A 16-year-old diagnosed with a conduct disorder (CD) has been in a residential program for 3 months. Which outcome should occur before discharge?
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Question 2 of 103
A therapy group adds new members as others leave. What type of group is evident?
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Question 3 of 103
Which of the following client situations most urgently requires the nurse to break confidentiality and warn a third party?
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Question 4 of 103
Four teenagers died in an automobile accident. One week later, which behavior by the parents of these teenagers most clearly demonstrates resilience? The parents who
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Question 5 of 103
The nurse may find that patients from other countries use different terminology than the nurse born in the United States. The difference in terminology may seem harmless to us but offensive to the foreign patient. Differences noted between different cultures are (select all that apply):
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Question 6 of 103
A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?
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Question 7 of 103
A patient diagnosed with schizophrenia tells the nurse, 'The Central Intelligence Agency is monitoring us through the fluorescent lights in this room. The CIA is everywhere, so be careful what you say.' Which response by the nurse is most therapeutic?
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Question 8 of 103
The component of the Mental Health Status Examination that focuses on the way a person experiences reality is assessing the persons:
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Question 9 of 103
A nurse is assessing a patient diagnosed with major depressive disorder. The patient states, 'I feel like a burden to my family. I don't want to be here anymore.' What is the priority nursing action?
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Question 10 of 103
The most important aim of pain management in palliative care is
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Question 11 of 103
A nurse is educating a client who is undergoing treatment for maintaining alcohol abstinence about their prescriptions. Which of the following statements by the client indicates an understanding of their prescriptions?
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Question 12 of 103
Which of the following best describes what defense mechanisms are?
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Question 13 of 103
A patient has blindness related to conversion (functional neurological) disorder. To help the patient eat, the nurse should
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ATI RN · Adult Behavioral Health Nursing
Question 14 of 103
A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide advice. Which principle usually applies? Giving advice:
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Question 15 of 103
An adolescent patient has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as
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Question 16 of 103
A significant change in the treatment of people with mental illness occurred in the 1950s when
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Question 17 of 103
A nurse is caring for a client who presents to an outpatient treatment center seeking help for gambling. After performing an intake assessment, the nurse should identify which of the following statements by the client as a sign of a gambling addiction?
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Question 18 of 103
Which of the following are nontherapeutic techniques?Select one that does not apply.
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Question 19 of 103
Psychiatric nursing became a requirement in nursing education in which year?
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Question 20 of 103
Nursing behaviors associated with the implementation phase of nursing process are concerned with:
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Question 21 of 103
A patient diagnosed with schizophrenia is taking clozapine. Which of the following side effects should the nurse monitor for in this patient?
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ATI RN · Adult Behavioral Health Nursing
Question 22 of 103
A nurse wants to assess an adult patient's recent memory. Which question would best yield the desired information?
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Question 23 of 103
A person with a fear of heights drives across a high bridge. Which division of the autonomic nervous system will be stimulated in response to this experience?
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ATI RN · Adult Behavioral Health Nursing
Question 24 of 103
As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, Thank you for helping mend my broken heart. Which is the nurses best response?
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ATI RN · Adult Behavioral Health Nursing
Question 25 of 103
A patients relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?
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ATI RN · Adult Behavioral Health Nursing
Question 26 of 103
After major reconstructive surgery, a patient's wounds debiased. Extensive wound care was required for 6 months, causing the patient to miss work and social activities. Which physiological response would be expected for this patient?
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Question 27 of 103
Beliefs about the causes of pain and illness vary among cultures. In the United States (Western culture), pain and illness are generally attributed to
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ATI RN · Adult Behavioral Health Nursing
Question 28 of 103
In the space of 5 minutes, the client has been laughing and euphoric, then angry, and then crying for no reason that is apparent to the nurse. This behavior would be best described as
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Question 29 of 103
A community mental health nurse has worked for months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and could no longer afford prescribed medications. The patient says, Only a traitor would make me go to the hospital. Select the nurses best initial intervention.
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Question 30 of 103
A nurse is assessing a patient diagnosed with bipolar disorder during the manic phase. Which of the following interventions is most appropriate?
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ATI RN · Adult Behavioral Health Nursing
Question 31 of 103
What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection? The nurse:
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Question 32 of 103
A client is unwilling to go out of the house for fear of 'doing something crazy in public.' Because of this, the client remains homebound, except when accompanied outside by a trusted adult. The nurse determines that the client has:
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Question 33 of 103
An adult has cared for a debilitated parent for 10 years. The health care provider recently recommended transfer of the parent to a skilled nursing facility. The adult says, "I've always been able to care for my parents. Nursing home placement goes against everything I believe." Successful resolution of this adult's crisis will most closely relate to
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Question 34 of 103
Which of the following would best assess a client's judgment?
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Question 35 of 103
The staff on an inpatient psychiatric unit is very busy and fall behind on periodic assessment of a severely depressed client. During the rounds, the client is discovered to have completed a suicide attempt in the bathroom. Which type of lawsuit could the client's family file?
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ATI RN · Adult Behavioral Health Nursing
Question 36 of 103
A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?
