A community mental health nurse receives a new client for his caseload. The diagnosis of the client is residual schizophrenia. Documentation states that the client has a number of negative symptoms. Which symptom would the nurse expect to assess in the client?
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Question 2 of 77
A client with moderate to severe dementia does not remember her son's name. The son repeatedly questions the mother when he visits the dementia facility, asking, 'Do you know my name?' The mother invariably becomes agitated. The nurse can most effectively intervene by explaining to the son:
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Question 3 of 77
An individual is seeking treatment for bulimia nervosa. The therapist decides to use cognitive behavioral therapy and medication. For what medication can a nurse expect to develop a patient education program?
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Question 4 of 77
A 38-year-old woman, who had a subtotal thyroidectomy 8 years previously, is again thyrotoxic. Which one of the following is the most appropriate management?
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Question 5 of 77
A victim of spousal abuse comes to the emergency department for treatment of a broken arm. She appears hypervigilant and anxious and admits to sleep disturbance when the nurse questions the dark circles under her eyes. She reluctantly tells the nurse the abuse usually occurs when the husband has been drinking, although she concedes he is always jealous and controlling. She is a stay-at-home mother of two preschool children. The family has lived in this town for 1 month. The patient states she has fleetingly considered suicide but must stay alive to care for her children and work her way out of the abusive relationship. She denies any further suicidal thoughts. The nurse should document in the medical record that: (Select all that apply.)
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Question 6 of 77
A client in the cardiac clinic tells the nurse that he is concerned about his mother, age 75, who lives alone and seems more forgetful. Which statement would be most indicative that the mother may have Alzheimer's disease?
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Question 7 of 77
A nurse is anxious about assessing the sexual history of a patient who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the patient's sexual practices?
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Question 8 of 77
The average time that a person with Alzheimer's disease lives after diagnosis is:
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Question 9 of 77
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."Â What is the patient's present coping strategy?
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Question 10 of 77
A client, age 34, has been physically abused by her husband five times during the past 2 years. During her last discussion with the nurse, the client stated, 'I probably should not keep going back to him.' The nurse is aware that the final decision to leave a batterer:
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Question 11 of 77
Which intervention would be the best initial approach for a nurse to take when a young adult patient is verbally abusive?
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Question 12 of 77
Trends that have contributed to the recent increase in eating disorders in the United States include a(n):
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Question 13 of 77
The nurse is interviewing a client who presents with a dislocated shoulder. She demonstrates signs of anxiety and poor eye contact and turns to her partner for answers, allowing him to answer for her. Bruises on her breast and upper arm are visible. The nurse asks the partner to go to the admitting office to give insurance information. While the partner is out of the room, which question is most important to ask?
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Question 14 of 77
A newly admitted patient diagnosed with paranoid schizophrenia is hypervigilant and constantly scans the environment. He states that he saw two doctors talking in the hall and knows they were plotting to kill him. When charting, how should the nurse identify this behavior?
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Question 15 of 77
A patient with borderline personality disorder cut her wrists while out on a pass. For future planning, staff should consider that the reason for the self-mutilation is probably related to:
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Question 16 of 77
In most anxiety disorders, the person's distress is
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Question 17 of 77
The nurse manager of a mental health center wants to improve medication adherence among the seriously mentally ill persons treated there. Which interventions are likely to help achieve this goal? Select one tha does not apply
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Question 18 of 77
A couple in counseling reports fighting with their child when they are angry with each other. This behavior typifies:
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Question 19 of 77
A client with a borderline personality disorder tells the nurse, 'My doctor tells me there's something wrong with the hard wiring of my brain, and that's why I'm so impulsive and get so many mood swings. He said he's going to prescribe some medication.' Being aware of current practice guidelines, the nurse will prepare a teaching plan for:
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Question 20 of 77
Which patient statement would not be considered a potential risk factor for family-directed violence?
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Question 21 of 77
A patient with severe dementia can no longer recognize her only daughter and becomes anxious and agitated when the daughter attempts to reorient her. An alternative the nurse could suggest to the daughter is to:
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Question 22 of 77
An appropriate outcome for a patient with a personality disorder and a nursing diagnosis of Ineffective coping as evidenced by use of manipulation would be that the patient will:
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Question 23 of 77
Which of the following procedures can be used to identify Down Syndrome pre-natally?
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Question 24 of 77
A frequent finding in clients with Paraphiliac sexual disorders is that they have:
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Question 25 of 77
A high school cheerleader was admitted to the eating disorders unit, having developed hypokalemia as the result of purging. Which of these medications will probably be prescribed for the client?
