A client is readmitted to the substance abuse program for the second time in 6 months for alcohol abuse. On admission, he tells the nurse, I am so ashamed. What should the nurse reply?
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Question 2 of 90
Family violence refers to
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Question 3 of 90
Which of the following statements about mental illness are true? Select one that does not apply.
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Question 4 of 90
The nurse who feels the most beneficial part of the client's inpatient stay is the establishment of an interpersonal relationship with the nurse is an example of which nursing theorist?
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Question 5 of 90
A patient in early remission from alcohol use disorder asks the nurse if there are local groups to increase social support. The nurse identifies Alcoholics Anonymous as a community mutual support group based in:
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Question 6 of 90
Which client is suffering from a major depressive episode?
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Question 7 of 90
Narcissism, as proposed by Kohut, develops when children are
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Question 8 of 90
A public health nurse (PHN) is working in a community where there have been multiple closures of large factories, leaving many individuals without employment. Which of the following is this population most at risk for?
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Question 9 of 90
A nurse holds the hand of a client who is withdrawing from alcohol. What is the nurses rationale for this intervention?
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Question 10 of 90
The first signs of alcohol withdrawal after the last drink in alcoholic is expected to occur in: -
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Question 11 of 90
Which of the following drugs should Nurse Mary prepare to administer to a client with a toxic acetaminophen (Tylenol) level?
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Question 12 of 90
When a home health nurse administers an outpatient's injection of haloperidol decanoate (Haldol decanoate), which level of care is the nurse providing?
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Question 13 of 90
Nurse Trish is working in a mental health facility; the nurse's priority nursing intervention for a newly admitted client with bulimia nervosa would be:
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Question 14 of 90
Two nurses are discussing a new patient during report. They discover that she has the staff divided on their opinion of her. One group has had very positive interactions with her and find her to be very cooperative. The other group has had a difficult time in gaining her compliance in treatment interventions. What action would be most appropriate in dealing with this situation?
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Question 15 of 90
A staff member with a history of an eating disorder appears thin and pale and presents looking disheveled late to work with pressured speech. One of the common challenges associated with treating co-occurring eating and substance use disorders is:
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Question 16 of 90
Nurse Jordan is caring for a patient with mania who is demonstrating manipulative behaviors in the psychiatric unit. To promote a therapeutic environment and ensure the patient's safety, which nursing interventions should Nurse Jordan implement? (Select one that does not apply.)
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Question 17 of 90
Which term best describes an individual's feelings of anxiety that are broad, long-lasting, and excessive?
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Question 18 of 90
To establish an open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
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Question 19 of 90
The creation of asylums during the 1800s was meant to
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Question 20 of 90
The role of the chaplain or spiritual advisor in a mental health facility is to:
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Question 21 of 90
The ED nurse assesses a confused client diagnosed with alcohol use disorder and notes the use of confabulation. Which complication of alcohol use disorder would the nurse suspect?
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Question 22 of 90
Nurse Elena is caring for a hospitalized client with a history of alcohol abuse who states, 'I am leaving now. I have to go. I don't want any more treatment.' The client begins to leave despite being scheduled for an important diagnostic test in an hour. What is the most important nursing action?
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Question 23 of 90
A community health nurse visits a home and notices multiple bruises on a 4-year-old child. The mother reports that her husband is an alcoholic and is currently sleeping. What is the most appropriate action for the nurse to take?
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Question 24 of 90
Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently?
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Question 25 of 90
A community/public health nurse providing care for the mentally ill in the 1980s had difficulty finding funds to provide care for her clients. What was the end result of this lack of funding?
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Question 26 of 90
A client is admitted for alcohol detoxification. During detoxification, which symptoms should the nurse expect to assess?
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Question 27 of 90
Nurse Harry is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan?
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Question 28 of 90
The traditional drugs for treating schizophrenia
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Question 29 of 90
Individuals with borderline personality disorder are difficult to treat because
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Question 30 of 90
Which of the following explanations should a nurse include when teaching parents why is it difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder?
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Question 31 of 90
A client is diagnosed with bipolar disorder and admitted to an inpatient psychiatric unit. Which is the priority outcome for this client?
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Question 32 of 90
Which of the following has the highest mortality rate?
