The newborn should startle in response to a loud noise.​

A nurse is educating a patient with major depressive disorder who reports new-onset decreased libido and delayed orgasm after initiating sertraline (an SSRI). Which neurobiological mechanisms related to SSRI use and sexual dysfunction should the nurse include in the explanation? (Select all that apply.)

A 45-year-old male executive is admitted to the psychiatric unit after threatening legal action against his company for “not appreciating his brilliance.” During the interview, he insists on being seen immediately, interrupts the nurse to discuss his numerous awards, and becomes visibly irritated when asked about mistakes at work. He states, “People are just jealous of my success” and later refuses group therapy, calling it “a waste of time with mediocre people.” Which nursing intervention is most therapeutic for managing this patient’s care?

A psychiatric nurse is developing a care plan for a client diagnosed with paraphilic disorder. Which statement best reflects the current understanding of the neurocognitive and behavioral mechanisms underlying paraphilic disorders and their clinical relevance for nursing care?

A 74-year-old man is undergoing evaluation for progressive memory loss and personality changes. MRI shows diffuse cortical atrophy, particularly in the temporal and parietal lobes. CSF analysis reveals decreased beta-amyloid 42 and increased tau protein levels. Based on these findings, which pathophysiologic process is most directly responsible for the neuronal damage in Alzheimer’s disease?

A nurse is caring for a patient in a sleep disorders clinic who reports persistent insomnia despite adequate sleep opportunity. The provider orders a medication that enhances GABAergic activity and counsels the patient about avoiding caffeine due to its effects on adenosine. Which statements by the nurse correctly explain the role of these neurotransmitters in sleep-wake regulation? Select all that apply.

A nurse is educating a group of caregivers on Healthy People 2030 sleep health goals and age-specific sleep requirements. Which statements made by the caregivers indicate an accurate understanding of sleep duration recommendations and their clinical implications? Select all that apply.

A nurse is educating a 45-year-old patient with chronic insomnia about Cognitive Behavioral Therapy for Insomnia (CBT-I) as a first-line, nonpharmacologic treatment. Which patient statements indicate accurate understanding of CBT-I components and principles? Select all that apply.

A 4-year-old cries for 5 minutes when the parents leave the child at preschool. The parents ask the nurse, “What should we do?” What is the nurse’s best response?

A 17-year-old male with ADHD and a history of juvenile detention for theft is evaluated for pharmacologic management of inattentiveness. He admits to past misuse of prescription stimulants obtained from peers. The prescriber is considering methylphenidate. Which nursing action best reflects safe, legally compliant prescribing of this medication given its classification under the Controlled Substances Act?