A nurse is reviewing STAT laboratory data of a client presenting in the emergency department. At what minimum blood alcohol level should a nurse expect intoxication to occur?
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Question 2 of 90
In which way does partial hospitalization differ from traditional inpatient hospitalization?
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Question 3 of 90
Nicotine ultimately stimulates which are implicated in the reinforcing effects of smoking.
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Question 4 of 90
An intramuscular injection of an antianxiety agent is administered to a client who has become violent toward the staff in the emergency room. This is an example of what level of therapeutic intervention?
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Question 5 of 90
A male inpatient client who is experiencing depression has no interest in eating. He skips meals frequently and has been losing weight. What is the best nursing action in this situation?
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Question 6 of 90
Which of the following instructions regarding lithium therapy should be included in a nurses discharge teaching? Select one that does not apply..
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Question 7 of 90
A patient with opioid use disorder reports they are scheduled for an elective knee surgery next week and are concerned about post-operative pain management. The patient received an extended-release naltrexone injection 14 days prior. What is the most appropriate treatment plan?
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Question 8 of 90
A nurse holds the hand of a client who is withdrawing from alcohol. What is the nurse's rationale for this intervention?
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Question 9 of 90
A client frequently wanders around the unit, and the staff frequently needs to reorient the client to the environment and remind her not to walk into the rooms of other clients on the unit. Due to short staffing, the decision is made to use a restraint device to prevent this from occurring. This action may constitute:
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Question 10 of 90
It has been found that, in avoidance learning tasks, the reason psychopaths had difficulty learning to avoid shock was because
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Question 11 of 90
The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of the following would the nurse identify as having a positive impact on the individual's mental health?
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Question 12 of 90
Which personality disorder is most appropriate for Joe? He lives alone in a cabin in the woods where he does the minimum to get by. When approached, he responds appropriately but is not interested in conversation or making friends.
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Question 13 of 90
A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street confused and uncooperative when approached by the police. One of the first assessments that should be performed on this client upon admission is a:
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Question 14 of 90
Of the following, what is the greatest risk factor for suicide in adult women?
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Question 15 of 90
Which of the following would be used to document a specific pattern of symptoms that occurs within a community?
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Question 16 of 90
The nurse is transcribing an order for disulfiram on a patient in alcohol rehabilitation. When planning the time of day to administer this medication the nurse will document that disulfiram be given:
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Question 17 of 90
A nursing care plan for a male client with bipolar I disorder should include:
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Question 18 of 90
Which of the following medications should be discontinued while a patient is in acute alcohol withdrawal?
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Question 19 of 90
Which client statement demonstrates positive progress toward recovery from a substance use disorder?
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Question 20 of 90
A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate because he complains that it makes him feel sick. Which of the following medications might be alternatively prescribed for mood stabilization in bipolar disorders?
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Question 21 of 90
The patient, whose sister has a substance-related disorder, confides to the nurse that she sometimes calls in sick on her sister's behalf when her sister is too intoxicated to go to work. This behavior is best described as:
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Question 22 of 90
Alcohol goes into the and is absorbed into the blood, after which it is metabolised by the
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Question 23 of 90
Which of the following are medical problems associated with long-term cigarette smoking?
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Question 24 of 90
The daughter of an elderly man notices that her father has stopped seeing his friends for their daily walk and acts in an aggressive manner when anyone comes to his house. She states that he normally looks forward to interacting with his friends on a daily basis and his general demeanor is friendly and caring. What does the nurse advise?
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Question 25 of 90
You are completing a nursing visit with a patient with opioid use disorder who discloses 'my family has disowned me' due to the behavioral changes associated with substance use. You, as the CARN, reply:
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Question 26 of 90
Which of the following is not a hallucinogenic?
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Question 27 of 90
Fluoxetine (Prozac) is FDA approved for treatment of bulimia nervosa. The rationale for prescribing this medication is:
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Question 28 of 90
Which of the following best summarises the relationship between EE (expressed emotion) and unusual thoughts in a person with schizophrenia?