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Question 37 of 103
A nurse has successfully completed a drug treatment program and is returning to work 3 months later. Which of the following best describes a program designed for a nurse returning to work after treatment?
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Question 38 of 103
A nurse is assessing a patient diagnosed with major depressive disorder. The patient states, 'I'm so tired all the time. I don't even want to get out of bed.' Which nursing diagnosis is most appropriate for this patient?
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Question 39 of 103
A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?
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Question 40 of 103
A nurse is working with a patient diagnosed with bipolar disorder during the depressive phase. Which of the following is the most appropriate nursing intervention?
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ATI RN · Adult Behavioral Health Nursing
Question 41 of 103
A Filipino American patient had a nursing diagnosis of situational low self-esteem related to poor social skills as evidenced by lack of eye contact. Interventions were applied to increase the patient's self-esteem but after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario?
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Question 42 of 103
A nurse is caring for a patient diagnosed with schizophrenia who is experiencing disorganized speech and behavior. Which of the following interventions should the nurse implement first?
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Question 43 of 103
The following are members of the sterile team in the operating room, except:
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Question 44 of 103
A person runs from a crowded nightclub after a pyrotechnics show causes the building to catch fire. Which division of the autonomic nervous system will be stimulated in response to this experience?
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ATI RN · Adult Behavioral Health Nursing
Question 45 of 103
Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman says tearfully, "What else can happen?" If the woman's immediate family is unable to provide sufficient support, the nurse should
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Question 46 of 103
A nurse is caring for a patient diagnosed with anorexia nervosa. The patient refuses to eat and is at risk for malnutrition. What is the priority nursing intervention?
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Question 47 of 103
A nurse is caring for a client who has post-traumatic stress disorder (PTSD). The nurse anticipates the provider might prescribe which of the following medications?
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Question 48 of 103
A patient diagnosed with severe and persistent mental illness who recently moved to a homeless shelter says, 'My life is out of control. I'm like a leaf at the mercy of the wind.' The nurse formulates the diagnosis Powerlessness. Outcomes will focus on which goal?
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Question 49 of 103
A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?
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Question 50 of 103
A nurse on an adolescent psychiatric unit assesses a newly admitted 14-year-old. An impulse control disorder is suspected. Which aspects of the patient's history support the suspected diagnosis? (Select all that apply.)
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Question 51 of 103
A patient needs supportive care for the maintenance treatment of bipolar disorder. The new nurse demonstrates an understanding of the services provided by the various members of the patient's mental healthcare team when he makes which statement:
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Question 52 of 103
The nurse is admitting a patient to the operating room. Which of the following nursing actions should be given the highest priority by the nurse?
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ATI RN · Adult Behavioral Health Nursing
Question 53 of 103
In order to release information to another health care facility or third party regarding a patient diagnosed with a mental illness, the nurse must obtain:
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Question 54 of 103
Select the most appropriate label to complete this nursing diagnosis: related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
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Question 55 of 103
Which of the following distance zones is acceptable for people who mutually desire personal contact?
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Question 56 of 103
The disease-avoidance model of animal phobias (Matchett & Davey, 1991) is supported by which of the following?
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Question 57 of 103
As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurses best action?
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Question 58 of 103
The next-to-last meeting of an interpersonal therapy group is taking place. The leader should take which actions? (Select all that apply.)
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Question 59 of 103
Which action by a nurse constitutes a breach of a patient's right to privacy?
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Question 60 of 103
Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship? My case manager: (Select one that does not apply.)
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Question 61 of 103
A patient diagnosed with a somatic symptom disorder says, "My pain is from an undiagnosed injury. I can't take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much." It is important for the nurse to assess
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ATI RN · Adult Behavioral Health Nursing
Question 62 of 103
A person has minor physical injuries after an auto accident. The person is unable to focus and says, 'I feel like something awful is going to happen.' This person has nausea, dizziness, tachycardia, and hyperventilation. What is the person's level of anxiety?
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Question 63 of 103
What social factor is likely to have a significant influence on grief and loss responses?
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Question 64 of 103
A patient experiencing panic suddenly began running and shouting, 'I'm going to explode!' Select the nurse's best action.
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ATI RN · Adult Behavioral Health Nursing
Question 65 of 103
The sibling of an Asian American patient tells the nurse,My sister needs help for pain. She cries from the hurt. Which understanding by the nurse will contribute to culturally competent care for this patient? Persons of an Asian American heritage:
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Question 66 of 103
Which aspect of direct care is an experienced, inpatient psychiatric nurse most likely to provide for a patient?
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Question 67 of 103
A nurse is caring for a patient diagnosed with bulimia nervosa. The patient states, 'I feel so ashamed after I eat.' Which of the following is the most appropriate response?
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Question 68 of 103
A patient is referred to the mental health center by the family health care provider. Over the past year, the patient has cooked gourmet meals for family members, but eats only tiny portions of the food. The patient wears layers of loose clothing, saying, 'It's just my style.' The patient's weight has dropped from 130 to 95 pounds. The patient has amenorrhea. The history and symptoms are most consistent with which medical diagnosis?
