The patient states that he is 14 trillion years old and created the world. The nurse documents this statement as an example of which type of thinking displayed by the patient?
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Question 2 of 102
The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?
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Question 3 of 102
Which of the following is a standard of practice?
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Question 4 of 102
A psychiatric clinical nurse specialist uses cognitive therapy techniques with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?
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Question 5 of 102
Which assessment question could a nurse ask to help identify secondary gains associated with a somatic symptom disorder?
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Question 6 of 102
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver asks the nurse what type of essential oils should be used when the client receives massage therapy to decrease anxiety. Which of the following oils should the nurse recommend?
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Question 7 of 102
Respite care is best suited for
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Question 8 of 102
A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is smoking, and the janitors closet is locked. These observations relate to:
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Question 9 of 102
A patient is admitted to the Mental Illness and Chemical Abuse (MICA) unit for detox from the use of alcohol. During the interview, the patient states, My wife would rather see me dead. To which part of the nursing process does this belong?
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Question 10 of 102
Which of the following statements is true of treatment of people with mental illness in the United States today?
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Question 11 of 102
A newborn with sepsis is ordered Vancomycin 40 mg IV every 12 hours. The pharmacy prepares and delivers a syringe of 40 mg/8 ml to be administered in 90 minutes. What is your rate that you will set on your syringe pump? (Round to Whole Number)
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Question 12 of 102
The nurse consults the DSM for which of the following purposes?
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Question 13 of 102
A patient with psychosis became aggressive, struck another patient, and required seclusion Select the best documentation
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Question 14 of 102
Which communication technique will the nurse use more in crisis intervention than traditional counseling?
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Question 15 of 102
The nurse initiating a therapeutic relationship with a client should explain the purpose, which is to
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Question 16 of 102
A nurse is using the Johari window to identify the degree to which he feels comfortable communicating with others. After completing the exercise, the nurse discovers that quadrant 1 has the longest list of qualities. This indicates which of the following about the nurse?
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Question 17 of 102
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 18 of 102
A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?
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Question 19 of 102
A nurse is caring for a client who has post-traumatic stress disorder and is considering prolonged exposure therapy. The client asks, 'How does this therapy work?' Which of the following responses by the nurse accurately describes this type of therapy?
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Question 20 of 102
A nurse is concerned that an agency's policies are inadequate Which understanding about the relationship between substandard institutional policies and individual nursing practice should guide nursing practice?
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Question 21 of 102
The nurse is making a cultural assessment of a client. The most important data about a client's cultural beliefs are
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Question 22 of 102
Select the example of primary prevention.
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Question 23 of 102
Specific phobias are defined as:
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Question 24 of 102
A patient states, 'I'm not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up.' Which nursing intervention should have the highest priority?
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Question 25 of 102
The nurse is assessing the anxiety level of a young school-age child. The nurse encourages the child to express feelings through the use of toys in a play situation. The purpose for this approach to assessment is largely related to which of the following?
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Question 26 of 102
A nurse is teaching a patient diagnosed with anorexia nervosa about healthy eating habits. Which of the following statements by the patient indicates the need for further education?
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Question 27 of 102
A patient with major depressive disorder is receiving fluoxetine (Prozac). The nurse notices that the patient has started to exhibit restlessness, tremors, and confusion. What should the nurse do first?
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Question 28 of 102
Which of the following is a Drug treatment for social phobia:
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Question 29 of 102
During a regular home health visit to an elderly client, the nurse observes that the client has feelings of hopelessness and despair. The client says, 'I'm old, and my life has no purpose anymore. But promise me you won't tell anyone.' How should the nurse respond?
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Question 30 of 102
A patient says, Please don't share information about me with the other people. How should the nurse respond?
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Question 31 of 102
A group is in the working phase. One member states, "That is the stupidest thing I've ever heard. Everyone whines and tells everyone else what to do. This group is a waste of my time." Which initial action by the group leader would be most therapeutic?
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Question 32 of 102
When is a nurse legally obligated to breach confidentiality?
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Question 33 of 102
A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?
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Question 34 of 102
The nurse is caring for a patient who has undergone exploratory laparotomy. Which of the following postop findings should the nurse report to the physician?
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Question 35 of 102
A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?
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Question 36 of 102
A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?
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Question 37 of 102
A nurse asks a patient, If you had fever and vomiting for 3 days, what would you do? Which aspect of the mental status examination is the nurse assessing?
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Question 38 of 102
A client made threats to harm his parents if they come too close to him. The parents called 911, and the client is now held involuntarily for a psychiatric evaluation. During this time of involuntary admission, the client retains all client rights except for which of the following?
