A nurse practicing Peplau’s Relations Theory is working with a newly admitted client who is withdrawn and reluctant to engage. According to Peplau’s working model, which nurse action best explains the orientation phase of the nurse-client relationship?

The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which interventions would be included in the plan of care? (Select all that apply.)

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 recently diagnosed with schizophrenia is brought to the mental health clinic by the identical twin sibling for the first follow-up visit after hospitalization. The client’s sibling says to the nurse, "I read that schizophrenia runs in families. I guess I'm doomed." Which is the best response by the nurse?

A client receiving a first-generation antipsychotic develops symptoms of acute dystonia, including muscle spasms and neck stiffness. Which type of medication should the nurse anticipate administering to manage these side effects?

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 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.)

A patient diagnosed with schizophrenia tells the nurse, "The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic?

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?

A nurse is caring for a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders?

A 45-year-old client with severe schizophrenia is deemed incapable of making informed decisions about their treatment due to cognitive impairment and psychosis. The healthcare team recommends appointing a legal guardian. As the nurse, which of the following actions is most appropriate to support the client’s rights and care during this process?