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Question 29 of 90
One morning, nurse Diane finds a disturbed client curled up in the fetal position in the corner of the dayroom. The most accurate initial evaluation of the behavior would be that the client is:
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Question 30 of 90
A female client who's at high risk for suicide needs close supervision. To best ensure the client's safety, Nurse Mary should:
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Question 31 of 90
Match the form in column A with correct description from column B: Hypochondriasis
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Question 32 of 90
A caregiver who convinces an elderly person to sign over assets to him/her is culpable of
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Question 33 of 90
The drug Ecstasy is classified as a
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Question 34 of 90
Nurse Kelly suggests that the family of a client with a substance-related disorder participate in a support group. The goal of these groups is to help family members understand the issue and to:
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Question 35 of 90
The 15-year-old son of a single, full-time working mother frequently is left at home alone to care for himself. According to Erikson's theory, the nurse is aware that this adolescent most likely would have difficulty in developing a comfortable:
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Question 36 of 90
Advantages of sub groups in psychiatry therapy are.
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Question 37 of 90
Mark's parents bring him to see a psychologist because they believe Mark is experiencing delusions. What piece of information would most strongly indicate that Mark had schizophrenia and not some other diagnosis?
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Question 38 of 90
A 75-year-old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer's type and depression. The symptom that is unrelated to depression would be?
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Question 39 of 90
Which are the most important symptoms for the CARN-AP to educate her nursing team about when assessing patients who recently stopped using methamphetamines?
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Question 40 of 90
A nursing instructor is teaching students about the differences between partial and inpatient hospitalization. In what way does partial hospitalization differ from traditional inpatient hospitalization?
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Question 41 of 90
A nursing student is assigned to care for a client diagnosed with schizophrenia. When talking about this client in a clinical post-conference, the student would use which terminology when referring to the client?
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Question 42 of 90
Which would the nurse include in teaching about symptoms of alcohol overdose? (Select one that does not apply.)
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Question 43 of 90
Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
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Question 44 of 90
What is the leading cause of disability in the United States among individuals aged 15 to 44?
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Question 45 of 90
A client is diagnosed with bipolar I disorder: manic episode. Which nursing intervention would be implemented to achieve the outcome of Client will gain 2 pounds by the end of the week?
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Question 46 of 90
Nurse Mike is assessing Tom, a patient who is experiencing disorganized thinking and auditory hallucinations. Which nursing intervention should he prioritize to manage Tom's symptoms?
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Question 47 of 90
In 1949, an Australian physician discovered which therapy to be an effective treatment for bipolar (manic-depressive) illness?
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Question 48 of 90
Self-protective responses are seen in behaviors that meet basic:
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Question 49 of 90
The drug of choice in management of hyperkinetic childhood disorder is.
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Question 50 of 90
A client does not participate in group sessions due to feeling inferior to others in the group. Based on cognitive theory, he would be directed to:
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Question 51 of 90
A patient admitted 48 hours ago has a diagnosis of gastrointestinal (GI) bleeding and is receiving IV hydration and transfusions. When making rounds, the nurse observes the patient to be having a tonic clonic seizure. What may be the cause of the seizure?
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Question 52 of 90
For those family members who desire to care at home for loved ones who have been given a diagnosis of Alzheimer's disease, it is important for the nurse to ensure that the family is aware of which caregiver skills and responsibilities will be necessary. What is one of the responsibilities of the caregiver during the middle stage of the disease?
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Question 53 of 90
Nurse Kelly is conducting an initial assessment for Mr. Harris, a new admission to the substance abuse unit undergoing detoxification. To accurately understand Mr. Harris's patterns of substance use, which questions should Nurse Kelly prioritize asking at this time?
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Question 54 of 90
The charge nurse is angry with another nurse who has arrived one hour after the shift begins. Rather than expressing her anger, the nurse avoids confrontation by denying approval of the nurse's requested vacation day. What does this behavior demonstrate?
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Question 55 of 90
What was one of the suggestions given to President Carter in the 1970s when the mental health needs of the nation were reassessed?
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Question 56 of 90
Which is the priority nursing intervention for a client admitted for acute alcohol intoxication?
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Question 57 of 90
Nurse Fey is aware that the drug of choice for treating Tourette syndrome?
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Question 58 of 90
The research literature that supports the link between borderline personality disorder and troubled childhood has found that
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Question 59 of 90
A client has been using Librium for the past year. The client currently reports difficulty getting to sleep. Which nursing diagnosis appropriately documents this problem?
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Question 60 of 90
A child has reported to the school nurse that he is being bullied. Which of the following is most likely happening to this child?
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Question 61 of 90
Which of the following would a community health nurse expect to assess in a perpetrator of intimate partner violence?
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Question 62 of 90
The humoral theory of disease embraced by Hippocrates required a balance of which elements? Select one that does not apply.
