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"Would you like to speak to a therapist after treatment?": This redirects the conversation away from the client’s immediate emotional expression and does not validate their feelings or encourage them to explore what “hopeless” means, which is essential in therapeutic communication.

"If you do not like your medication would you like to try an alternative?": This introduces a problem-solving approach prematurely without exploring the client’s feelings. It shifts the focus to medication management rather than addressing the emotional distress the client is communicating.

"You would like more information, I will get that for you right away.": This assumes the client wants information, which they did not request. It overlooks the emotional content and does not promote therapeutic dialogue or exploration of the client's hopelessness.

Receiving a notification of possible layoffs at work: This is an example of distress, a negative form of stress that can cause anxiety, fear, and impaired functioning. It does not represent eustress because it is associated with threat and potential harm rather than motivation or positive challenge.

Receiving a notification of insufficient funds in their bank account: Financial insecurity typically triggers negative stress responses, including worry and tension, and is considered distress rather than eustress. It is not associated with positive outcomes or motivation.

Losing a family pet: The loss of a loved companion induces grief and emotional distress. This is a negative stressor that does not provide growth, challenge, or positive motivation, making it an example of distress rather than eustress.

"Our physician is very capable of making an accurate diagnosis, I would trust their judgment": This response deflects the parent's concern rather than addressing it directly. It does not provide education or help the parent understand the role of trauma in dissociative behaviors, limiting therapeutic value.

"Why would your daughter do something like this for attention?": This response is confrontational and may increase defensiveness. It implies blame and does not encourage the parent to engage in understanding or supporting the child’s needs.

"You're right; dissociative identity disorder is commonly overdiagnosed in children.": This statement validates a misconception and is not therapeutic. It reinforces the parent’s skepticism instead of offering evidence-based education or support.

"Let's pause the group and have you rest as your room for a while": While this offers safety and a break, it does not engage the client in grounding or reorientation. Simply removing the client may reinforce withdrawal rather than help them regain awareness of the present.

"Do you remember what we were just talking about in the group?": Asking the client to recall group content assumes they are ready to reorient cognitively. During dissociation, memory and awareness may be impaired, making this approach ineffective and potentially frustrating for the client.

"Try not to disassociate. You need to stay focused during group therapy.": This statement is judgmental and directive, which can increase anxiety or shame. It does not validate the client’s experience or provide therapeutic support for managing dissociation.

Documentation for a mental health client outlines the client's therapies, treatments, and needs for discharge planning: While this is partially true, it focuses more on discharge planning and treatments rather than capturing real-time behaviors, responses, and interventions essential in mental health nursing documentation.

Documentation for a mental health client is focused on the client's diagnosis, reason for medications, plan of care, and client progression: This approach emphasizes medical and treatment planning but underrepresents behavioral observations and client responses, which are central to mental health nursing documentation.

Documentation for a mental health client is a defined process based on hospital-specific requirements which highlights client care: Although hospital policies guide documentation, this statement is too general and does not capture the specialized focus on behaviors, mental status, and therapeutic interventions that mental health nursing requires.

Smoked salmon bagel with cream cheese, pickled beets, and cola: Smoked salmon and pickled foods are high in tyramine and can trigger hypertensive crises in clients taking MAO inhibitors. Cola contains caffeine, which can also exacerbate blood pressure increases.

Pepperoni pizza, mixed greens with blue cheese dressing, and iced tea: Pepperoni and blue cheese are aged or fermented foods that contain high levels of tyramine. Consuming these with an MAOI can result in dangerous elevations in blood pressure.

Tuna salad sandwich with aged cheddar cheese and a chocolate protein shake: Aged cheddar cheese contains high tyramine, and tuna may also pose a risk if not fresh. These foods are inappropriate for a tyramine-restricted diet and could precipitate hypertensive episodes.

Risk for substance use as a coping mechanism: While substance use is a common comorbidity in PTSD and should be assessed, it is not the immediate life-threatening concern. Screening can occur after addressing acute safety risks.

Sleep disturbances and recurring nightmares: Sleep issues and nightmares are common symptoms of PTSD and affect quality of life, but they do not pose an immediate threat to the client’s safety, making them a lower priority for initial screening.

Social isolation and withdrawal from family: Social withdrawal is an important psychosocial concern and affects long-term recovery, but it does not present an immediate threat to safety and is a lower-priority screening focus compared with suicide risk.

Avocado salad, ham, creamed potatoes, asparagus, chocolate cake: Avocado and ham are high in tyramine, which can precipitate hypertensive crises in clients taking MAO inhibitors. Chocolate also contains small amounts of tyramine, making this meal unsafe.

Macaroni and cheese, hot dogs, banana bread, caffeinated coffee: Hot dogs are processed and high in tyramine, and aged cheese in macaroni and cheese also contains tyramine. Caffeinated coffee may increase blood pressure, so this meal is inappropriate for a tyramine-restricted diet.

Noodles with cheddar cheese sauce, smoked sausage, lettuce salad: Cheddar cheese and smoked sausage are aged and processed, both high in tyramine. These foods are unsafe for clients on MAO inhibitors and could trigger dangerous hypertensive reactions.

"I get anxious sometimes when I'm in crowded places like shopping centers.": While this indicates anxiety, it is nonspecific and does not directly relate to trauma re-experiencing, a core symptom of PTSD.

"I try not to talk about the war much-it's in the past, and I've moved on.": Avoidance is a symptom of PTSD, but this statement alone does not demonstrate active re-experiencing or distress related to the trauma.

"I think about the war more than I'd like, especially when I see the news.": Intrusive thoughts are a symptom of PTSD, but the statement is less vivid and less immediate in describing the intensity of the trauma response compared with actual nightmares.