A new graduate nurse has accepted a staff position at an inpatient mental health facility. The graduate nurse can expect to be responsible for basic-level functions, including
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Question 2 of 103
Which statements most clearly reflect the stigma of mental illness?Select one that does not apply..
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Question 3 of 103
Which of the following statements about mental illness are true? Select one that does not apply.
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Question 4 of 103
Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
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Question 5 of 103
When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. An appropriate question for the nurse to ask would be
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Question 6 of 103
A nurse is teaching a patient diagnosed with anorexia nervosa about nutrition. Which of the following statements by the patient indicates the need for further teaching?
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Question 7 of 103
A nurse is working with a patient diagnosed with bulimia nervosa. The patient states, 'I feel like I am out of control when I eat.' What is the most appropriate nursing intervention?
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Question 8 of 103
A patient diagnosed with schizophrenia is experiencing auditory hallucinations. The nurse states, 'I understand you are hearing voices. Can you tell me what they are saying?' Which therapeutic communication technique is the nurse using?
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Question 9 of 103
During group therapy, one patient says to another, "When I first started in this group, you were unable to make a decision, but now you can. You've made so much progress that I am beginning to think maybe I can conquer my fears too." Which therapeutic factor is evident by this statement?
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Question 10 of 103
Before the period of the enlightenment, treatment of the mentally ill included
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Question 11 of 103
Myosis may be witnessed among palliative care patients who are on
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Question 12 of 103
A nurse worked with a patient diagnosed with major depressive disorder who was severely withdrawn and dependent on others. After 3 weeks, the patient did not improve. The nurse is at risk for what emotional response?
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Question 13 of 103
A nurse is planning for a therapy dog to visit a client who has dementia. Which of the following is the purpose for this activity?
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Question 14 of 103
A nurse is reviewing their state board of nursing's information about substance use rehabilitation programs for nurses. Which of the following is a reason to enroll a nurse into an Alternative-to-Discipline program?
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Question 15 of 103
During a therapy group that uses existential/Gestalt theory, patients shared feelings that occurred at the time of their admission. After a brief silence, one member says, "Several people have described feeling angry. I would like to hear from members who had other feelings." Which group role is evident by this comment?
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Question 16 of 103
When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager?
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Question 17 of 103
Relaxation techniques help patients who have experienced major traumas because they
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Question 18 of 103
Which belief will best support a nurses efforts to provide patient advocacy during a multidisciplinary patient care planning session?
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Question 19 of 103
The nurse plans to assess a patient's self-concept in the admission assessment knowing that self-concept influences which of the following? Select one that does not apply.
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Question 20 of 103
The Mental Health Status Exam takes place in what step of the nursing process?
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Question 21 of 103
Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most appropriate to monitor?
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Question 22 of 103
A nurse is reviewing the documentation for a newly admitted client and notes the following entry, 'Client verbalizes the use of coping mechanisms when experiencing stress.' Which of the following can the nurse expect when interacting with this client?
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Question 23 of 103
A woman says, "I can't take anymore. Last year my husband had an affair and now we do not communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college and moving in with her boyfriend." Which issue should the nurse focus on during crisis intervention?
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Question 24 of 103
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following comorbidities should the nurse anticipate when reviewing the client's medical record?
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Question 25 of 103
A family member of a patient with delusions of persecution asks the nurse, 'Are there any circumstances under which the treatment team is justified in violating a patient's right to confidentiality?' The nurse should reply that confidentiality may be breached:
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Question 26 of 103
Which of the following assessment data is most important to determine when caring for a patient who has received spinal anesthesia?
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Question 27 of 103
A nurse is caring for a patient diagnosed with bulimia nervosa. The patient states, 'I am afraid that I will never be able to control my eating.' What is the most appropriate response by the nurse?
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Question 28 of 103
A child with a congenital heart defect is ordered 200 mcg of Digoxin IV QD. The medication is available in a vial of 100 mcg/ml and needs to be diluted with $3 \mathrm{ml}$ of NS. How much fluid is needed for your dose of 200 mcg?
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Question 29 of 103
A client who had been in a substance abuse treatment program asks the nurse for a date after the client is discharged. The nurse talks to the client about the importance of a therapeutic relationship and its characteristics. The nurse is using which of the following techniques?
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Question 30 of 103
QSEN refers to:
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Question 31 of 103
Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention?
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Question 32 of 103
After the sudden death of his wife, a man says, "I can't live without her "¦ she was my whole life." Select the nurse's most therapeutic reply.
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Question 33 of 103
A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?
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Question 34 of 103
Culture is the same as ethnicity.
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Question 35 of 103
A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the patient received a notice of eviction immediately prior to admission. Select the case managers most appropriate action.
