What tool should a nurse use to differentiate occasional spontaneous behaviors of children from behaviors associated with bipolar disorder?
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Question 2 of 89
A male client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, 'It felt so wonderful to get high.' Which of the following is the most appropriate response?
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Question 3 of 89
Nurse Elena is planning care for Karen, who is experiencing a manic episode. Which activity should Nurse Elena choose to help manage Karen's symptoms?
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Question 4 of 89
A client at the mental health clinic tells the case manager, I can't think about living another day, but don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality. Which case manager response is most appropriate?
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Question 5 of 89
Which symptom would the nurse expect to observe in a client experiencing opioid intoxication?
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Question 6 of 89
A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Which action should make the nurse suspect that the child was abused?
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Question 7 of 89
A nurse is assessing an individual who has been the victim of domestic violence. Which part of the body should the nurse assess first?
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Question 8 of 89
During the recoil stage of recovery from violence, the major characteristic is:
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Question 9 of 89
When a client is withdrawing from a CNS depressant, the symptoms will most likely result from which of the following?
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Question 10 of 89
When teaching parents about childhood depression Nurse Victoria should say?
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Question 11 of 89
Mrs James has the tendency of responding to situation by yelling, 'No, I don't believe it. It can't be true.' Mrs James is using which defense mechanism?
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Question 12 of 89
Which of the following are withdrawal symptoms from caffeine?
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Question 13 of 89
In research on response modulation and psychopathy, psychopaths won or lost money depending on what playing cards appeared. In this research, the impulsivity of psychopaths was studied by
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Question 14 of 89
According to E. Fuller Torrey, where would a person most likely encounter a mentally ill person?
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Question 15 of 89
A 25-year-old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?
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Question 16 of 89
Acute methamphetamine intoxication produces symptoms of psychosis, including perceptual disturbances and paranoia. What is considered the first-line treatment for acute psychosis?
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Question 17 of 89
Which client statement indicates a knowledge deficit related to substance abuse?
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Question 18 of 89
A community health nurse is planning a substance abuse prevention program. Which group would be the best target audience for the nurse to plan a program?
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Question 19 of 89
Which of the following interventions is most appropriate for a person who is the victim of ongoing intimate partner violence?
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Question 20 of 89
When intervening with a married couple experiencing relationship discord, which reflects a nursing intervention at the secondary level of prevention?
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Question 21 of 89
Community-based services to offer support in substance abuse consist of self help services such as?
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Question 22 of 89
A patient presents to the emergency room following an opioid overdose, having received 12 mg of intranasal naloxone in the community. They have a history of more than five overdoses and a recent admission for cellulitis. Chart review indicates that the patient was receiving methadone last year to manage withdrawal and cravings. The patient is unemployed and estranged from family due to substance use. What is the most accurate diagnosis?
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Question 23 of 89
In 1841, surveyed asylums, jails, and almshouses throughout the United States, Canada, and Scotland and is credited with bringing about public awareness and reform for the care of the mentally ill.
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Question 24 of 89
Which term should a nurse use to describe the administration of a central nervous system (CNS) depressant during alcohol withdrawal?
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Question 25 of 89
The neurotransmitter implicated in the pathophysiology of primary degenerative dementia of Alzheimer type is:
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Question 26 of 89
A disorder defined as daily moderate depression that lasts longer than 2 years is called a(n) disorder.
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Question 27 of 89
Nurse Kelly is organizing therapeutic activities for John, a patient with bipolar disorder who exhibits aggressive social behaviors. She needs to select an activity that is suitable and calming for John to help manage his behavior. Which activity should Nurse Kelly choose?
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Question 28 of 89
Nurse John is caring for a client with schizophrenia who is stabilized on risperidone and suddenly reports muscle stiffness and a fever. Which action should Nurse John prioritize?
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Question 29 of 89
A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this clients priority nursing diagnosis?
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Question 30 of 89
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?
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Question 31 of 89
A female patient reports to her opioid treatment program provider that she is pregnant and expresses concern about breastfeeding while on methadone. What is the most appropriate response by the CARN-AP?
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Question 32 of 89
The nurse is talking with a male client with a diagnosis of schizophrenia who often experiences auditory hallucinations. For this communication to be most effective, the nurse should:
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Question 33 of 89
The inpatient psychiatric unit is being redecorated. At a unit meeting, staff discusses bedroom dcor for clients experiencing mania. The nurse manager evaluates which suggestion as most appropriate?
