The Declaration of Independence grounded its argument in the idea that governments get their authority from:

A patient complains about excessive worry or anxiety about many parts of their life (health, work, and relationships.) The patient’s worries are out of proportion to the potential impact or impairment of the worry. The patient is very distressed and misses work up to 3 days a week. What disorder is this patient most likely experiencing?

A 9-year-old child is brought to the clinic by parents who are concerned about poor weight gain and extremely limited food intake. The parents report that the child refuses most foods due to their texture and smell, stating ‘Most food makes me feel sick or gag.” The child denies any fear of gaining weight or concerns about body image. Which diagnosis is most consistent with these findings?

An older adult complains of fatigue, decreasing short term memory, nausea and vomiting, weight loss, and statements that she must be near the end of her life. This person’s daughter is your friend and asks if she should have her mother evaluated for depression. What would be a professional response?

Which of the following is the most effective approach to assessment of suicidal thinking?

What is a therapeutic response to a patient who becomes very close to one of the nurses: The nurse is leaving for the day. The patient has expressed anxiety with separation. Which of the following shows validation of the patient’s feelings along with setting a boundary?

Which of the following assessment questions is most important during the interview with the patient who is reporting hallucinations (voices outside their head)?

In working with a patient who has delusions, what communication principles should the nurse apply?

A 21-year-old college student is admitted to an outpatient mental health clinic with diagnoses of major depressive disorder, generalized anxiety disorder, and problematic social media use. The client reports “I spend 8-10 hours every day looking at other people’s posts. Everyone seems successful except me. I started taking my roommate’s ADHD medication because it helps me stay awake and study longer.” During the assessment, the nurse notes the following: Sleeping 3 hours per night 8-lb weight loss over the past month Increased irritability Client states, “Sometimes I think everyone would be better off without me.” Which action should the nurse take first?

What observations might indicate a patient is nearing death?