During an interview with a 15-year-old female client admitted for depression, the nurse is disappointed to learn that the client recently became pregnant and had an abortion. The nurse is contradicting the effective interview guideline of:
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Question 2 of 90
To further assess a client's suicidal potential. Nurse Katrina should be especially alert to the client expression of:
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Question 3 of 90
A major family variable that contributes to later psychopathy in children is
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Question 4 of 90
Which screening tests would be appropriate to use on a 16-year-old male referred to the community mental health center following legal charges of driving under the influence?
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Question 5 of 90
Marco approached Nurse Trisha asking for advice on how to deal with his alcohol addiction. Nurse Trisha should tell the client that the only effective treatment for alcoholism is:
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Question 6 of 90
Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan. Which of the following are purposes of the treatment plan? (Select one that does not apply.)
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Question 7 of 90
Which of the following is an example of a catchment area?
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Question 8 of 90
A neuromuscular blocking agent is administered to a client before ECT therapy. The nurse should carefully observe the client for:
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Question 9 of 90
Which of the following is an example of a substance use disorder (SUD)?
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Question 10 of 90
A newly admitted homeless client diagnosed with schizophrenia states, I have been living in a cardboard box for 2 weeks. Why did the government let me down? Which is an appropriate nursing reply?
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Question 11 of 90
A client is diagnosed with stimulant use disorder: cocaine and antisocial personality disorder. The client eagerly participates in therapy and becomes charming and ingratiating to the primary nurse. Which best describes these client behaviors?
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Question 12 of 90
A female client with bulimia nervosa has a nursing goal to improve her self-control. Which of the following is an appropriate strategy by Nurse Mary?
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Question 13 of 90
A new graduate nurse has accepted a staff position at an inpatient mental health facility. The graduate nurse can expect to be responsible for basic-level functions, including
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Question 14 of 90
Nurse Tony has just come on shift and has been assigned to a new client diagnosed with opioid overdose. Nurse Tony recognizes the opioid overdose triad by what signs and symptoms?
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Question 15 of 90
Studies of socioeconomic status (SES) and schizophrenia find that the rate of schizophrenia
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Question 16 of 90
After teaching a group of nursing students on recovery, the instructor determines that more education is needed when the group identifies which of the following as a characteristic?
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Question 17 of 90
A nurse is caring for a client who has been prescribed disulfiram (Antabuse) as a deterrent to alcohol relapse. Which information should the nurse include when teaching the client about this medication?
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Question 18 of 90
Which of the following nursing statements exemplify the cognitive process that must be completed by a nurse prior to caring for clients diagnosed with substance-abuse disorders? (Select all that apply.)
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Question 19 of 90
A school nurse provides education on drug abuse to a high school class. This nursing action is an example of which level of preventive care?
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Question 20 of 90
In the 1960s, what was recommended by the Mental Health Survey Act's Joint Commission on Mental Illness and Health?
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Question 21 of 90
A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 24 hours. Which client symptom should the nurse immediately report to the ED physician?
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Question 22 of 90
A nurse is interviewing a client in an outpatient drug treatment clinic. To promote success in the recovery process, which outcome should the nurse expect the client to initially accomplish?
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Question 23 of 90
Homicides are least likely to be perpetrated by what cohort?
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Question 24 of 90
Heavy drinkers
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Question 25 of 90
A nurse is making a home visit to a low-income, frail, older person's home. Which of the following would most likely cause the nurse to suspect adult maltreatment?
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Question 26 of 90
Which areas comprise the DSM-IV-TR cultural assessment tool for clients?Select one that does not apply.
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Question 27 of 90
Critical population health indicators that affect childbearing women, infant, toddler, and preschool populations globally and in the United States include which of the following? Select one that does not apply.
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Question 28 of 90
A nursing instructor is discussing various challenges in the treatment of clients diagnosed with bipolar disorder. Which student statement demonstrates an understanding of the most critical challenge in the care of these clients?
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Question 29 of 90
Abuse during pregnancy endangers the health and well-being of the pregnant woman and her fetus. Which complicating factor is seen twice as much in women experiencing abuse during pregnancy?
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Question 30 of 90
Which psychological trait(s) is/are linked to substance abuse?Select one that does not apply.
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Question 31 of 90
Which of the following statements is true of treatment of people with mental illness in the United States today?
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Question 32 of 90
Which of the following laboratory assessments should be prioritized in assessment of Wernicke-Korsakoff syndrome?