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Question 34 of 89
The childhood trait that increases the risk for developing an antisocial personality disorder is:
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Question 35 of 89
Which protects individuals who have been successfully rehabilitated from substance abuse from discrimination related to past addiction?
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Question 36 of 89
Culture includes common beliefs and practices in areas such as religion, economics, diet, health, and:
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Question 37 of 89
A group of families are attending a local community group for a class on Internet safety and children. Which of the following statements by the group indicates effective teaching?
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Question 38 of 89
Unusual and eccentric thoughts and behaviour (psychoticism), interpersonal detachment, and suspiciousness are characteristics of the DSM-5 personality disorder.
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Question 39 of 89
As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, 'You never really cared whether I get better! Why not stop this charade?' The nurse recognizes this to be
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Question 40 of 89
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 41 of 89
Studies show that, of the symptoms of schizophrenia, the ones with the greater genetic component are
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Question 42 of 89
Which client exhibits signs and symptoms of delirium and not dementia or depression?
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Question 43 of 89
A community/public health nurse is providing care for the mentally ill. Of the following needs that the nurse can help the client meet, which are most important?Select one that does not apply.
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Question 44 of 89
A community/public health nurse working in the late 1960s saw an increase in the number of psychiatric patients who were being cared for in the community. What was the reason for this increase?
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Question 45 of 89
The treatment team meets with a client for the first time and determines, with the client's input, a nursing diagnosis, goal, and steps to reach this goal. In addition to a nursing diagnosis, the treatment team has completed which phase of the nursing process?
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Question 46 of 89
A psychiatric-mental health nurse is providing care for a client with a mental disorder. The client is participating in the decision-making process. The nurse interprets this as which component of recovery?
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Question 47 of 89
The nursing student reads the textbook in preparation for a class meeting about primary, secondary, and tertiary prevention related to families in crisis. The student determines which one of the following statements as most accurate regarding the levels of prevention?
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Question 48 of 89
What is a description of tolerance that shows a misunderstanding about substance use disorder?
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Question 49 of 89
One morning a female client on the inpatient psychiatric service complains to nurse Hazel that she has been waiting for over an hour for someone to accompany her to activities. Nurse Hazel replies that she is doing the best she can given limited staff. Later, nurse Hazel discusses this with that this type of behavior eventually produces a feeling of:
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Question 50 of 89
Antabuse or disulfiram affects the metabolism of alcohol so that the normal process of converting toxic alcohol products into non-toxic acetic acids is slowed. Which of the following are problems associated with Antabuse?
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Question 51 of 89
The school nurse reports that a student who was brought to her appears to be tense and angry, and her speech is rapid. She denies use of illegal substances. What does the nurse suspect the student has ingested?
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Question 52 of 89
A health professional colleague is suspected of having a substance abuse problem because of the person's frequent absenteeism, mood swings when at work, diminished alertness, and poor patient care. Which action(s) will the nurse take?
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Question 53 of 89
The first training of nurses to work with persons with mental illness was in 1882 in which state?
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Question 54 of 89
Which of the following are the most common symptoms of methamphetamine withdrawal?
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Question 55 of 89
A patient presents with complaints of poor appetite, weight loss, abdominal cramping, nausea, and vomiting multiple times a day with no relief from prescribed antiemetics for the last 48 hours. Reports taking hot showers provides temporary relief. Reports smoking cannabis multiple times daily to try to manage anxiety and gastrointestinal symptoms. Vital signs are stable and abdominal exam is unremarkable. What is the best intervention to resolve the patient's symptoms?
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Question 56 of 89
The average age for onset of anorexia nervosa is:
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Question 57 of 89
Which of the following circumstances, when it occurs on an inpatient mental health unit, would be considered false imprisonment?
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Question 58 of 89
The onset of schizophrenia most commonly occurs during the decade of age in the:
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Question 59 of 89
The use of protective devices may be considered false imprisonment. In order to assure the rights of the client are not violated, which practices must be implemented when using a device? (Select one that does not apply.)
