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 2 of 103
Which individual diagnosed with a mental illness may need emergency or involuntary hospitalization for mental illness?
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Question 3 of 103
During the admission assessment, the nurse asks the client, 'How are you feeling?' The client responds, 'I was able to purchase gas for 7 cents a gallon less than yesterday, which saved me a total of 84 cents. My car has a 12-gallon gas tank. Usually I am able to put in 11.7 gallons. I am very happy to have saved so much money.' The nurse recognizes this response as which of the following?
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Question 4 of 103
A medical-surgical nurse works with a patient diagnosed with a somatic symptom disorder. Care planning is facilitated by understanding that the patient will probably
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Question 5 of 103
A nurse is questioning whether it is ethical to seclude a client because of loud and intrusive behavior on the unit. What is the ethical principle that will best guide the decision on appropriate use of seclusion?
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Question 6 of 103
A nurse is covering a phone triage line for trauma and crisis support. A client on the phone asks, 'Can you help me understand how trauma-related disorders develop?' Which of the following responses by should the nurse provide?
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Question 7 of 103
According to the Recent Life Changes Questionnaire, which situation would most necessitate a complete assessment of a person's stress status and coping abilities?
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Question 8 of 103
A nurse is assessing a patient diagnosed with major depressive disorder. The patient states, 'I don't see the point in anything anymore. I don't care about my life.' What is the priority nursing action?
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Question 9 of 103
The nurse assesses an adult who is socially withdrawn and hoards. Which nursing diagnoses most likely apply to this individual? (Select all that apply.)
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Question 10 of 103
A patient diagnosed with major depressive disorder does not interact with others except when addressed and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Select the nurse's most effective approach to communication.
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Question 11 of 103
Which agency provides coordination in the event of a terrorist attack?
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Question 12 of 103
A nurse is caring for a client who has Alzheimer's disease and is having difficulty with multitasking. Which of the following cognitive deficits is the client experiencing?
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Question 13 of 103
Clinical pathways are used in managed care settings to:
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Question 14 of 103
Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman tearfully says to the nurse, "What else can happen?" What type of crisis is this person experiencing?
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Question 15 of 103
A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided at the center includes
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Question 16 of 103
Which of the following questions is best to ask when assessing the client's judgment?
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Question 17 of 103
A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit. The patient then used the call bell every 15 minutes for minor requests and complaints. Staff nurses reported feeling inadequate and unable to satisfy the patient's needs. When the nurse manager intervenes directly with this patient, which comment is most therapeutic?
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Question 18 of 103
A patient diagnosed with schizophrenia says, 'Everyone is out to get me!' What is the best way for the nurse to respond?
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Question 19 of 103
The client says to the nurse, 'I have special powers because I am the mother of God. I can heal everyone in the hospital.' The nurse's best response would be,
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Question 20 of 103
A nurse is assessing a patient diagnosed with generalized anxiety disorder. The patient reports feeling tense and unable to relax. Which of the following is the priority nursing diagnosis?
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Question 21 of 103
The unlicensed assistive personnel (UAP) says to the nurse, "That patient with amnesia looks fine, but when I talk to her, she seems vague. What should I be doing for her?" Select the nurse's best reply.
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Question 22 of 103
Clark's (1986,1988) theory of Catastrophic Misinterpretation of Bodily Sensations suggests that individuals:
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Question 23 of 103
What is the full form of PMA-
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Question 24 of 103
A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, I dont know what to do with my free time. Which member of the treatment team would be most helpful to this patient?
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Question 25 of 103
A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school. Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?
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Question 26 of 103
When providing care for a client who is terminally ill, how can the nurse assess and support the client's spiritual distress? Select one that does not apply.
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Question 27 of 103
The health care team at an inpatient psychiatric facility drafts these criteria for admission. Which criteria should be included in the final version of the admission policy? Select one that does not apply.
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Question 28 of 103
A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?
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Question 29 of 103
The role of the LPN/LVN to the nursing process is (select all that apply):
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Question 30 of 103
In a team meeting a nurse says, 'I'm concerned about whether we are behaving ethically by using restraint to prevent one patient from self-mutilation, while the care plan for another self-mutilating patient requires one-on-one supervision' Which ethical principle most clearly applies to this situation?
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Question 31 of 103
Insurance will not pay for continued private hospitalization of a mentally ill patient The family considers transferring the patient to a public hospital but expresses concern that the patient will not get any treatment if transferred Select the nurse's most helpful reply
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Question 32 of 103
During the assessment, the nurse asks the client to describe his problems. The purpose of this question is to obtain information about the client's
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Question 33 of 103
A group activity on an inpatient psychiatric unit is scheduled to begin at 1000. A patient,who was recently discharged from United States Marine Corps arrives at 0945. Which analysis best explains this behavior?