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Question 26 of 77
The nurse caring for a school-age child who has been sexually abused by a close family member realizes that the child may resist disclosing the experience of being sexually abused because the child:
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Question 27 of 77
A patient has acute anxiety related to an automobile accident 2 hours ago. The patient needs teaching about drugs from which group?
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Question 28 of 77
The Freudian explanation of anxiety disorders emphasizes
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Question 29 of 77
A client has been admitted with disorganized type schizophrenia. The nurse observes blunted affect and social isolation. The client occasionally curses or calls another client a 'jerk' without provocation. The nurse asks the client how he is feeling, and he responds, 'Everybody picks on me. They frobitz me.' The best response for the nurse to make would be:
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Question 30 of 77
An elderly patient with dementia paces the hallway and often engages in wandering. The nurse documents that the patient is exhibiting which type of behavior that is characteristic of dementia?
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Question 31 of 77
The client has become unable to recognize formerly familiar objects and people in his environment. The client is experiencing:
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Question 32 of 77
The first step in the treatment of sleep disorders is to:
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Question 33 of 77
A patient with an eating disorder states, 'I heard people laughing behind me in the check-out line at the department store. I bet they thought it was hysterically funny that I gained a pound in the last few days.' The nurse documents that the patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses?
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Question 34 of 77
A patient's body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet 4 inches tall. Which term should be documented?
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Question 35 of 77
A client with obsessive-compulsive personality disorder seeks treatment for depression after the recent breakup of a relationship. The client constantly procrastinated about proposing marriage and said his girlfriend complained that he did not show her affection and that he was too controlling. Now he describes inability to sleep, poor concentration, and loss of energy since the breakup. Which outcome is a priority for the client? The client will:
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Question 36 of 77
A patient remanded by the court after his wife had him jailed for battery told the judge how sorry he was and suggested he needed psychiatric help. His history reveals acting-out behaviors as an adolescent and several adult arrests. The nurse interviews him about his relationship with his wife. Which statement by the patient is most consistent with a diagnosis of antisocial personality disorder?
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Question 37 of 77
A client being treated for anorexia nervosa is 5 feet 10 inches tall and weighs 100 pounds. The client believes she is overweight. On the days the client is scheduled to be weighed, the nurse should be prepared for the client to:
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Question 38 of 77
The mother of a 2-year-old tells the nurse at the well-child clinic that her child likes to take a blanket wherever he goes. The mother asks if she should take the blanket away from the child. The nurse counsels the mother to allow the child to have the blanket because it reminds him of his mother and comforts him. The basis for this counseling is:
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Question 39 of 77
What is the rationale for establishing a contract with a patient with an eating disorder at the outset of treatment?
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Question 40 of 77
In addition to antidepressants, which of the following is usual treatment for postpartum depression?
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Question 41 of 77
Sensory experiences that occur in the absence of a stimulus are called
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Question 42 of 77
Which remarks by a 72-year-old patient should prompt the nurse to assess for depression? Select one tha does not apply.
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Question 43 of 77
Which nursing diagnosis would be appropriate for a patient with Alzheimer disease?
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Question 44 of 77
Marie is 16 years old. She has been referred to the clinic by the nurse at her school because she started a fight with a younger girl and hurt her badly. The school nurse reports that Marie has been troublesome beforeskipping school, bullying, and smoking on school grounds on several occasions. Of the following, which diagnosis is most likely?
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Question 45 of 77
The most common eating disorder seen in patients presenting to hospital in Singapore is:
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Question 46 of 77
A student transfers from a hometown college to a university 200 miles away after breaking up with her boyfriend of 2 years. She was slow to make friends at the university. The history shows a close relationship with her mother and sister. She began eating large quantities when she felt sad, and then she induced vomiting. When the student's schoolwork declined, she sought help. During the initial interview, what priority issue should the nurse address?
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Question 47 of 77
A patient, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a day care facility on weekdays. The nurse at the day care center noticed the patient was unkempt and had multiple bruises. When the daughter arrived to pick her up, the nurse discussed her observations. The daughter became defensive and said that her mother was very difficult to manage. She stated, "My mother is not my mother anymore. She is confused, and she wanders all night. We have to watch her constantly. Last night I fell asleep, and she fell down the stairs. Sometimes I just cannot bear to care for her."Â Which nursing diagnosis would be most important to address for this patient?
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Question 48 of 77
The nurse has been working with a patient diagnosed with schizophrenia who experiences auditory hallucinations. The patient relates, 'When I first heard the voices they said nice things about me. Lately, they've changed and they say bad things.' What information has the least impact on therapeutic patient care at this point in the hospitalization?
