An individual says to the nurse, “I feel so stressed out lately. I think the stress is affecting my body also.” Which somatic complaints are most likely to accompany this feeling? (Select all that apply.)

A 68-year-old hospitalized patient with chronic obstructive pulmonary disease (COPD) reports severe daytime fatigue despite spending 8 hours in bed each night. The nurse reviews the patient’s overnight polysomnography, which shows frequent arousals during NREM sleep and multiple brief awakenings without full consciousness. Which physiological mechanism most accurately explains the patient’s persistent fatigue?

A 47-year-old female with a history of major depressive disorder and generalized anxiety reports persistent self-critical thoughts after a workplace demotion. During cognitive-behavioral therapy (CBT) sessions, she often says, “I failed because I’m not good enough. I’ll never succeed.” The psychiatric mental health nurse introduces cognitive reframing as a strategy to help the patient manage her distorted thinking.Which nurse response best demonstrates the use of cognitive reframing to challenge the patient’s maladaptive thoughts?

A patient says, “Please don’t share information about me with the other people.” How should the nurse respond?

A 38-year-old premenopausal woman presents with distress due to hypoactive sexual desire disorder (HSDD) and decreased arousal. The provider is considering pharmacologic interventions. Which options are evidence-based pharmacological treatments for female sexual dysfunction? Select all that apply.

A client diagnosed with a somatic symptom disorder says, “My pain is from an undiagnosed injury. I can’t take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much.” What is the mos important nursing assessment?

A psychiatric nurse has been working with a young adult client who reminds her of her younger brother, who died from suicide years ago. During sessions, the nurse finds herself feeling overly protective, disheartened when the client resists suggestions, and increasingly frustrated when the client expresses hopelessness.Which nursing response best reflects professional management of this situation?

A psychiatric-mental health nurse practitioner (PMHNP) in an outpatient community mental health clinic evaluates a 43-year-old client with worsening depression despite current SSRI therapy managed by their primary care provider. The client reports passive suicidal ideation without plan, persistent anhedonia, and cognitive slowing affecting work performance. Which intervention by the PMHNP best exemplifies the advanced practice role in this outpatient setting?

A psychiatric-mental health nurse is discussing recent legislative and policy changes with a group of nursing students. The nurse explains that mental health advocacy groups have played a significant role in improving access to mental healthcare and ensuring parity with physical health conditions. The students are asked to identify key legislative and policy improvements that have enhanced mental healthcare in the United States.Which of the following legislative and policy improvements have contributed to enhancing mental healthcare access and coverage in the United States? (Select all that apply.)

A student says, “Before taking a test, I feel very alert and a little restless.” The nurse can correctly uses what term to document the student’s experience?