A 38-year-old premenopausal woman presents with distress due…
A 38-year-old premenopausal woman presents with distress due to hypoactive sexual desire disorder (HSDD) and decreased arousal. The provider is considering pharmacologic interventions. Which options are evidence-based pharmacological treatments for female sexual dysfunction? Select all that apply.
Read DetailsA client diagnosed with a somatic symptom disorder says, “My…
A client diagnosed with a somatic symptom disorder says, “My pain is from an undiagnosed injury. I can’t take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much.” What is the mos important nursing assessment?
Read DetailsA psychiatric nurse has been working with a young adult clie…
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?
Read DetailsA psychiatric-mental health nurse practitioner (PMHNP) in an…
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?
Read DetailsA psychiatric-mental health nurse is discussing recent legis…
A psychiatric-mental health nurse is discussing recent legislative and policy changes with a group of nursing students. The nurse explains that mental health advocacy groups have played a significant role in improving access to mental healthcare and ensuring parity with physical health conditions. The students are asked to identify key legislative and policy improvements that have enhanced mental healthcare in the United States.Which of the following legislative and policy improvements have contributed to enhancing mental healthcare access and coverage in the United States? (Select all that apply.)
Read DetailsA 29-year-old male with bipolar I disorder is hospitalized f…
A 29-year-old male with bipolar I disorder is hospitalized for acute mania. He is pacing the unit, rapidly talking to staff and patients, and attempting to enter other clients’ rooms uninvited. He has not eaten or slept in two days. The nurse develops a plan of care prioritizing safety. Which of the following interventions are appropriate to reduce risk and promote safety in this clinical situation?Select all that apply.
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