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Question 39 of 102
An adolescent was arrested for prostitution and assault on a parent. The adolescent says, "I hate my parents. They focus all attention on my brother, who's perfect in their eyes." Which nursing diagnosis is most applicable?
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Question 40 of 102
A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?
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Question 41 of 102
Which individual is demonstrating the highest level of resilience? One who:
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Question 42 of 102
A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to 'snap out of it.' A therapeutic response by the nurse would be,
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Question 43 of 102
A soldier returned home from active duty in a combat zone and was diagnosed with PTSD. The soldier says, "If there's a loud noise at night, I get under my bed because I think we're getting bombed." What type of experience has the soldier described?
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Question 44 of 102
A nurse introduces the matter of a contract during the first session with a new patient because contracts
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Question 45 of 102
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 46 of 102
A nurse manager had to terminate an employee. After the termination, the nurse manager had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others. Which term best describes the nurse's response?
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Question 47 of 102
A patient is seen in the clinic for superficial cuts on both wrists. Initially the patient paces and sobs but after a few minutes, the patient is calmer. The nurse attempts to determine the patient's perception of the precipitating event by asking:
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Question 48 of 102
A patient states, 'I feel fine. It's a good day.' The nurse notes the patient looking away, and a decreasing pitch in his voice while speaking. Which of the following is the most therapeutic response by the nurse?
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Question 49 of 102
The following types of patients require adaptive communication techniques (select all that apply):
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Question 50 of 102
The charge nurse has been in a meeting with the director of nursing (DON). The DON has been given some very unpleasant mandates by administration, which came down to the charge nurse. It is now the charge nurses responsibility to disseminate these mandates to the nursing staff. When the charge nurse gives the news to the nursing staff, she gives it to them in a very harsh manner toward the staff. This is an example of:
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Question 51 of 102
In which disease, electro convulsive therapy is generally not used-
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Question 52 of 102
A troubled adolescent pulled out a gun in a school cafeteria, fatally shot three people and injured many others. Hundreds of parents come to the school after hearing news reports. After police arrest the shooter, which action should occur next?
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Question 53 of 102
A nurse is working with a patient diagnosed with generalized anxiety disorder. The patient states, 'I can't stop worrying about everything, even things that don't matter.' Which of the following interventions is most appropriate?
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Question 54 of 102
What trends contributed to the deinstitutionalization of mental health facilities to outpatient care (Select one that does not apply.):
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Question 55 of 102
A nurse is assessing a patient diagnosed with schizophrenia who is exhibiting disorganized speech. The patient states, 'I want to eat a chicken sandwich but the moon is yellow and all the words are backwards.' What is the most appropriate nursing intervention?
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Question 56 of 102
A Gulf War veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since ACT provides:
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Question 57 of 102
Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?
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Question 58 of 102
A patient says, 'Please don't share information about me with the other people.' How should the nurse respond?
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Question 59 of 102
The adult child of a patient diagnosed with major depressive disorder asks, 'Do you think depression and physical illness are connected? Since my father's death, my mother has had shingles and the flu, but she's usually not one who gets sick.' Which answer by the nurse best reflects current knowledge?
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Question 60 of 102
A 10-year-old child was placed in a foster home after being removed from parental contact because of abuse. The child has apprehension, tremulousness, and impaired concentration. The foster parent also reports the child has an upset stomach, urinates frequently, and does not understand what has happened. What helpful measures should the nurse suggest to the foster parents? The nurse should recommend (Select all that apply)
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Question 61 of 102
A category 5 tornado occurred in a community of 400 people resulting in destruction of many homes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?
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Question 62 of 102
A child drowned while swimming in a local lake 2 years ago. Which behavior indicates the child's parents have adapted to their loss? The parents
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Question 63 of 102
A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?
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Question 64 of 102
The desired outcome for a patient experiencing insomnia is, 'Patient will sleep for a minimum of hours nightly within days' At the end of days, review of sleep data shows the patient sleeps an average of hours nightly and takes a -hour afternoon nap The nurse will document the outcome as:
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Question 65 of 102
Marion, a 25-year-old patient who lives with her parents, explains to the nurse at the community clinic, I really dont need to talk to anyone, even my parents. The patient expresses that she is too busy and does not have the time to sit and talk. The nurse recognizes that the client is most likely using the defense mechanism known as:
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Question 66 of 102
Which part of the brain involved with visual recognition, auditory, perception, memory and emotions?
