1. A 25-year-old patient presents with symptoms of extreme anxiety and paranoia. Which of the following assessments is crucial for determining the immediate care needs? A) Family history of mental illness B) Current medication regimen C) Substance abuse history D) Recent traumatic events **Answer: C**. Substance abuse can acutely exacerbate symptoms of anxiety and paranoia, making it a critical factor in assessing the patient's immediate care needs. 2. When evaluating a teenager with suspected bipolar disorder, which of the following diagnostic tests would be least helpful? A) Thyroid function tests B) Sleep study C) Psychological evaluation D) Complete blood count (CBC) **Answer: B**. While sleep disturbances are common in bipolar disorder, a sleep study is not a primary diagnostic tool for this condition. 3. In managing depression in an elderly patient, what is an important consideration when prescribing antidepressants? A) The potential for increased fall risk B) The cost of medication C) The preference for natural remedies D) The patient's employment status **Answer: A**. Elderly patients are at an increased risk for falls, which can be exacerbated by the side effects of antidepressants. 4. A patient with schizophrenia reports auditory hallucinations. Which nursing intervention is most appropriate? A) Encourage expression through art therapy B) Prescribe antipsychotic medication C) Initiate a conversation with the voices D) Increase social interactions **Answer: B**. Antipsychotic medication is essential in managing auditory hallucinations in schizophrenia.