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Question 36 of 103
A community psychiatric nurse assesses that a patient diagnosed with a mood disorder is more depressed than on the previous visit a month ago; however, the patient says, 'I feel the same.' Which intervention supports the nurse's assessment while preserving the patient's autonomy?
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Question 37 of 103
In which phase of the nursing process and step in the nursing care plan should a nurse record the item, 'Encourage patient to attend one psychoeducational group daily'?
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Question 38 of 103
Which nursing intervention demonstrates false imprisonment?
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Question 39 of 103
A nurse wants to engage an interpreter for a severely anxious 21-year-old male who immigrated to the United States two years ago. Of the four interpreters below who are available and fluent in the patients language,which one should the nurse call?
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Question 40 of 103
Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?
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Question 41 of 103
An 11-year-old stays home from school to care for siblings while the parents work. When asked about the parents, the child reluctantly says, 'My parents don't like me. They call me stupid and say I never do anything right.' The level of prevention for work with this family will be:
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Question 42 of 103
Which of the following is the most dangerous complication during induction of spinal anesthesia?
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Question 43 of 103
A nurse says, 'I am the only one who truly understands this patient. Other staff members are too critical.' The nurse's statement indicates
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Question 44 of 103
The three components of communication are (select all that apply):
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Question 45 of 103
A new staff nurse completes an orientation to the psychiatric unit This nurse will expect to ask an advanced practice nurse to perform which action for patients?
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Question 46 of 103
Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
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Question 47 of 103
Which role of the nurse is most likely to create difficulty for the nurse-client relationship if the client confuses physical care with intimacy and sexual interest?
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Question 48 of 103
Which action reflects therapeutic practices associated with operant conditioning?
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Question 49 of 103
A patient with blindness related to conversion (functional neurological) disorder says, "All the doctors and nurses in the hospital stop by often to check on me. Too bad people outside the hospital don't find me as interesting." Which nursing diagnosis is most relevant?
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Question 50 of 103
A school age child tells the school nurse, Other kids call me mean names and will not sit with me at lunch. Nobody likes me. Select the nurse's most therapeutic response.
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Question 51 of 103
What are the primary distinguishing factors between the behavior of persons diagnosed with ODD and those with CD? The person diagnosed with (Select all that apply)
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Question 52 of 103
Lilas three-year-old daughter is an only child who recently started day care. It was only 6 months ago that Lila had toilet trained her daughter. After 1 week in the day care, her daughter has started wetting herself and crawling. Her mother has become quite concerned. The school nurse explained to her that her daughter probably is experiencing:
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Question 53 of 103
A 22-year-old client has been manipulative of staff and disruptive in the milieu. Although she is not dangerous to herself or others, she has created problems on the unit and clearly is not making progress. The nurses offer prescribed medication, but she consistently refuses 'any drugs.' The staff realizes that legally this client can
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Question 54 of 103
A nurse is caring for a patient diagnosed with schizophrenia. The patient reports hearing voices telling them to harm themselves. What is the priority nursing intervention?
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Question 55 of 103
Which characteristic would be more applicable to a community mental health nurse than to a nurse working in an operating room?
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Question 56 of 103
A nurse is working with a patient diagnosed with bulimia nervosa. Which of the following signs should the nurse assess for in this patient?
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Question 57 of 103
A long-term goal for in-patient mental health treatment is generally to:
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Question 58 of 103
Which of the following are criteria that must be adhered to when instituting the short-term use of restraint or seclusion? Select one that does not apply.
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Question 59 of 103
Individuals suffering with Generalised Anxiety Disorder, have a series of information processing biases which appear to maintain hyper-vigilance for threat, create further sources for worry, and maintain anxiety. Which of the following are examples of such biases?
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Question 60 of 103
A nurse is caring for a patient diagnosed with anorexia nervosa. The patient states, 'I don't care about food. I'm afraid to eat.' Which of the following is the most appropriate response by the nurse?
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Question 61 of 103
Which communication techniques would be most effective for a nurse to use during an assessment interview with an adult Native American patient?
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Question 62 of 103
A nurse is working with a patient diagnosed with generalized anxiety disorder. The patient states, 'I worry about everything, even things that are out of my control.' Which of the following is the priority nursing diagnosis?
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Question 63 of 103
The nurse is working with a patient who has quit several jobs and no longer sends financial support to his two children living with their mother. This behavior is in conflict with the nurse's values concerning responsible parenting. When discussing family roles with the patient, the nurse shows positive regard through which statement?
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Question 64 of 103
Goals of nutrition in palliative care include all the following except;
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Question 65 of 103
A nurse is meeting with a new client at a substance use disorder clinic. Prior to the client meeting, the client's family shared information with the nurse about the client. Which of the following describes the types of data from the client's family?
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Question 66 of 103
A 15-year-old ran away from home six times and was arrested for shoplifting. The parents told the Court, "We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father. Which diagnosis is supported by this adolescent's behavior?
