Analyzing Data: Maria expresses concern about her diet, as she has not been eating very well lately due to her busy work schedule. She admits to eating mostly fast food and occasionally skipping meals. What is the nurse’s best response to support Maria’s nutrition and wellness?

Clinical Case Vignette B: Naomi  Placement Site: Community-Based Nonprofit PracticeThis nonprofit provides trauma-informed, culturally sensitive care with an emphasis on strengths-based approaches. Supervisors expect therapists-in-training to use approaches that prioritize client safety, autonomy, and cultural responsiveness, and require therapists to document both strengths and measurable therapeutic progress in each session. Client Factors:Naomi is a 30-year-old African American woman who recently divorced her husband due to years of verbal and emotional abuse. She reports feeling relief from the divorce, but also struggles with anxiety, depression, guilt, and self-doubt. Naomi is working full-time as a teacher and is living alone, but she feels isolated and disconnected from her social circle. She finds it difficult to talk about her experiences, fearing judgment and misunderstanding. Naomi identifies as Christian, though she has distanced herself from her church community due to concerns about feeling excluded. She remembers growing up in a household where emotional expression was discouraged, which has contributed to her difficulty in processing and articulating her feelings. Naomi is highly motivated to move forward, but uncertain about how to rebuild her self-esteem, establish healthy relationships, and find her place within a supportive community. —————————– Question 3. Describe your theory-based therapist role/posture.

A patient in her second trimester is concerned about gaining too much weight. The nurse should advise that healthy weight gain during the second trimester typically ranges between:

A patient at 12 weeks gestation reports intermittent spotting and mild cramping. What should the nurse advise?

Clinical Case Vignette A: Taylor Placement Site: Hospital-Based IOP (Adult Mood & Trauma Track)This IOP offers structured daily programming focused on emotional regulation, trauma-informed care, and group work. Supervisors favor approaches that balance stabilization with exploration of relational patterns and identity. Client Factors:Taylor is a 24-year-old white, nonbinary, queer adult admitted following a major depressive episode. They are estranged from their conservative evangelical family and report trauma from conversion therapy attempts. Taylor recently relocated to a new city for safety and is trying to rebuild a support network. They experience frequent panic attacks and describe feeling “fractured.” They express high motivation to engage in therapy but fear being judged or misunderstood. Taylor currently works a part-time retail job and shares housing with roommates. They are exploring spirituality on their own terms and have recently begun attending a progressive faith-based community that affirms LGBTQ+ identities. —————————– Question 6. What theory-based interventions would you be interested to incorporate?

Clinical Case Vignette B: Naomi  Placement Site: Community-Based Nonprofit PracticeThis nonprofit provides trauma-informed, culturally sensitive care with an emphasis on strengths-based approaches. Services are often short-term, focusing on empowerment, resilience, and healing from trauma. Client Factors:Naomi is a 30-year-old African American woman who recently divorced her husband due to years of verbal and emotional abuse. She reports feeling relief from the divorce, but also struggles with anxiety, depression, guilt, and self-doubt. Naomi is working full-time as a teacher and is living alone, but she feels isolated and disconnected from her social circle. She finds it difficult to talk about her experiences, fearing judgment and misunderstanding. Naomi identifies as Christian, though she has distanced herself from her church community due to concerns about feeling excluded. She remembers growing up in a household where emotional expression was discouraged, which has contributed to her difficulty in processing and articulating her feelings. Naomi is highly motivated to move forward, but uncertain about how to rebuild her self-esteem, establish healthy relationships, and find her place within a supportive community. —————————– Question 1. Who is the client, and what is the client’s presenting problem? 

When planning postpartum care for a patient from a culture that emphasizes family support, the nurse should:

A nurse is discussing exercise during pregnancy with a group of first-time mothers. Which statement by a participant indicates the need for further teaching?

Clinical Case Vignette A: Taylor Placement Site: Hospital-Based IOP (Adult Mood & Trauma Track)This IOP offers structured daily programming focused on emotional regulation, trauma-informed care, and group work. Supervisors favor approaches that balance stabilization with exploration of relational patterns and identity. Client Factors:Taylor is a 24-year-old white, nonbinary, queer adult admitted following a major depressive episode. They are estranged from their conservative evangelical family and report trauma from conversion therapy attempts. Taylor recently relocated to a new city for safety and is trying to rebuild a support network. They experience frequent panic attacks and describe feeling “fractured.” They express high motivation to engage in therapy but fear being judged or misunderstood. Taylor currently works a part-time retail job and shares housing with roommates. They are exploring spirituality on their own terms and have recently begun attending a progressive faith-based community that affirms LGBTQ+ identities. —————————– Question 5. What theory-based assessment or topics would you explore to better understand the client and presenting concern?

Samantha is seeking therapy to improve her ability to assert herself in social situations. Therapist Julia asks Samantha to think back to any recent moments when she successfully communicated her boundaries or made her needs clear to others, asking her to describe the details of those situations. Which of the following interventions from solution-focused brief therapy is Julia using?