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Question 33 of 90
Nurse Monet is caring for a female client who has suicidal tendencies. When accompanying the client to the restroom, Nurse Monet should...
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Question 34 of 90
A patient reports they quit smoking cigarettes (15 pack years) and are now using an e-cigarette since they have heard that it helps people quit smoking. The nurse understands that the most effective evidenced-based intervention proven to be safe and effective in tobacco cessation is:
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Question 35 of 90
When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:
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Question 36 of 90
Schizophrenia usually appears in
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Question 37 of 90
In cognitive behavioural therapy for substance abuse individuals may hold dysfunctional beliefs such as 'If I lapse then my treatment will have failed' or 'I have had one drink so I may as well get drunk'. These are known as:
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Question 38 of 90
Pregnant women have been encouraged by the National Institute on Alcohol Abuse and Alcoholism to
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Question 39 of 90
Nurse Bea notices a female client sitting alone in the corner smiling and talking to herself. Realizing that the client is hallucinating. Nurse Bea should:
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Question 40 of 90
A patient with opioid use disorder arrives to the office-based addiction treatment setting to receive their monthly naltrexone injection and reports having 'a slip' and taking one buprenorphine/naloxone film about a week ago. The patient requests to receive the injection today. Urine toxicology screen is positive for buprenorphine and delta-9-tetrahydrocannabinol. Your best initial reply is:
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Question 41 of 90
Nurse Carla administers bromocriptine (Parlodel) to Bryan, who is currently undergoing detoxification for amphetamine abuse. The reason for giving this medication is to:
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Question 42 of 90
Schizotypal, but not schizoid, personality disorder involves
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Question 43 of 90
A nurse was creating health education units to be taught in the community high school. Which unit would be most helpful to adolescents, their teachers, and the community as a whole?
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Question 44 of 90
In the dimension, an individual who is considering suicide experiences distorted thinking and self-defeating thoughts.
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Question 45 of 90
Which of the following statements about the 'stepping-stone' theory of drug use is most accurate?
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Question 46 of 90
A 15-year-old female client is noted to often sit alone in the activity room of the facility while watching television. She often begins to join in activities on the unit but then retreats back to her room. Which intervention is most appropriate in this situation?
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Question 47 of 90
Which of the following is an important factor in substance abuse?
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Question 48 of 90
A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from nurse Julia?
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Question 49 of 90
An older Asian female with a diagnosis of depression is cared for by her granddaughter. Her granddaughter is very attentive to the client's needs, attends every therapy session, and is active in the planning and implementing of the treatment plan. The granddaughter's valuing of her grandmother is most likely due to her:
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Question 50 of 90
A nursing student is reviewing journal articles about major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The student interprets this as which of the following?
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Question 51 of 90
A'spell' is a culturally defined mental health disorder or a dissociative'state' seen in African Americans, Europeans, and Americans from southern U.S. cultures. This'state' is characterized by:
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Question 52 of 90
When a home health nurse administers an outpatient client's injection of haloperidol (Haldol), which level of care is the nurse providing?
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Question 53 of 90
A client diagnosed with alcohol use disorder joins a community 12-step program and states, My life is unmanageable. How should the nurse interpret this clients statement?
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Question 54 of 90
Which nursing statement best describes the current nature of mental health care in the community?
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Question 55 of 90
A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The clients spouse questions the Zyprexa order. Which is the appropriate nursing reply?
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Question 56 of 90
A nurse is completing a community assessment. Which of the following community characteristics would be identified as a factor for violence?
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Question 57 of 90
When discussing elder abuse with a senior citizen group, which of the following would the community health include?
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Question 58 of 90
Among those with schizophrenia who experience delusions, a large majority experience
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Question 59 of 90
During the mental status assessment, the nurse hands the client a piece of paper that reads 'Please raise your left hand.' If the client follows the command, the nurse has just assessed which ability of the client?
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Question 60 of 90
The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with chronic mental illness in:
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Question 61 of 90
In the UK a male 'hazardous drinker' would consume how many drinks on a typical drinking day?
