A student nurse uses the DSM-5-TR while preparing a care plan for a client with major depressive disorder. Which action demonstrates appropriate nursing application of this resource?

The nurse is talking with a client about mild anxiety when the client begins discussing that their spouse has not been visiting. Which technique(s) should the nurse use to determine which topic is most important to the client to address at this time? Select all that apply.

A veteran with PTSD avoids care due to stigma and fear of appearing weak. Which nursing intervention is most therapeutic?

The client expresses frustration that the health care provider does not spend enough time with them when making rounds. The nurse replies, “The providers are very busy. What can I help you with?” Which non-therapeutic technique is the nurse using in response to the client?

A nurse feels compelled to “rescue” a client with a trauma history. Why is unaddressed countertransference clinically significant?

Which situation best indicates the nurse should assume a directive role?

A nurse is caring for a client admitted to the inpatient psychiatric unit following the sudden death of a spouse. The client states, “I don’t see the point of getting out of bed anymore.” Which nurse response best demonstrates therapeutic communication?

A client diagnosed with schizophrenia lives independently, maintains employment, and reports meaningful social relationships. Which interpretation best reflects modern psychiatric–mental health nursing principles?

Which client profile most strongly indicates the need for Assertive Community Treatment (ACT)?

A novice nurse begins a clinical rotation on an inpatient psychiatric unit. During the first clinical day, the nurse expresses concern to the instructor, stating, “I feel like I’m not really doing anything because I’m mostly talking with clients instead of performing physical care or procedures.”Based on foundational principles of psychiatric–mental health nursing, which response by the instructor best helps the novice nurse understand the priority role of the psychiatric nurse?