During a counseling session, the mother of one of the clients with an eating disorder states to the nurse, 'I feel like such a failure. How can I be sure my daughter has no more problems like this?' Which response is the most therapeutic?
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Question 2 of 80
While auditing care plans for clients with eating disorders, the nurse realizes that a nursing diagnosis appropriate for a client with anorexia nervosa as well as for a client with bulimia nervosa is:
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Question 3 of 80
When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be functioning at the adaptive end of the _____ continuum.
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Question 4 of 80
Which of the following is a priority for a nurse caring for a patient with anorexia nervosa during the refeeding phase?
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Question 5 of 80
A 45-year-old man develops weakness and wasting of the right hand. Which one of the following is least likely to be the cause?
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Question 6 of 80
An appropriate intervention for a client with an identified nursing diagnosis of Situational low self-esteem would be:
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Question 7 of 80
Persons who suffer from paraphilias are categorized as having
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Question 8 of 80
A nurse would assess for which feature in a patient diagnosed with anorexia nervosa without bingeing or purging?
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Question 9 of 80
Which information is most important to obtain during assessment of an older adult diagnosed with a mental disorder?
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Question 10 of 80
The emergency department note states, 'This patient displays positive symptoms of schizophrenia as evidenced by psychotic disorders of thinking.' The nurse can expect the patient to evidence:
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Question 11 of 80
Which is NOT a contributing factor to postpartum blues?
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Question 12 of 80
A nurse is working with a patient diagnosed with bulimia nervosa. Which of the following would be considered an appropriate outcome for this patient?
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Question 13 of 80
A nurse would attempt to reduce nighttime agitation for a patient with either delirium or dementia by:
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Question 14 of 80
A client with antisocial personality disorder yells, 'Shut up about that, or I'll punch you in the nose!' and shakes his fist at another client in a group meeting after the client speaks negatively of illicit drug use. The nurse quickly determines that the client is at risk to act violently against others as evidenced by his aggressive behavior, verbal threats, and a history of impulsivity. Which is the best approach for the nurse to use?
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Question 15 of 80
In autistic spectrum disorder when as individual exhibits immediate imitation of words or sounds they have just heard, this is known as:
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Question 16 of 80
A client who received chlorpromazine (Thorazine) for 15 years to treat schizophrenia developed tardive dyskinesia as evidenced by tongue thrusting and chewing motions. The physician discontinued the chlorpromazine and prescribed Seroquel (quetiapine). As a result of this change, the nurse should carefully monitor for:
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Question 17 of 80
While planning care for a preschool child who has been physically and sexually abused, the nurse includes play therapy because it assists the child to:
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Question 18 of 80
The nurse in the Emergency Department is taking a history from a family accompanying a child with suspicious traumatic injuries. The nurse should:
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Question 19 of 80
The parent of a seriously mentally ill adult asks the nurse, 'Why are you making a referral to a vocational rehabilitation program? My child wont ever be able to hold a job.' Which is the nurses best reply?
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Question 20 of 80
Which factor least influences whether a country will have a higher life expectancy?
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Question 21 of 80
The therapeutic approach in the care of an autistic child include the following EXCEPT:
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Question 22 of 80
A woman consults the nurse practitioner because she has not achieved orgasm for 2 years, despite having been sexually active. This is an example of
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Question 23 of 80
Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most applicable to this diagnosis?
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Question 24 of 80
A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self. Select the best outcome related to this diagnosis. Within 2 weeks, the patient will:
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Question 25 of 80
A nurse plans an educational program for staff of a home health agency specializing in care of the elderly. Which topic is the highest priority to include?
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Question 26 of 80
An elderly patient brings a bag of medications to the clinic. The nurse finds bottles of medications as well as assorted pills in no containers in the bag. What is the nurse's priority action?
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Question 27 of 80
When a patient with anorexia nervosa expresses a fear of weight gain, the nurse should respond by:
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Question 28 of 80
At 11:00 AM, a patient with schizophrenia who exhibits concrete thinking asks the nurse for PRN acetaminophen (Tylenol). However, he last had it at 8:00 AM, and it is ordered only every 4 hours. Which nursing response would be most therapeutic?