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Question 34 of 103
A nurse is caring for a patient diagnosed with a mood disorder who is taking lithium. Which side effect of lithium should the nurse closely monitor for?
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Question 35 of 103
A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?
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Question 36 of 103
The creation of asylums during the 1800s was meant to
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Question 37 of 103
During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:
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Question 38 of 103
A patient says, "Please don't share information about me with the other people." How should the nurse respond?
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Question 39 of 103
A nurse is working with a patient diagnosed with generalized anxiety disorder. Which of the following interventions is most appropriate to help the patient manage their anxiety?
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Question 40 of 103
An adolescent diagnosed with a CD stole and wrecked a neighbor's motorcycle. Afterward, the adolescent was confronted about the behavior but expressed no remorse. Which variation in the central nervous system best explains the adolescent's reaction?
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Question 41 of 103
Which of the following is a predominant evolutionary theory of phobias?
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Question 42 of 103
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 43 of 103
A client from which of the following cultural groups is likely to prefer closeness in personal space?
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Question 44 of 103
An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?
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Question 45 of 103
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 46 of 103
When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics?
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Question 47 of 103
A patient in a detoxification unit asks, "What good it will do to go to Alcoholics Anonymous and talk to other people with the same problem?"Â The nurse's best response would be to explain that self-help groups such as AA provide opportunities for
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Question 48 of 103
A nurse is caring for a client who has experienced a stroke and exhibits parkinsonian effects. The client's cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have?
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Question 49 of 103
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 50 of 103
A nurse is assessing a patient diagnosed with bulimia nervosa. The patient reports engaging in binge eating followed by self-induced vomiting. Which of the following is the priority concern for the nurse?
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Question 51 of 103
A patient asks the nurse what she should do about her 'cheating' husband. The nurse replies, 'You should divorce him. You deserve better than that.' The nurse used which communication technique?
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Question 52 of 103
A nurse is developing a discharge plan for a client who is in a detoxification unit. The nurse should include which of the following in the client's relapse prevention plan?
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Question 53 of 103
The nurse and patient are visiting about upcoming sporting events of which they both share an interest. This form of interaction has the potential to threaten the nurse-patient relationship by
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Question 54 of 103
A patient tells members of a therapy group, "I hear voices saying my doctor is poisoning me." Another patient replies, "I once heard voices too. They sounded real, but I found out later they were not. The voices you hear are not real either." Which therapeutic factor is exemplified in this interchange?
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Question 55 of 103
A soldier returned home last year after deployment to a war zone. The soldier's spouse complains, "We were going to start a family, but now he won't talk about it. He will not look at children. I wonder if we're going to make it as a couple." Select the nurse's best response.
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Question 56 of 103
Which of the following is the best reason that many psychiatric care units have policies against clients touching one another or staff?
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Question 57 of 103
When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in:
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Question 58 of 103
A nurse in the emergency department explains to a victim of domestic violence that the psychosocial history, statements about battering, body map, and photos will be placed in the medical record. The victim says, 'Oh, no, what if my spouse finds out?' What information regarding the medical record can the nurse give the patient to help with acceptance of the documentation? (More than one answer is correct.)
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Question 59 of 103
Which of the following individual factors can a person modify to improve mental and emotional health? Select one that does not apply.
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Question 60 of 103
A nurse is assessing a patient diagnosed with major depressive disorder. The patient expresses feelings of hopelessness and states, 'I don't think anything will ever improve.' What is the priority nursing intervention?
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Question 61 of 103
A patient diagnosed with major depressive disorder expresses a desire to commit suicide. What is the nurse's priority intervention?
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Question 62 of 103
A nurse is caring for a patient diagnosed with major depressive disorder. The patient expresses feelings of hopelessness, stating, 'I don't think things will ever improve.' What is the priority nursing action?
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Question 63 of 103
A citizen at a community health fair asks the nurse, What is the most prevalent mental disorder in the United States? Select the nurses best response.
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Question 64 of 103
Which individual diagnosed with a mental illness may need involuntary hospitalization? An individual:
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Question 65 of 103
Palliative care nurses' self-awareness may be most critical when dealing with
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Question 66 of 103
A postoperative client receives a dinner tray with gelatin, pudding, and vanilla ice cream. Based on the foods on the client's tray, what would the nurse anticipate the client's current diet order to be:
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Question 67 of 103
A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?
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Question 68 of 103
A patient says, 'People should be allowed to commit suicide without interference from others.' A nurse replies, 'You're wrong. Nothing is bad enough to justify death.' What is the best analysis of this interchange?
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Question 69 of 103
Which of the following items on a client's pre-surgery laboratory results would indicate a need to contact the surgeon?