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Question 60 of 89
The nurse is developing a teaching plan for a client who has been diagnosed recently with a mental health disorder and has been prescribed a psychotropic medication. Which interventions regarding the medication should the nurse include in the teaching plan? Select one that does not apply.
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Question 61 of 89
What factor associated with crime and violence is particularly important to community health nursing practice?
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Question 62 of 89
A female client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that one is:
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Question 63 of 89
A client with obsessive-compulsive disorder has become immobilized by her elaborate hand-washing rituals. Nurse Joy is aware that the basis of O.C. disorder is often:
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Question 64 of 89
Psychotherapy for psychopathy
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Question 65 of 89
A 78-year-old woman is admitted to the hospital with a diagnosis of pneumonia. She appears to be confused and combative at times. Her daughter is concerned because her mother was alert and oriented prior to being diagnosed with pneumonia. Her altered mental status is related to:
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Question 66 of 89
The DSM-5 defines personality disorders.
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Question 67 of 89
Howard had a psychotic episode following the death of his wife. He had hallucinations in which he would hear her speaking to him, telling him to kill himself. Howard developed elaborate delusions about his ability to communicate with his wife's spirit. Howard recovered from this episode after one week. What DSM-5 diagnosis would fit Howard's case?
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Question 68 of 89
Which medication orders should a nurse anticipate for a client who has a history of complicated withdrawal from benzodiazepines?
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Question 69 of 89
With Barbiturate and Benzodiazepine Abuse and Dependency, sedative intoxication is generally associated with:
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Question 70 of 89
A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money. He subsequently seeks mental health care for stress-related disorders. Which characteristic of a successful adult is this client lacking?
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Question 71 of 89
Which of the following liquids would nurse Leng administer to a female client who is intoxicated with phencyclidine (PCP) to hasten excretion of the chemical?
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Question 72 of 89
Which clients would a nurse recommend for a structured day program?
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Question 73 of 89
A client with schizophrenia reports hearing voices commanding self-harm. What is the nurse's priority action?
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Question 74 of 89
What type of abuse is occurring when a child does not receive the basic nurturing and caring needed for healthy development?
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Question 75 of 89
When assessing a client with a mental illness, the nurse determines that the client is experiencing label avoidance when the client states which of the following?
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Question 76 of 89
Persons who naturally relate aggressively to others, seldom have empathy, and lack appropriate guilt feelings are given the diagnosis of disorder.
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Question 77 of 89
A community health nurse is teaching a class to expectant parents. All participants lack infant care knowledge. A student nurse asks, If you had to assign a nursing diagnosis to this group, what would it be? What is the best nursing reply?
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Question 78 of 89
Which would be a reason for a student nurse to use the DSM?
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Question 79 of 89
Treatment for heroin addiction often involves
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Question 80 of 89
In regard to personality factors that may influence substance abuse, one study involved rating kindergarten children on several personality traits and following up with them several years later. In this study, in kindergarten predicted the onset of getting drunk, using drugs, and smoking at follow-up.
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Question 81 of 89
When assessing a family in crisis, which of the following would the community health nurse need to do first?
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Question 82 of 89
Janice is a nurse whose husband is in rehab for alcohol use disorder. While attending a family group, Janice makes several statements about their relationship. Which of these statements would suggest Janice is exhibiting codependent behavior?
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Question 83 of 89
What is the first-line treatment for symptoms of acute stimulant-induced psychosis?
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Question 84 of 89
A recovering alcoholic relapses and drinks a glass of wine. The client presents in the emergency department (ED) experiencing severe throbbing headache, tachycardia, flushed face, dyspnea, and continuous vomiting. What may these symptoms indicate to the ED nurse?
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Question 85 of 89
The symptom 'alogia' refers to lack of
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Question 86 of 89
Which of the following is defined as an advanced-level function in the practice area of psychiatric mental health nursing?
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Question 87 of 89
Cirrhosis of the liver due to alcohol abuse is characterized by
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Question 88 of 89
Frank experiences schizophrenia. He has allegedly severely beaten another man in the park after an argument. While he is being examined by a psychologist to see if he is fit to stand trial, he is mandated to a mental health institution. This is an example of
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Question 89 of 89
A client has been taking lithium for several years with good symptom control. The client presents in the emergency department with blurred vision, tinnitus, and severe diarrhea. The nurse should correlate these symptoms with which lithium level?
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