A nursing instructor is teaching about case management. What student statement indicates that learning has occurred?

A client diagnosed with major depressive disorder with psychotic features hears voices commanding self-harm. The client refuses to commit to developing a plan for safety. Which is the nurse’s priority intervention at this time?

A client was diagnosed with depression resulting from the loss of her twin sister in a skiing accident. Her parents reported that all the client has done since the accident was lay in her bed and cry, asking why she survived the accident. The physician prescribed Prozac to treat the depression and suggested that the parents “keep a close eye on her.” After a week, the client began to show some signs of improvement, even coming out of her room to eat with the family. After 2 months, the client committed suicide despite seeming to come out of the depression. What is the likeliest reason?

Which of the following interventions should the nurse NOT utilize when caring for an inpatient client who is expressing anger inappropriately?

 A 52-year-old client states, “My spouse is upset because I don’t enjoy sex as much as I used to.” Which priority client data would the nurse initially collect?

The psychiatric-mental health nurse is performing the admission assessment of a client who is being admitted for depression and anxiety. The client reports a long history of excessive alcohol use and the recent loss of her job. When the nurse asks whether she has a religious preference or affiliation, the client states, “I used to believe in God, but I don’t anymore. I don’t understand how God can allow bad things to keep happening to me.” Which nursing diagnoses will the nurse include in the client’s care plan?

As a domestic violence nurse specialist, you are asked to testify in a court case involving intimate partner abuse. The defense attorney asks, “When Mr. and Mrs. Smith came to the emergency room, several people were around, yet Mrs. Smith still did not say that Mr. Smith hit her.” Which statement describes the rationale for Mrs. Smith not accusing her husband?

A 55-year-old male presents to your clinic with complaints of intermittent chest pain that has been occurring over the past few weeks. The pain is described as a squeezing sensation in the center of the chest, lasting for 5-10 minutes, and occurs primarily with exertion. He has a history of hypertension and smoking for 30 years. He reports occasional shortness of breath and dizziness during episodes of chest pain but denies nausea or radiation of the pain. His family history is significant for coronary artery disease. What is the most appropriate next step in the assessment of this patient? 

A 72-year-old female with a history of coronary artery disease (CAD), hypertension, and type 2 diabetes presents to the clinic with complaints of increasing shortness of breath over the past few weeks. She reports feeling short of breath after walking short distances or climbing stairs, but denies any chest pain or swelling in her legs. Her current medications include aspirin, metoprolol, and lisinopril. Her blood pressure is 130/80 mmHg, heart rate is 78 bpm, and respiratory rate is 18 breaths per minute. On physical examination, there is mild bilateral pitting edema in her lower extremities, but no jugular venous distention or crackles upon auscultation of her lungs. Given her symptoms and history, which is the most important health promotion intervention for this patient?

You are examining an 85-year-old woman and find a grade 3/6 crescendo-decrescendo systolic murmur with radiation to the neck. What is this most likely caused by?