating an opioid. The client lives with extended family members.Which plan of care by the psychiatric-mental health nurse best reflects evidence-based opioid management in older adults?

An adult with a history of mental illness is hospitalized with pneumonia. The client and family are very anxious. What is the best outcome to add to the plan of care for this family?

A client has tried a variety of complementary and alternative medicine (CAM) approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?” What is he client most likely response?

Describe relaxation techniques that help to manage stress responses.

A client presents to a rural emergency department 6 hours after a sexual assault. The facility does not have a trained Sexual Assault Nurse Examiner (SANE) on staff. The charge nurse states, “We can treat injuries, but forensic evidence collection and legal documentation should wait until a SANE is available tomorrow.” Which response by the primary nurse reflects the most appropriate understanding of specialized sexual assault services?

An 84-year-old client with advanced dementia becomes increasingly irritable and resists bathing and repositioning. The client is nonverbal and unable to describe discomfort. The family requests hospitalization for “a full medical workup” and asks whether antibiotics and artificial nutrition should be initiated “just in case.” The primary nurse applies principles of palliative dementia care.Which intervention best reflects evidence-based palliative care for advanced dementia?

A client is being discharged from an acute care setting 24 hours after a sexual assault. During discharge planning, the nurse evaluates whether short-term outcome criteria for rape-trauma response have been met. Which client statement most clearly demonstrates achievement of an appropriate acute-phase outcome rather than a longer-term recovery goal?