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Question 69 of 103
A younger patient in a therapy group says to an older patient, "You remind me of my mother, always trying to control me with your observations and suggestions." Which therapeutic factor of a group is evident by this behavior?
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Question 70 of 103
What is a nurse's legal responsibility if child abuse or neglect is suspected?
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Question 71 of 103
QSEN refers to
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Question 72 of 103
A patient tells the nurse, I don't think I'll ever get out of here. Select the nurse's most therapeutic response.
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Question 73 of 103
When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations?
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Question 74 of 103
A nurse interviews a patient abducted and raped at gunpoint by an unknown assailant. The patient says, 'I can't talk about it. Nothing happened. I have to forget!' What is the patient's present coping strategy?
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Question 75 of 103
The desired outcome for a patient experiencing insomnia is, 'Patient will sleep for a minimum of 5 hours nightly within 7 days.' At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
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Question 76 of 103
An adult client is put in restraints after all other attempts to reduce aggression have failed. Which of the following is required now that restraints have been instituted?
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Question 77 of 103
A client's prognosis is said to be good due to a high degree of self-efficacy. Which of the following is evidence of a high degree of self-efficacy?
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Question 78 of 103
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 79 of 103
The following are classified as a nontraditional family (Select one that does not apply):
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Question 80 of 103
Termination of a therapeutic nurse-patient relationship has been successful when the nurse
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Question 81 of 103
A patient in alcohol rehabilitation reveals to the nurse, 'I feel terrible guilt for sexually abusing my -year-old before I was admitted' Select the nurse's most important action
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ATI RN · Adult Behavioral Health Nursing
Question 82 of 103
A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?
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ATI RN · Adult Behavioral Health Nursing
Question 83 of 103
A patient says, 'I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?' What is the nurse's best response?
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Question 84 of 103
What is the name of the publication written by Florence Nightingale?
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Question 85 of 103
Pathological and chronic worrying is the cardinal diagnostic feature of GAD, but it may also be accompanied by physical symptoms such as:
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ATI RN · Adult Behavioral Health Nursing
Question 86 of 103
The client stated, 'I was so upset about my sister ignoring me when I was talking about being ashamed.' Which nontherapeutic communication technique would the nurse be using if the nurse would state, 'How are your stress reduction classes going?'
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Question 87 of 103
When a nurse asks a newly admitted patient to describe social supports, the patient says, 'My parents died last year and I have no family. I am newly divorced, and my former in-laws blame me. I don't have many friends because most people my age just want to go out drinking.' Which action will the nurse apply?
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Question 88 of 103
The client says to the nurse, 'I feel really close to you. You are the only true friend I have.' The most therapeutic response the nurse can make is,
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Question 89 of 103
Inpatient hospitalization for persons with mental illness is generally reserved for patients who:
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Question 90 of 103
Which statement demonstrates the nurse's understanding of the effect of environmental factors on a patient's mental health?
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Question 91 of 103
One of the primary differences between social and therapeutic relationships is the
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Question 92 of 103
A nurse is meeting with a client and their family at a local treatment clinic. The client's partner demands to see the client's records and treatment plan, and states they need to be responsible for overseeing the treatment. The client's department reports that their own health has deteriorated since caring for the client. The nurse should recognize that the client's partner is displaying which of the following behaviors?
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ATI RN · Adult Behavioral Health Nursing
Question 93 of 103
The nurse understands that empathy is essential to the therapeutic relationship. When a patient makes the statement, 'I am just devastated that my marriage is falling apart,' the nurse can best show empathy through which of the following responses?
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Question 94 of 103
Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient:
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Question 95 of 103
A psychoeducational session will discuss medication management for a culturally diverse group of patients Group participants are predominantly members of minority cultures. Of the four staff nurses below,which nurse should lead this group?
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Question 96 of 103
Audrey, a mental health nurse, has noticed that every day prior to going to work, she starts off with headaches, loose stools, episodes of feeling light-headed, and other disorders. These symptoms may be an expression of emotional disturbances. Audrey is aware she could be experiencing:
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Question 97 of 103
The nurse asks a patient to list the days of the week in reverse order. The nurse is assessing which of the following?
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ATI RN · Adult Behavioral Health Nursing
Question 98 of 103
Which of the following situations would most likely provide social support to a client?
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Question 99 of 103
What action by a nurse constitutes a breach of a patient's right to privacy?
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Question 100 of 103
For a palliative care patient whose cancer tumor is impinging on a nerve, the drug that may show some usefulness is
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ATI RN · Adult Behavioral Health Nursing
Question 101 of 103
The desired outcome for a patient experiencing insomnia is, 'Patient will sleep for a minimum of 5 hours nightly within 7 days.' At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The nurse will document the outcome as
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Question 102 of 103
The telephone rings at the nurses' station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient's rights and confidentiality?
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Question 103 of 103
A nurse is reviewing the medical record of a client who is being admitted with dementia. The nurse notes that the client has worked as a pest control specialist for the last 20 years. Which of the following types of dementia should the nurse expect the client to be experiencing?
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