The nurse consults the DSM for which of the following purposes?
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Question 2 of 46
A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. What disease that has recently become more prevalent among the homeless community should a nurse suspect?
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Question 3 of 46
The nurse assessing a newborn shortly after delivery notes that the infant is very jittery, irritable, and has a high-pitched cry. The nurse suspects that the mother took which substance during pregnancy?
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Question 4 of 46
Which student statement indicates that learning has occurred regarding case management?
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Question 5 of 46
A newly admitted client is diagnosed with bipolar disorder: manic episode. Which symptom related to altered thought is the nurse most likely to assess?
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Question 6 of 46
Crisis interventions are very successful if begun early in the assault cycle, in the stage.
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Question 7 of 46
What will the nurse instruct patients who are on daily disulfiram (Antabuse) to avoid?
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Question 8 of 46
A 75-year-old man finds that he continually misplaces items he uses every day. In addition, his wife becomes annoyed when he asks the same question several times because he does not remember the answer. What advice is the most appropriate for his health care provider to give him?
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Question 9 of 46
A client on the inpatient unit tells a student nurse, My life has no purpose. I can't think about living another day, but please don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality. Which is the most appropriate reply by the student nurse?
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Question 10 of 46
After teaching a client about lithium carbonate (Lithane), a nurse would consider the teaching successful on the basis of which client statement?
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Question 11 of 46
A patient asks the community/public health nurse why there has been an increase in the number of self-help programs in the community. What was one factor that led to the popularity of these programs?
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Question 12 of 46
An adult female calls a crisis hotline stating that she moved a few months ago to seek a new job 'in a big city.' She is crying and says that she doesn't think she can stand being so lonely anymore but doesn't want to move back to her small hometown and face her family and friends as a 'failure.' What is the nurse's first response?
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Question 13 of 46
One of the ways that nursing care of the elderly is ensured is by the enactment and monitoring of:
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Question 14 of 46
A lonely, depressed divorce has been self-medicating with cocaine for the past year. Which term should a nurse use to best describe this individuals situation?
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Question 15 of 46
If a client is involuntarily committed to a mental health care facility indefinitely, the law requires that the case must be reviewed every:
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Question 16 of 46
A nurse is preparing a presentation for a local community group about mental disorders and plans to include how mental disorders are different from medical disorders. Which statement would be most appropriate for the nurse to include?
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Question 17 of 46
Which statement best reflects measures to address public stigma?
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Question 18 of 46
The client relies on deceit and manipulation to get his own way. He seems to have a complete lack of conscience. His goal is always self-gratification at the other person's expense. He is referred to as:
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Question 19 of 46
A highly agitated client paces the unit and states, I could buy and sell this place. The clients mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this clients behavior?
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Question 20 of 46
Which of the following nursing statements exemplify important insights that will promote effective intervention with clients diagnosed with substance use disorders? Select all that apply.
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Question 21 of 46
A nurse is working with children who may be at risk for experiencing abuse. In which situation involving parents is child abuse most likely to occur?
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Question 22 of 46
Homicide is the third leading cause of death among which population?
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Question 23 of 46
The moods of adolescents:
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Question 24 of 46
Which one of the following statements about primary prevention for family violence is most accurate?
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Question 25 of 46
A client is admitted for alcohol detoxification. During detoxification, which symptoms should the nurse expect to assess?
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Question 26 of 46
The new nurse confides to his supervisor, 'I am feeling frustrated. Mr. J has been doing so well in dealing with his issues over the last month, and today he refused to discuss anything productive in our session.' What is the most appropriate response?
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Question 27 of 46
For a nurse or health care provider to be found negligent, what requirements must the provider's misconduct meet?Select one that does not apply.
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Question 28 of 46
A client who usually is very active in her therapy group tells the nurse that she really does 'not feel well today' and would 'rather not attend the group therapy session.' Which is the nurse's most appropriate response?
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Question 29 of 46
A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided at the center includes
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Question 30 of 46
By law, what are health care providers required to do when they encounter incidents of suspected or actual abuse or neglect?
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Question 31 of 46
What does the biologic model theory of substance abuse hypothesize? Select one that does not apply.
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Question 32 of 46
The metabolism of psychotropic medications is most likely to be affected by:
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Question 33 of 46
Which of the following are basic responsibilities of nurses who administer psychotherapeutic drugs?Select one that does not apply.
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Question 34 of 46
The first step in the treatment of sleep disorders is to:
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Question 35 of 46
To cope with the devastating effects of schizophrenia and other serious mental illnesses, family members or significant others and clients will benefit most from:
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Question 36 of 46
Before the period of the enlightenment, treatment of the mentally ill included
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Question 37 of 46
A client diagnosed with bipolar disorder, who has taken lithium carbonate (Lithane) for 1 year, presents in an emergency department with severe diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?
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Question 38 of 46
A community health nurse assesses a child during a home visit. Which of the following would lead the nurse to suspect that the child is a victim of sexual abuse?
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Question 39 of 46
A clients wife has been making excuses for her alcoholic husbands work absences. In family therapy, she states, I just need to work harder to get him there on time. Which is the appropriate nursing response?
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Question 40 of 46
Following completion of a male client's series of group therapy sessions, the nurse periodically talks with the client to determine whether he has any signs of relapse of his previous problems. This action by the nurse is an example of:
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Question 41 of 46
Batterers have all of the following characteristics in common, except
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Question 42 of 46
A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. Which disease would a nurse suspect?
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Question 43 of 46
During the latter part of the eighteenth century, psychiatry became a separate branch of medicine, and inhumane treatment was greatly diminished by the French hospital director:
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Question 44 of 46
A nurse is providing tertiary prevention. Which of the following interventions should be included?
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Question 45 of 46
Which of the following would be least appropriate for a community health nurse to include in a plan of care at the secondary prevention level for families who may need to respond in a case of crisis in the future?
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Question 46 of 46
A community/public health nurse was caring for mentally ill clients in the community during the 1960s. Which of the following changes in the community was the nurse likely to notice? (Select one that does not apply.)
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