A 32-year-old male client with a history of arrests and substance use is admitted to the psychiatric unit for court-mandated evaluation. During the assessment, he is superficially charming, manipulates staff to get privileges, violates unit rules without remorse, and blames others for his behavior. Which of the following nursing interventions is most appropriate for managing this client?

A 28-year-old client with a diagnosis of Avoidant Personality Disorder tells the nurse, "I want to make friends. I'm too afraid they'll laugh at me or think I'm weak." Which nursing intervention is most appropriate to help this client begin developing healthier interpersonal relationships?

A client is exhibiting signs of severe anxiety, including hyperventilation, restlessness, and difficulty concentrating. Which communication approach should the nurse use to effectively support the client during this crisis?

A client with a history of major depressive disorder with psychotic features was rescued before jumping off a dam. The client is pacing, picking at the arms, and repeatedly mumbling, "I have to die. You cannot stop me." When the health care provider recommends electroconvulsive therapy (ECT) as the initial treatment, the client’s spouse says to the nurse, "I can’t allow such a cruel treatment. Why can’t they just give my spouse medication?" Which is the best response by the nurse?

A client in the psychiatric unit is experiencing severe anxiety—they are trembling, pacing, and saying, "I can’t think straight. I feel like something terrible is going to happen." Which of the following is the most therapeutic response by the nurse?

A client is experiencing a panic attack characterized by intense fear, hyperventilation, chest pain, and feelings of impending doom. Which nursing intervention is most appropriate to help the client during this panic stage?

A client charged with assault pleads not guilty by reason of insanity under the Durham Rule. Which statement best reflects the criteria used in this legal standard?

At the first meeting of a group at a daycare center for older adults, the nurse asks one of the members what kinds of things the client would like to do with the group. The older adult shrugs and says, "You tell me. You're the leader." What would be the best response for the nurse to make?

A 25-year-old client is hospitalized for severe anxiety. During the assessment, the nurse notices the client clutches a childhood stuffed animal and speaks in a childlike voice when discussing stressful life events. Which defense mechanism is the client most likely using?

A nurse physically restrains a mentally ill client without obtaining proper consent or a physician's order, despite the client not posing an immediate threat to self or others. Which intentional tort could the nurse potentially be liable for?

A recently widowed client becomes tearful at a routine clinic visit and states, "I just can’t get over my spouse’s death." Which of the following by the nurse are appropriate? (Select all that apply.)