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Question 33 of 90
Paranoid personality disorder differs from paranoid schizophrenia in that
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Question 34 of 90
When describing the cycle of violence to a group of students, the instructor includes which of the following as occurring as the cycle continues?
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Question 35 of 90
A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia, and recent job loss. What should be the priority nursing diagnosis for this client?
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Question 36 of 90
A nurse working at a battered woman's shelter is counseling a pregnant woman who has just entered the shelter. When assessing the client's history, which information would the client most likely report?
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Question 37 of 90
What are the primary distinguishing factors between the behavior of persons diagnosed with ODD and those with CD? The person diagnosed with (Select all that apply)
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Question 38 of 90
A client is admitted in a manic episode of bipolar I disorder. Which nursing intervention should be most therapeutic for this client?
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Question 39 of 90
The nurse is assisting with the development of care plan for a patient withdrawing from cocaine. What would be the first nursing diagnosis priority for this patient?
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Question 40 of 90
A 27-year-old client was diagnosed 5 years ago with schizophrenia. What course of treatment should the nurse expect to be implemented?
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Question 41 of 90
Lysergic Acid Diethylamide (LSD) starts to take effect around 30 to 90 minutes after taking it and physical effects include:
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Question 42 of 90
A client diagnosed with depression and substance abuse has an altered sleep pattern and demands that a psychiatrist prescribe a sedative. Which rationale explains why a nurse should encourage the client to first try nonpharmacological interventions?
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Question 43 of 90
A nurse working at an inpatient facility for eating disorders approaches a young male patient with anorexia nervosa who rarely leaves his room to ask if he will join her for group today. The patient replies, 'I am not in the mood to deal with other people.' The best initial response from the nurse would be:
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Question 44 of 90
Match the form in column A with correct description from column B: Precipitating stressor
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Question 45 of 90
When taking a health history from a female client who has a moderate level of cognitive impairment due to dementia, the nurse would expect to note the presence of:
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Question 46 of 90
As long as the client is limiting her behaviors to verbal assaults and harmless physical movements,
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Question 47 of 90
Which one of the following is a result of federal legislation?
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Question 48 of 90
A man reports intrarectal use of methamphetamines associated with transactional sex with primarily male partners. What is the most important piece of patient education to decrease risk of HIV infection?
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Question 49 of 90
A woman who delivered a healthy infant three weeks ago is experiencing auditory hallucinations and has not changed her clothes or taken a shower in a week and expresses no interest in her infant. After a short inpatient stay, her symptoms improve and she is back to caring her herself and her infant. What disorder is this indicative of?
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Question 50 of 90
A nurse is working in a community mental health center that provides care to a large population of people of Asian descent. When developing programs for this community, which of the following would be most important for the nurse to address?
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Question 51 of 90
The parents of a 15-year-old female client are concerned about their daughter's weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa?
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Question 52 of 90
Nurse Jamie is developing a plan of care for a client with PTSD who describes their traumatic experience as 'bad luck.' Which nursing action should be included in the care plan?
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Question 53 of 90
In recognizing common behaviors exhibited by a male client who has a diagnosis of schizophrenia, nurse Josie can anticipate:
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Question 54 of 90
Nurse Grace is preparing to discharge Mark, a client recovering from depression. She wants to ensure that Mark understands his condition and how to manage it after leaving the hospital. Which statement by Mark would indicate that he has a good understanding of his disease process?
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Question 55 of 90
A 24-year old client with anorexia nervosa tells the nurse, 'When I look in the mirror, I hate what I see. I look so fat and ugly.' Which strategy should the nurse use to deal with the client's distorted perceptions and feelings?
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Question 56 of 90
Pita's parents bring him to see a psychologist because they believe Pita is experiencing delusions. What piece of information would most indicate that Pita had schizophrenia and not some other diagnosis?
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Question 57 of 90
The family of a 35-year-old alcoholic who refuses to seek treatment reaches out to the community health center for assistance. Which organization should the nurse refer them to for counseling?
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Question 58 of 90
Chronic use of methamphetamine
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Question 59 of 90
During the continuation phase of therapy, a client with a diagnosis of depression asks, 'What is the goal of therapy during this 4- to 9-month period?' What is the nurse's best response?
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Question 60 of 90
When asking the adolescent client about the magazine she is reading, she responds, 'It's an article about my favorite movie star. Did you see all the stars out last night? I used to be afraid of the dark at night.' Which speech pattern is this an example of?
