A psychiatric-mental health nurse reviews a client’s responses on the Brief Resilient Coping Scale. The client scores mostly “4 = Describes me” across all four items, with one item rated “3 = Neutral.” Based on the conceptual intent and scoring interpretation of this tool, which conclusion by the nurse is most accurate?

A client with schizophrenia is speaking in unconnected phrases and describes beliefs that others are plotting against them, despite no evidence to support this. Which description best characterizes the client’s conscious mental activity?

A psychiatric nurse is interacting with a client who prefers traditional herbal remedies and comes from a culture that views mental illness as a family issue. Which actions demonstrate culturally competent care involving cultural encounters, skill, and desire? Select all that apply.

A nurse working in a community mental health clinic wants to advocate for better access to psychiatric services for clients with serious mental illness. Which approach best reflects the nurse’s role in policy and politics?

A nurse is differentiating among sexual desire, excitement, and orgasmic disorders during assessment. Which clinical findings are most consistent with correct classification of sexual dysfunctions?Select all that apply.

A client reports difficulty falling asleep and frequent nighttime awakenings. The nurse reviews the client’s history to determine whether the presentation meets DSM-5 criteria for insomnia disorder. Which additional finding is required to support the diagnosis rather than a situational or secondary sleep disturbance?

A psychiatric-mental health nurse is providing health teaching to a client who is experiencing sexual side effects from a prescribed psychotropic medication. The client states, “I don’t like what this medication has done to my sex life, but I’m afraid to stop it.” Which nursing response best reflects effective health promotion and appropriate evaluation of outcomes?

A nurse in a community mental health clinic is providing sleep counseling to several clients across the lifespan. Based solely on the sleep duration recommendations shown in the image, which client statement requires the most immediate follow-up?

A 45-year-old client diagnosed with illness anxiety disorder presents with persistent preoccupation with having a serious illness, frequent body checking, and excessive anxiety. The client reports minimal somatic symptoms but high distress. Which treatment approach is most appropriate to address the primary symptom of this disorder?

A nurse is planning culturally competent care for a diverse outpatient psychiatric population. Which statements accurately reflect concepts of minority status, race, ethnicity, and culture? Select all that apply.