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Question 67 of 103
What is an essential difference between somatic symptom disorders and factitious disorders?
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Question 68 of 103
When a female Mexican American patient and a female nurse sit together, the patient often holds the nurse's hand. The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behavior. Which analysis is most accurate?
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Question 69 of 103
Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, 'The nurse manager had a headache the day I was interviewed.' Which defense mechanism is evident?
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Question 70 of 103
The nurse considers cultural variations pertaining to a client's nonverbal communication. Which of the following is the primary rationale for considering alternative meanings of nonverbal communication?
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Question 71 of 103
Which finding best indicates that the goal Demonstrate mentally healthy behavior was achieved? A patient:
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Question 72 of 103
One important issue in therapy for specific phobias is to address:
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Question 73 of 103
A new patient with schizophrenia is admitted to the psychiatric unit. He is standing at the locked exit door and yelling, Help me, I dont belong here. This behavior is most likely an example of what defense mechanism?
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Question 74 of 103
A holistic plan of recovery would be especially important to a client from which of the following cultural groups?
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Question 75 of 103
A client is actively involved in community service activities. The benefit of involvement in meaningful daily activities will most directly contribute to which of the following attributes?
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Question 76 of 103
A patient experiencing significant stress associated with a disturbing new medical diagnosis asks the nurse, 'Do you think saying a prayer would help?' Select the nurse's best answer.
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Question 77 of 103
Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment?
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Question 78 of 103
The nurse should use clear concrete messages when working with patients displaying which of the following conditions? Select one that does not apply.
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Question 79 of 103
A nurse is caring for a client who is recovering from a femur fracture sustained in a motor-vehicle crash. Their partner died in the collision. Which of the following client statements would indicate that the client is experiencing avoidance symptoms?
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Question 80 of 103
What potential impact might prolonged exposure to clients' grief and loss have on a nurse?
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Question 81 of 103
A leader begins the discussion at the first meeting of a new group. Which comments should be included? (Select all that apply.)
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Question 82 of 103
Which of the following statements would be an empathetic response in a client interaction?
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Question 83 of 103
Throughout the assessment, the client displays disorganized thinking, jumping from one idea to another with no clear relationship between the thoughts. The nurse would assess the client as having which of the following?
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Question 84 of 103
Documentation in a patient's chart shows, Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, I enjoy spending time with you. Which analysis is most accurate?
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Question 85 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 86 of 103
Which principle takes priority for the psychiatric inpatient staff when addressing behavioral crises?
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Question 87 of 103
The gas pedal on a person's car became stuck on a busy interstate highway, causing the car to accelerate rapidly. For 20 minutes, the car was very difficult to control. In the months after this experience, afterward, which assessment finding would the nurse expect?
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Question 88 of 103
A patient experiencing moderate anxiety says, 'I feel undone.' An appropriate response for the nurse would be:
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Question 89 of 103
Patients Bill of Rights includes the right(s) to (select all that apply):
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Question 90 of 103
A nurse is caring for a patient diagnosed with bipolar disorder. The nurse understands that during the manic phase, the patient is most likely to exhibit which behavior?
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Question 91 of 103
The patient says, 'My marriage is just great. My spouse and I always agree.' The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is
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Question 92 of 103
The principle most useful to a nurse planning crisis intervention for any patient is that the patient
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Question 93 of 103
A person who has been unable to leave home for more than a week because of severe anxiety says, 'I know it does not make sense, but I just can't bring myself to leave my apartment alone.' Which nursing intervention is appropriate?
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Question 94 of 103
During the orientation phase of the nurse-patient relationship, the nurse directs the patient to do which of the following?
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Question 95 of 103
During the mental status assessment, the client expresses the belief that the CIA is stalking him and plans to kidnap him. The best response by the nurse would be,
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Question 96 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 nurses best response?
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Question 97 of 103
A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient's rights?
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Question 98 of 103
Which of the following is a characteristic of OCD?
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Question 99 of 103
What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate
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Question 100 of 103
A nurse has been confronted about stealing and taking drugs from the narcotics cart in the med room. The nurse has been reported to the board of nursing in their state. What is the likely initial outcome?
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Question 101 of 103
A nurse documents: 'Patient is mute despite repeated efforts to elicit speech. Makes no eye contact. Inattentive to staff. Gazes off to the side or looks upward rather than at speaker.' Which nursing diagnosis should be considered?
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Question 102 of 103
A nurse assesses a confused older adult. The nurse experiences sadness and reflects, The patient is like one of my grandparents—so helpless. Which response is the nurse demonstrating?
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Question 103 of 103
When the nurse asks the client to restate the following in his or her own words, which sensorium and intellectual process is the nurse attempting to identify? The nurse states, 'A stitch in time saves nine.'
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