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Question 61 of 90
According to the social-cognitive model of narcissistic personality disorder, people with this disorder place a high value on interpersonal interactions because
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Question 62 of 90
Which have been assessed as the most common types of mental illness identified among homeless individuals? Select one that does not apply.
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Question 63 of 90
One of the common challenges associated with treating co-occurring eating and substance use disorders is:
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Question 64 of 90
Behavioural Self-Control Training (BSCT) is based on conditioning principles. These include which of the following?
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Question 65 of 90
Which nursing intervention relates to rehabilitative care for a recovering alcoholic?
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Question 66 of 90
The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the:
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Question 67 of 90
A client tells the nurse that exercising in the gym helps him keep his stress level reduced. Which type of coping mechanism best describes this situation?
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Question 68 of 90
After teaching a group of students about abuse and families, the instructor determines that the students have an understanding of this issue when they state which of the following?
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Question 69 of 90
In treating clients with personality disorders, compliance with prescribed medications must be monitored frequently and safeguards must be put in place to prevent or reduce the risk for:
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Question 70 of 90
A nurse is reading a journal article about epidemiologic research and mental illness. Which of the following mental health conditions would the nurse expect to find as being projected as the leading burden of disease worldwide by the year 2030?
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Question 71 of 90
Negative symptoms of schizophrenia include all of the following EXCEPT
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Question 72 of 90
A 37-year-old client who has been divorced for several years recently lost joint custody of a 10-year-old daughter because of drug and alcohol use, along with nonpayment of child support. The client is referred to the clinic as the result of a court order. When arriving at the clinic, the client has been on a drinking binge for 2 days. What is the most appropriate nursing diagnosis for this client?
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Question 73 of 90
The elderly spouse of a 74-year-old male client states that she has noticed that her husband 'doesn't remember as well as he used to.' She explains that he has been putting on his coat before his shirt, and that he can never get their checkbook to balance as it did in the past. The client is exhibiting signs and symptoms typical of:
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Question 74 of 90
Which client statement demonstrates positive progress toward recovery from substance abuse?
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Question 75 of 90
The initial effect of alcohol is
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Question 76 of 90
A nurse preparing to interview a client in the client's room begins to move newspapers off a chair to sit down. The client requests that the nurse sit in another chair and leave the newspapers where they were. The client is demonstrating:
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Question 77 of 90
The medical team administering imipramine should inform the patient that the full therapeutic benefits may not take effect for.
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Question 78 of 90
A primary difference between model of psychiatric care and the psychosocial, behavioral and medical models is?
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Question 79 of 90
Nurse Lisa is speaking with the mother of a patient who is being considered for ECT. The mother, appearing distressed, says, 'My son's brain will be destroyed. How can the doctor do this to him?' What is the best response from Nurse Lisa?
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Question 80 of 90
Which is an accepted criterion for inpatient admission to a mental health facility?
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Question 81 of 90
Delirium tremens may result from
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Question 82 of 90
Which of the following should prompt a provider to assess for substance use disorder in an adolescent patient?
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Question 83 of 90
All of the following factors have been identified as contributing to child abuse, except:
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Question 84 of 90
Nurse Heather is providing care for a client who is the sole survivor of a train accident. Which psychological symptom would she most likely expect to find?
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Question 85 of 90
Compared to individuals who don't display psychopathy, the skin conductance of those displaying psychopathy is when confronted with an intense or aversive stimulus.
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Question 86 of 90
Which of the following foods would Nurse Hazel eliminate from the diet of a client in alcohol withdrawal?
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Question 87 of 90
A client who has been diagnosed with bipolar I disorder states, God has taught me how to decode the Bible. A nurse should anticipate that which combination of medications would be ordered to address this clients symptoms?
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Question 88 of 90
Upon assessment of a patient who reports cannabis use, the nurse recognizes that, in addition to assessing patterns of use, it is important she prioritize gathering which piece of information from the patient:
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Question 89 of 90
Which of the following best describes the disorder that was first recognized in veterans following the Korean and Vietnam Wars?
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Question 90 of 90
The nurse encounters a client crying in her room. Upon talking to the client it is discovered that she is upset because a new nursing assistant made her go out for a walk with the group even though the client informed her that she waits for her daughter to go for her walk. This is a potential violation of which ethical principle?
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