3.  A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?

14.  A client with schizophrenia spectrum disorder presents with bizarre behaviors and delusions. Which nursing action should be prioritized to maintain this client’s safety?

5.  A client experiencing severe anxiety suddenly begins running and shouting, “I’m going to explode!” The nurse should implement which intervention to best maximize the client’s safety?  

18.  A client comes to a psychiatric clinic experiencing sudden extreme fatigue, decreased sleep, and decreased appetite. The client works 12 hours a day and rates anxiety as 8/10 on a numeric scale. Which long-term outcome is realistic in addressing this client’s crisis?

34.  An older adult, diagnosed with Alzheimer’s disease, lives with family and has multiple bruises. The home health nurse talks with the older adult’s daughter, who becomes defensive and says, “My mother often wanders at night. Last night she fell down the stairs.” Which nursing diagnosis has priority?

A client experiencing moderate anxiety says, “I feel undone.” An appropriate response for the nurse should be:

2. A nurse is caring for an adolescent who has experienced abuse and neglect since early childhood. The nurse should understand that this is an example of which of the following types of trauma?

4.  A person consistently rationalizes their cruel and abusive behavior. Which comment is most characteristic of this person defense mechanism?  

28.   An adult comes to the crisis clinic after being terminated from a job of 15 years. The client says, “I don’t know what to do. How can I get another job? Who will pay the bills? How will I feed my family?” Which nursing diagnosis applies?  

Social learning is also sometimes called observational learning or ____.