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Question 29 of 80
A patient is admitted to the inpatient unit with a diagnosis of schizophrenia. The patient has had episodes of school absenteeism, withdrawal from friends, and bizarre behavior, including talking to his or her 'keeper.' The psychiatric-mental health nurse's most appropriate response is to:
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Question 30 of 80
A patient with anorexia nervosa begins to refuse food. The nurse should first:
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Question 31 of 80
Which environmental factor most hinders mental development?
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Question 32 of 80
Which of the following would indicate that a therapeutic activity program for a client with Alzheimer's disease had been successful? Client demonstrates:
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Question 33 of 80
A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism? Select one tha does not apply.
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Question 34 of 80
What is the most appropriate initial treatment goal for a patient with anorexia nervosa?
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Question 35 of 80
The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving from chair to chair during a group activity, and he complains that he feels 'nervous and jittery inside.' The nurse is aware that this client most likely is experiencing:
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Question 36 of 80
DSM stands for
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Question 37 of 80
A client with dementia is unable to name ordinary objects. Instead, he describes the function of each item (e.g., 'the thing you cut meat with'). The nurse should assess this as:
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Question 38 of 80
A client with dementia is unable to name ordinary objects. Instead, he describes them (e.g., 'the thing you cut meat with'). The nurse should assess this as:
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Question 39 of 80
Which nursing intervention would be most helpful for addressing this behavior?
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Question 40 of 80
Which of the following is a potential complication of untreated bulimia nervosa?
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Question 41 of 80
Which statement by a patient with borderline personality disorder best indicates the treatment plan is helping?
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Question 42 of 80
The wife of a client who is being seen in the sleep clinic states that her husband snores terribly at night and that she has to shake him to get him to stop. The client complains of a headache upon wakening and often falls asleep during the day when he sits for long periods. This client is exhibiting signs and symptoms characteristic of:
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Question 43 of 80
A 16-year-old female patient who is Chinese American is admitted to the unit with reports of sadness and suicidal ideation. The patient is accompanied by many family members, including her mother and father. The patient and her family emigrated from mainland China five years ago. Regarding the family, the psychiatric-mental health nurse:
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Question 44 of 80
A patient with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state. He is given several doses of haloperidol (Haldol) and becomes calm and approachable. During rounds the nurse notices the patient has his head rotated to one side in a stiffly fixed position. His lower jaw is thrust forward and he appears severely anxious. The patient has ______, and the nurse should ______.
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Question 45 of 80
The priority nursing focus for the period immediately after electroconvulsive therapy treatment should be on:
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Question 46 of 80
Emphasize that the battering pattern usually remains the same in frequency and severity.
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Question 47 of 80
In clinical supervision, the nurse caring for the patient with a paranoid personality disorder tells the advanced practice nurse, 'I tried being caring and empathetic, but the patient just kept telling me to stay away.' Which response by the advanced practice nurse would be best?
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Question 48 of 80
Consider these three drugs: divalproex (Depakote), carbamazepine (Tegretol), gabapentin (Neurontin). Which drug also belongs with this group?
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Question 49 of 80
A 19-year-old client is admitted for the second time in 9 months and is acutely psychotic with a diagnosis of undifferentiated schizophrenia. The client sits alone rubbing her arms and smiling. She tells the nurse her thoughts cause earthquakes and that the world is burning. The nurse assesses the primary deficit associated with the client's condition as:
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Question 50 of 80
The inability to fall asleep or stay asleep is called:
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Question 51 of 80
The onset of schizophrenia most commonly occurs during the decade of age in the:
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Question 52 of 80
A widowed patient tells a nurse that the door should be left unlocked because her husband will be coming home soon. Which response by the nurse would be most therapeutic?
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Question 53 of 80
It has been discovered that all major anti-psychotic drugs
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Question 54 of 80
Based on a recent paper by Chodavadia et al (refer to Unit 2 reference 5), the rates of symptoms of depression and anxiety amongst youth in Singapore are:
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Question 55 of 80
A woman was bound, taken to a remote location, and raped at gunpoint. When found, she was examined and treated in the emergency department. Which aspect of this crisis produced the greatest amount of psychological trauma?