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Question 67 of 102
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient states, 'I don't need to sleep. I feel great!' Which of the following is the priority nursing diagnosis for this patient?
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Question 68 of 102
A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client 'took some kind of drugs.' The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, 'Stay away from me! You are going to kill me!' The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
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Question 69 of 102
A newly admitted patient diagnosed with major depressive disorder has lost 20 pounds over the past month and has admitted having suicidal ideations. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
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Question 70 of 102
A nurse assessing a patient diagnosed with a somatic symptom disorder is most likely to note that the patient
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Question 71 of 102
A victim of domestic abuse is treated for a detached retina. The patient tells the nurse, 'My partner only abuses me when intoxicated. I've considered going to a safe house, but I was brought up to believe you stay together, no matter what happens. I always receive an apology and I can tell my spouse feels bad after hitting me.' Which nursing diagnosis has priority?
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Question 72 of 102
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 73 of 102
A nurse caring for a withdrawn, suspicious patient recognizes development of feelings of anger toward the patient. The nurse should:
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Question 74 of 102
A nurse is caring for a patient diagnosed with schizophrenia. The patient says, 'The voices in my head tell me to harm myself.' What is the nurse's first priority action?
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Question 75 of 102
Which one of the following goals of therapeutic communication would the nurse strive to attain first?
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Question 76 of 102
Informal teaching takes place under the following conditions (Select one that does not apply):
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Question 77 of 102
Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?
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Question 78 of 102
A nurse is working with a patient diagnosed with bipolar disorder. The patient is in the manic phase and is engaging in risky behaviors. Which of the following is the most appropriate nursing intervention?
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Question 79 of 102
A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not likely. This counseling demonstrates principles of
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Question 80 of 102
A Vietnamese patients family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?
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Question 81 of 102
A nurse is working with a patient diagnosed with schizophrenia who is experiencing disorganized thinking. Which of the following is an example of disorganized thinking?
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Question 82 of 102
Ensuring that the client has informed consent before agreeing to a treatment regimen displays which of the following ethical principles?
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Question 83 of 102
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, 'You are pretty like my mother.' The nurse recognizes that the male is exhibiting:
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Question 84 of 102
During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication.
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Question 85 of 102
The nurse records this entry in a patients progress notes: Patient escorted to unit by ER nurse at 2130. Patients clothing was dirty. In interview room, patient sat with hands over face, sobbing softly. Did not acknowledge nurse or reply to questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted repeatedly, Let me out of here. Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO obtained; medication administered at 2150. By 2215, patient stopped shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation. How should this documentation be evaluated?
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Question 86 of 102
A patient diagnosed with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit. The cause of the self-mutilation is probably related to what trigger?
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Question 87 of 102
Which of the following statements about hope and symptoms of mental illness are true?Select one that does not apply.
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Question 88 of 102
Which of the following activities would be considered nursing care and appropriate to be performed by a basic level nurse for a patient suffering from mental illness?
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Question 89 of 102
A patient remarks, 'You know, it's the same thing every time.' The nurse should respond by stating,
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Question 90 of 102
A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have dependent personality disorder?
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Question 91 of 102
A nurse is caring for a patient diagnosed with generalized anxiety disorder. Which of the following interventions is most appropriate?
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Question 92 of 102
A patient tells the nurse, 'My doctor thinks my problems with stress relate to the negative way I think about things and suggested I learn new ways of thinking.' Which response by the nurse would support the recommendation?
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Question 93 of 102
The nurse should refer which of the following patients to a partial hospitalization program? A patient who:
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Question 94 of 102
Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder?
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Question 95 of 102
A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?
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Question 96 of 102
The LPNs/LVNs will use the Nurse Practice Act as a guide in their practice. The Nurse Practice Act (select all that apply):
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Question 97 of 102
What is a key difference between anger and aggression?
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Question 98 of 102
A nurse assesses that a depressed patient is lethargic during the day and does not actively participate in unit activities. The notes from the night shift document that the patient did not sleep well. The most probable interpretation of these data is
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Question 99 of 102
A nurse is caring for a patient diagnosed with major depressive disorder. The patient states, 'I have no hope for the future. I can't see any way out of this.' What is the priority nursing intervention?
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Question 100 of 102
Which viewpoint of an Asian American family will most affect decision making about care?
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ATI RN · Behavioral Health Nursing Care Plans
Question 101 of 102
In Obsessive Compulsive Disorder (OCD) compulsions are generally thought to be which of the following:
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ATI RN · Behavioral Health Nursing Care Plans
Question 102 of 102
Neuropathic pain is life limiting illness can be managed by use of
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