1. A 25-year-old patient presents with symptoms of acute anxiety and paranoia. Which of the following interventions should a nurse prioritize? A) Immediate pharmacological intervention B) Physical restraint to prevent harm C) Establishing therapeutic communication D) Isolation from other patients **Answer: C** - Establishing therapeutic communication is crucial as it helps to assess the patient's needs and concerns, and can de-escalate the situation without the need for restraints or immediate pharmacological intervention. 2. During a mental status examination, a patient exhibits signs of depression. What is the most appropriate initial nursing action? A) Prescribe antidepressants B) Recommend psychotherapy C) Conduct a comprehensive risk assessment for suicide D) Encourage social interaction with family and friends **Answer: C** - Conducting a comprehensive risk assessment for suicide is essential in patients showing signs of depression to ensure patient safety and determine the need for further interventions. 3. A nurse is caring for an elderly patient with dementia who is experiencing agitation. Which approach is most appropriate? A) Use of sedatives to calm the patient B) Restraint to prevent wandering C) Validation therapy to acknowledge feelings D) Ignoring the behavior as it is part of the disease process **Answer: C** - Validation therapy acknowledges the patient's feelings and can reduce agitation without the use of sedatives or restraints, which can be harmful. 4. In assessing a patient with bipolar disorder during a manic episode, what should be the focus of nursing care? A) Promoting physical activity to manage energy levels B) Ensuring safety and preventing harm to self or others C) Encouraging participation in group therapy sessions D) Focusing on long-term treatment goals