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Question 63 of 90
Which intervention should the nurse consider as primary prevention for an individual who is on the verge of being homeless because of a job layoff?
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Question 64 of 90
Individuals with Hallucinogen Dependency can spend many hours and even days recovering from the effects of the drug some hallucinogens - such as MDMA - are often associated with physical 'hangover' symptoms. Which of the following are MDMA hangovers?
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Question 65 of 90
Avoidant personality disorder would most likely be treated with which type of psychiatric medication in order to reduce social anxiety?
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Question 66 of 90
When describing the treatment of mental illness, which of the following would a nurse identify as the primary goal?
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Question 67 of 90
Which one of the following is one of the American Nurses Association standards of practice for psychiatric/mental health nursing?
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Question 68 of 90
The goal of the 1963 Community Mental Health Centers Act was to
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Question 69 of 90
Which of the following is an assumption of controlled drinking, which is a variant of Behavioural Self-Control Training (BSCT)?
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Question 70 of 90
Which client would be a candidate for ECT?
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Question 71 of 90
The end of the continuum that is marked by sexual actions harmful to self or others in some manner is known as:
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Question 72 of 90
A nurse is working with a recent rape survivor. Which of the following actions would be most appropriate for the nurse to implement?
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Question 73 of 90
In preparation for an examination on the history of family violence, a group of students reviews the various laws enacted for protection. The students demonstrate understanding when they identify which of the following as one of the earliest laws enacted?
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Question 74 of 90
A client diagnosed with chronic alcohol use disorder complains of feeling tremulous. The client's BP is now 170/110, P 116, R 30, T 97°F. The nurse anticipates which medication would give the client the most immediate relief from these symptoms?
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Question 75 of 90
Clonidine (Catapres) is used in treating which opioid withdrawal symptom(s)? (Select one that does not apply.)
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Question 76 of 90
What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal?
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Question 77 of 90
Nurse Hazel is caring for a male client who experiences false sensory perceptions with no basis in reality. This perception is known as:
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Question 78 of 90
The lifetime prevalence of schizophrenia is slightly less than percent.
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Question 79 of 90
A nurse learns at report that a newly admitted client experiencing mania is demonstrating grandiose delusions. The nurse should recognize that which client statement would provide supportive evidence of this symptom?
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Question 80 of 90
A nursing instructor is teaching students about cirrhosis of the liver. Which of the following student statements about the complications of hepatic encephalopathy should indicate that further student teaching is needed? (Select one thas does not apply.)
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Question 81 of 90
What is the priority care for a client with dementia resulting from AIDS?
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Question 82 of 90
Nurse Alice is caring for a client being treated for alcoholism. Before initiating therapy with disulfiram (Antabuse), the nurse teaches the client that he must read labels carefully on which of the following products?
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Question 83 of 90
Which of the following is the priority of the Healthy People 2020 objectives for mental health?
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Question 84 of 90
A nursing specialist works with an adolescent who was placed in a residential program after multiple episodes of violence at school. Establishing rapport with this adolescent is a priority because (Select all that apply)
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Question 85 of 90
In order to gather more information about tobacco use in an adolescent patient, which screening tool would provide the most accurate assessment?
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Question 86 of 90
A 45-year-old woman is admitted to an inpatient mental health facility with the diagnosis of severe depression. She lives by herself and has been very active in her community for many years. During the past 6 months, she has become increasingly withdrawn from her family and friends and was terminated from her job because of excessive absenteeism. When she arrives on the unit, she makes little eye contact with the nurse, has a flat affect, and answers with one or two words. What is the most appropriate nursing diagnosis for this patient?
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Question 87 of 90
Which issues influence an individual's predisposition to substance-related disorders? Select one that does not apply.
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Question 88 of 90
A nurse is working with a male client in a mental health outpatient clinic. The client voices a desire to become more autonomous. Which goal will assist the client in becoming more autonomous?
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Question 89 of 90
Refugees frequently experience depression, anxiety, and stress-related disorders caused by their particular circumstances. Therefore, in addition to a cultural assessment, what is important for the nurse to assess?
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Question 90 of 90
Lucy is a fifteen-year-old who lives with her mother. She frequently takes care of her eight-year-old brother when their mother is intoxicated on the pain pills she takes for an injury that was the result of a motor vehicle accident. How does Lucy recognize her mother as intoxicated?
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