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Question 70 of 103
A nurse assesses a patient suspected of having somatic symptom disorder. Which assessment findings regarding this patient support the suspected diagnosis? (Select all that apply.)
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Question 71 of 103
A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question would be most appropriate for the nurse to ask?
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Question 72 of 103
When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of nurses writes letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
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Question 73 of 103
NANDA is the acronym for:
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Question 74 of 103
A male patient reports to the nurse, 'I'm told I have memories of childhood abuse stored in my unconscious mind. I want to work on this.' Based on this statement, what information should the nurse provide the patient?
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Question 75 of 103
Which of the following is considered to be a symptom of Post Traumatic Stress Disorder (PTSD):
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Question 76 of 103
How can a nurse avoid the possibility of finding the client's behavior unacceptable or distasteful?
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Question 77 of 103
Which technique will best communicate to a patient that the nurse is interested in listening?
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Question 78 of 103
An adolescent on the unit is argumentative with staff and peers. The nurse tells the adolescent, 'Arguing is not allowed. One more word and you will have to stay in your room the rest of the day.' The nurse's directive is
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Question 79 of 103
After formulating the nursing diagnoses for a new patient, what is a nurse's next action?
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Question 80 of 103
The term 'standards of care' refers to expectations of nursing performance. Standards of care are developed from which of the following? Select one that does not apply.
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Question 81 of 103
Janet, an African American female, fell at the mall shopping and was transported to an urgent care center to be examined. The x-rays were negative for fracture and Janet was not prescribed anything for her pain. At the urgent care center where Janet was treated, the health care providers were aware that this type of injury can be painful. According to recent studies within health care, failure to offer Janet pain medication could be a form of:
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Question 82 of 103
How can health-care professionals address abuse and violence in the clinical setting?
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Question 83 of 103
Which remark by a group participant would the nurse expect during the working stage of group therapy?
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Question 84 of 103
When preparing for the first clinical experience with patients on a forensic unit at a psychiatric hospital, the nursing instructor discusses students' beliefs and fears surrounding forensic patients. The primary reason for discussing personal beliefs is to
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Question 85 of 103
Manic patient is busy to eat, what is the most appropriate response by the nurse?
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Question 86 of 103
A nurse is assessing a patient diagnosed with bipolar disorder who is experiencing the manic phase. The patient is displaying impulsive behaviors. Which of the following interventions should the nurse implement first?
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Question 87 of 103
A Chinese American patient diagnosed with an anxiety disorder says,My problems began when my energy became imbalanced. The nurse asks for the patients ideas about how to treat the imbalance. Which comment would the nurse expect from this patient?
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Question 88 of 103
A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?
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Question 89 of 103
A nurse is working with a patient diagnosed with post-traumatic stress disorder (PTSD). Which of the following interventions would be most appropriate for this patient?
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Question 90 of 103
At what point in the nurse-patient relationship should a nurse plan to first address termination?
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Question 91 of 103
Which scenario best demonstrates an example of eustress?
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Question 92 of 103
Which findings are signs of a person who is mentally healthy?Select one that does not apply.
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Question 93 of 103
As you begin working with her, you notice Ms. V has an uncanny resemblance to your younger sister. As a child, this sister lied and criticized you constantly, then screamed and cried to others if you challenged her. You realize that you are responding negatively to this patient. What's going on here?
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Question 94 of 103
Anthony is a 40-year-old patient who lost his job recently and wishes that he was back home living with his parents. Anthony has been noted to do things he used to do when he was a child. Anthony is going through a period of regression. Regression is best defined as:
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Question 95 of 103
A nurse prepares to assess a newly hospitalized patient who moved to the United States 6 months ago from Somalia. The nurse should first determine:
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Question 96 of 103
A patient diagnosed with major depressive disorder has lost 20 pounds in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken antidepressant medication for 1 week. Which nursing intervention has the highest priority?
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Question 97 of 103
The client says to the nurse, 'I know I can learn to cope with my family situation. By getting help here at the clinic, I'll be able to deal with them more effectively, and I won't be so stressed out all the time.' This client is demonstrating a high level of
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Question 98 of 103
Which theorist most influenced the professional practice of psychiatric nursing?
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Question 99 of 103
Nursing physical assessment of a patient with bulimia often reveals:
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Question 100 of 103
To practice effectively in mental health, the nurse should be able to:
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Question 101 of 103
A student says, 'Before taking a test, I feel very alert and a little restless.' Which nursing intervention is most appropriate to assist the student?
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Question 102 of 103
The nursing student uses the client's full name on the assigned care plan during her recent clinical rotation. What is the instructor's priority intervention?
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Question 103 of 103
Do Not Resuscitate Order often accompanies situations when the prognosis of the patient is approximately
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