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Question 62 of 90
While performing a search of an adult male's home based on suspicion of criminal activity, the police find pictures of him with young children between the ages of 5 and 10. The pictures are sexual in nature. The man is suspected of:
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Question 63 of 90
Jerome who has an eating disorder often exhibits similar symptoms. Nurse Lhey would expect to observe:
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Question 64 of 90
A nursing instructor is teaching students about the Community Health Centers Act of 1963. What was a deterring factor to the proper implementation of this act?
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Question 65 of 90
A nurse is working as part of the multidisciplinary team and developing a plan of care for a client who is receiving recovery-oriented treatment. Which of the following would the nurse integrate into this plan?
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Question 66 of 90
Mr. Right employs 22 children in his clothing factory. Each child is no older than 10 years of age and works 11 hours a day, 6 days a week. Mr. Right is practicing:
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Question 67 of 90
Which theory views addiction as a maladaptive habit that can be examined and changed the same way as other habits?
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Question 68 of 90
A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses at the mental health facility. Which would the nurse identify as important concepts?
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Question 69 of 90
Research on the genetic contribution for drug abuse has shown that
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Question 70 of 90
A nurse evaluates a clients patient-controlled analgesia (PCA) pump and notices 100 attempts within a 30-minute period. Which is the best rationale for assessing this client for substance use disorder?
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Question 71 of 90
Which client statement would the nurse recognize as indicating that the client understands dietary teaching related to lithium carbonate (Lithobid) treatment?
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Question 72 of 90
A client has a history of daily bourbon drinking for the past 6 months. He is brought to an emergency department by family, who report that his last drink was 1 hour ago. It is now 12 midnight. When should a nurse expect this client to exhibit withdrawal symptoms?
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Question 73 of 90
An important aspect of developing a therapeutic relationship with a mental health client is for the nurse to show that she cares about the client. The nurse who is working on an inpatient unit can show signs of caring by:
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Question 74 of 90
Nurse Amy is preparing a teaching session for Mark, a patient with bipolar disorder who is prescribed lithium. What information should she include about managing lithium levels?
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Question 75 of 90
Cultural assessments allow the health care provider to understand the unique beliefs a client may have regarding mental illness and how they cope. Key areas to assess include which of the following?Select one that does not apply.
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Question 76 of 90
Which is a positive aspect of treating clients with mental illness in a community-based care?
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Question 77 of 90
A patient with alcohol use disorder expresses concern about his family's limited understanding of the disease due to lack of support. What is the best response by the CARN-AP?
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Question 78 of 90
Paul, a 65-year-old Caucasian, is being seen at the health clinic for hypertension and has a history of alcohol use disorder. Which of the following observations by the nurse are consistent with physical complications associated with chronic alcohol use disorders? Select one that does not apply.
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Question 79 of 90
Which of the following is a standard of professional performance?
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Question 80 of 90
Which aspects of adult mental health care systems did the National Alliance on Mental Illness survey focus on?Select one that does not apply.
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Question 81 of 90
Marijuana comes from the plant.
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Question 82 of 90
A client with chronic alcoholism says to the nurse, 'I'm tired of using and I want to stop. Is there a medication that can help me maintain sobriety?' About which medication would the nurse provide information?
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Question 83 of 90
A community health nurse suspects Munchausen syndrome by proxy when a child
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Question 84 of 90
Which patient assessment will the nurse expect to observe when a patient has ingested alcohol while on disulfiram (Antabuse)?
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Question 85 of 90
Upon admission for symptoms of alcohol withdrawal a client states, 'I haven't eaten in 3 days.' Assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97F (36C) with dry skin, dry mucous membranes, and poor skin turgor. What should be the priority nursing diagnosis?
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Question 86 of 90
Withdrawal management is important in treating substance use disorders. Why is it considered the first step in recovery?
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Question 87 of 90
A 35-year-old woman in a managerial position has had a number of employees under her supervision resign or transfer to other departments over the past year. In addition, she has rarely had a close personal relationship for more than a few months. She feels other people 'just don't measure up to my expectations.' Her situation is the result of a possible:
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Question 88 of 90
What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal?
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Question 89 of 90
Monica has a difficult time maintaining friendships. She is generally suspicious of the motives of other people, often misinterpreting the behaviour of her friends. Based on this information, the most likely personality disorder diagnosis for Monica would be
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Question 90 of 90
All of the following have been found to be risk factors for elder abuse, except
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