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Question 49 of 77
Which of the following medications would NOT be recommended for prescription by a Family Doctor for a depressed adolescent who also has panic attacks?
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Question 50 of 77
A patient diagnosed with a serious mental illness died suddenly at age 52. The patient lived in the community for 5 years without relapse and held supported employment the past 6 months. The distressed family asks, 'How could this happen?' Which response by the nurse accurately reflects research and addresses the family's question?
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Question 51 of 77
A client with catatonic schizophrenia has been posturing, standing with his left arm upraised and his right foot off the floor. For the most part, he ignores attempts at nursing intervention but will occasionally walk, sit, or lie down for a few minutes. The client eats standing up if the nurse brings a tray to the room. The priority nursing order would be to:
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Question 52 of 77
An 11-year-old boy stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. During the community mental health nurse's visit, he reveals that he thinks his father does not like him because he calls him 'stupid' all the time. He states he is too dumb to learn much and has no friends at school because he does not deserve them. Which nursing diagnosis should be the priority for the child?
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Question 53 of 77
A nurse wants to assess for suicidal ideation in an elderly patient. Select the best question to begin this assessment.
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Question 54 of 77
A nurse assesses an elderly patient. The nurse should complete the Geriatric Depression Scale if the patient answers which question affirmatively.
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Question 55 of 77
Which assessment findings would be expected for a patient diagnosed with bipolar I disorder?
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Question 56 of 77
What is an important aspect of managing refeeding syndrome in patients with anorexia nervosa?
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Question 57 of 77
A novice nurse tells the assigned mentor, 'I admitted a patient today who has several bizarre delusions. I wanted to tell the patient that the ideas and conclusions simply are not logical. What do you think will happen if I do?' Which reply by the mentor is best?
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Question 58 of 77
A nurse is caring for a patient diagnosed with anorexia nervosa. What is the most important intervention during the refeeding phase?
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Question 59 of 77
A nurse is caring for a patient with bulimia nervosa who has not eaten for 24 hours. The nurse should first:
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Question 60 of 77
A common nursing diagnosis for a patient with antisocial personality disorder is:
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Question 61 of 77
Which of the following is not a common type of water pollutant?
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Question 62 of 77
Select the central concept around which a family education plan for preventing childhood eating problems is constructed:
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Question 63 of 77
Which of the following may occur in Expressive Language Disorder?
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Question 64 of 77
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 65 of 77
Which of the following is a critical aspect of nursing care for patients with anorexia nervosa?
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Question 66 of 77
The chief distinguishing feature of psychotic disorders is
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Question 67 of 77
A patient in the long-term phase of the rape-trauma syndrome had intrusive thoughts of the attack and developed fears of being alone. Which finding best demonstrates the patient has improved? The patient!
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Question 68 of 77
Which of the following is a priority nursing intervention for a patient with anorexia nervosa during the refeeding process?
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Question 69 of 77
What is a common consequence of repeated purging behaviors in bulimia nervosa?
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Question 70 of 77
A patient has schizophrenia and is troubled by negative symptoms, muscle stiffness, and motor restlessness. His Advanced Practice Nurse (APN) is considering changing the patient's antipsychotic medication, haloperidol (Haldol, a typical or first generation antipsychotic drug). For planning purposes, which medication can the nurse assume that the APN will probably choose?
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Question 71 of 77
A salesman has had difficulty holding a job because he accuses co-workers of conspiring to take his sales. Today, he argued with several office mates and threatened to kill one of them. The police were called, and he was brought to the mental health center for evaluation. He has had previous admissions to the unit for stabilization of paranoid schizophrenia. When the nurse meets him, he points at staff in the nursing station and states loudly, 'They're all plotting to destroy me. Isn't that true?' Which would be the most appropriate response?
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Question 72 of 77
Which of the following is characteristic of a dissociative disorder?
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Question 73 of 77
A patient who has been taking fluoxetine (Prozac) 60 mg daily for the past 6 months tells the nurse at the medication follow-up clinic that he is considering stopping the Prozac. He states his mood is fine, and now that he is living normally, his wife is concerned that he has no sex drive. Which response would be best?
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Question 74 of 77
What is the most appropriate goal for a nurse caring for a patient with anorexia nervosa?
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Question 75 of 77
How the child's development is influenced by the school and the teacher?
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Question 76 of 77
A nurse and social worker co-lead a reminiscence group for eight young-old adults. Which activity is most appropriate to include in the group?
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Question 77 of 77
The nurse is sitting with a patient diagnosed as having schizophrenia, disorganized type, who starts to laugh uncontrollably, although nothing funny has occurred. The nurse should say:
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