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Question 56 of 80
A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. When the parents arrive home from work, the child's father behaves angrily. He orders his wife and son about. He finds fault with the son, asking him twice, 'Why are you such a stupid kid?' The wife tells the nurse she has difficulty disciplining the children and gets frustrated easily. The nurse desires to build some trust and continue to gather assessment data. The remark or question that would interfere with the nurse's goals is:
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Question 57 of 80
A patient whose boyfriend raped her during an argument tells the nurse, 'It's no use reporting it. No one will ever believe me, because everyone knows I've been sexually intimate with him many times before.' Which response by the nurse would have the greatest therapeutic value initially?
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Question 58 of 80
A client with undifferentiated schizophrenia is readmitted for an acute exacerbation of the disorder. The goal of hospitalization is symptom stabilization. The nurse has documented that, in addition to experiencing auditory hallucinations, the client seems uninterested in activities, has difficulty completing tasks, seems forgetful, and seems puzzled by information and directions given by staff. The nurse's plans for intervention will be effective if these behaviors are attributed to:
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Question 59 of 80
A family discusses the impact of a seriously mental ill member. Insurance partially covered treatment expenses, but the family spent much of their savings for care. The patients sibling says, 'My parents have no time for me.' The parents are concerned that when they are older, there will be no one to care for the patient. Which response by the nurse would be most helpful?
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Question 60 of 80
Which symptom of Alzheimer's disease is associated with disorientation to time and place?
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Question 61 of 80
A patient diagnosed with schizophrenia reveals to the nurse that voices have warned of danger and adds, 'They're so loud they frighten me. Do you hear them?' The nurse's best initial response would be:
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Question 62 of 80
Obsessive-compulsive behavior, panic, and phobias are formally classified as disorders
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Question 63 of 80
An 85-year-old has difficulty walking after a knee replacement. The patient tells the nurse, 'Its awful to be old. Every day is a struggle. No one cares about old people.' Select the nurses best response.
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Question 64 of 80
A patient with anorexia nervosa in outpatient treatment has begun refeeding. Between the first and second appointment, the patient gained 8 pounds. The nurse should:
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Question 65 of 80
According to the Diagnostic and Statistical Manual, 5th Edition (DSM-5), how many symptoms should be present for at least two weeks before a diagnosis of adolescent depression is made?
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Question 66 of 80
A short-term goal for a patient with anorexia nervosa is 'Patient will select and eat a balanced diet.' The nurse writes which of the following nursing interventions into the care plan that will foster attainment of this goal?
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Question 67 of 80
An example of a Developmental Disorder is:
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Question 68 of 80
Which assessment finding is most associated with bulimia nervosa?
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Question 69 of 80
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 70 of 80
Which of the following is the most common childhood mental disorder?
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Question 71 of 80
In DSM-IV-TR intellectual disabilities are divided into a number of degrees of severity, depending primarily on the range of IQ score provided by the sufferer. One of these is Profound Mental Retardation, represented by an IQ score below:
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Question 72 of 80
A client with schizophrenia is medication compliant and has well-controlled symptoms. He has, however, never been successful in holding a job because of poor social skills and lack of understanding of basic job skills. The nurse case manager should consider referring the client:
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Question 73 of 80
What is a common consequence of long-term purging in patients with bulimia nervosa?
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Question 74 of 80
A patient with schizophrenia has received typical (first-generation) antipsychotics for a year. His hallucinations are less intrusive, but he remains apathetic, has poverty of thought, cannot work, and is socially isolated. To address these symptoms, the nurse might consult the prescribing health care provider to suggest a change to:
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Question 75 of 80
Which intervention would be appropriate for a patient with a nursing diagnosis of Ineffective coping as evidenced by manipulation of others?
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Question 76 of 80
Which situation is consensual sex rather than rape?
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Question 77 of 80
Which assessment data suggests a person who appears to have dementia instead has depression and pseudodementia?
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Question 78 of 80
The nurse at the clinic is interviewing a patient who offers a number of vague somatic complaints that might not ordinarily prompt a visit to a caregiver: fatigue, back pain, and seems tense. After having spoken of the symptoms, the nurse can best serve the patient by:
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Question 79 of 80
Which information should the nurse include when teaching a client with a personality disorder?
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Question 80 of 80
Which documentation indicates that the treatment plan for a patient with acute mania was effective?
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