A patient fearfully runs from chair to chair crying, 'They're coming! They're coming!' The patient does not follow the staff's directions or respond to verbal interventions. The initial nursing intervention of highest priority is to
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Question 2 of 102
Nurse Anne recognizes that John is always blaming others for his shortcomings. Finger pointing is usually related to the defense mechanism of:
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Question 3 of 102
A nurse is assessing a patient diagnosed with bipolar disorder who is in the manic phase. The patient is engaging in impulsive behavior, such as excessive spending. What is the priority nursing intervention?
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Question 4 of 102
Which documentation indicates that the treatment plan for a patient in an alcohol treatment program was effective?
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Question 5 of 102
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
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Question 6 of 102
The mentally ill were once housed in mental institutions known as:
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Question 7 of 102
A nurse is part of a multidisciplinary team working with groups of depressed patients. Half the patients receive supportive interventions and antidepressant medication. The other half receives only medication. The team measures outcomes for each group. Which type of study is evident?
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Question 8 of 102
A nurse is caring for a patient diagnosed with major depressive disorder. The patient states, 'I feel like I've failed in everything I've done.' Which nursing diagnosis is most appropriate for this patient?
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Question 9 of 102
A patient diagnosed with major depressive disorder is prescribed fluoxetine (Prozac). Which of the following should the nurse include in the patient's teaching plan?
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Question 10 of 102
A nurse is educating a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity of histrionic personality disorder?
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Question 11 of 102
Before assessing a new patient, a nurse is told by another health care worker, 'I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge.' The nurse's responsibility is to
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Question 12 of 102
Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for nurses to deal with this discomfort includes
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Question 13 of 102
A nurse encounters an unfamiliar psychiatric disorder on a new patients admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?
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Question 14 of 102
A new antidepressant is prescribed for an elderly patient with major depression, but the dose is more than the usual geriatric dose The nurse should:
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Question 15 of 102
A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. When a novice nurse begins work with this patient, what is the starting point for the relationship?
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Question 16 of 102
A patient says, "I know I have a brain tumor despite the results of the MRI. The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day." Which response by the nurse fosters cognitive reframing?
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Question 17 of 102
A patient with acute depression states, God is punishing me for my past sins. What is the nurse's most therapeutic response?
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Question 18 of 102
The nurse fails to assess personal values surrounding homosexuality before caring for a patient who is openly gay. The nurse is most at risk for which of the following when working with this patient?
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Question 19 of 102
Which of the following cultural phenomena that should be assessed by the nurse includes preference such as touch and eye contact?
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Question 20 of 102
A health care provider prescribed depot injections every 3 weeks at the clinic for a patient with a history of medication noncompliance. For this plan to be successful, which factor will be of critical importance?
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Question 21 of 102
An adolescent was arrested for theft. At the program, the adolescent refused to join in planned activities and pushed a staff member, causing a fall. Which approach by nursing staff will be most therapeutic?
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Question 22 of 102
A nurse is caring for a patient diagnosed with schizophrenia. The patient is experiencing auditory hallucinations and states, 'The voices tell me I'm worthless.' Which of the following is the most appropriate response?
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Question 23 of 102
A nurse is meeting with a client who has been treated at a substance use disorder clinic for three months. The client has had two follow up appointments at the clinic since their first visit, has attended a community-based peer support group twice weekly, and has taken their prescribed medication as directed. The nurse is discussing the effectiveness of these interventions with the client. The nurse is completing which of the following phases of the nursing process?
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Question 24 of 102
Which one of the following is one of the American Nurses Association standards of practice for psychiatric/mental health nursing?
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Question 25 of 102
The nurse best assesses a patient's memory by asking which of the following questions?
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Question 26 of 102
An 11-year-old stays home from school to care for siblings while the parents work. The child says, 'My parents don't like me. They call me stupid and say I never do anything right.' The child also says, 'It doesn't matter anyway. I'm too dumb to learn much. I don't have friends at school and probably don't deserve any.' Which nursing diagnosis applies to this child?
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Question 27 of 102
A nurse assesses an individual who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder?
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Question 28 of 102
A child with an acute infection has an order of Ancef 300 mg IV every 12 hours. The pharmacy prepares this medication for you in a syringe of 300 mg/15 ml and suggests that it be administered over 30 minutes. Using the rate suggested by pharmacy, what will be the rate set on your syringe pump in ml/hour?
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Question 29 of 102
A nurse and a client of Chinese heritage are collaborating on treatment goals. The nurse would document which of the following as the client's priority goal?
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Question 30 of 102
The most appropriate care for a palliative care patient experiencing existential distress is
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Question 31 of 102
A patient who is visiting the crisis clinic for the first time asks, "How long will I be coming here?" The nurse's reply should consider that the usual duration of crisis intervention is
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Question 32 of 102
Which of the following statements is true about a nurse's self-disclosure?
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Question 33 of 102
A nurse works with an adolescent who was placed in a residential program after multiple episodes of violence at school. Establishing rapport with this adolescent is a priority because (Select all that apply)
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Question 34 of 102
A nurse is providing information to a client about risk factors for developing an anxiety-related disorder. Which of the following clients is at greatest risk for developing an anxiety-related disorder?
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Question 35 of 102
Placing a client in restraints before using other methods of intervention violates which of the client's rights?
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Question 36 of 102
An overweight male college student is unable to participate in competitive sports. Although he cant be a sports hero, the student becomes the life of the party when socializing. This student also uses his student loan to purchase a new sports car. The student is displaying:
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Question 37 of 102
A newly admitted patient diagnosed with major depression has gained pounds over a few months and has suicidal ideation The patient has taken an antidepressant medication for week without remission of symptoms Select the priority nursing diagnosis
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Question 38 of 102
A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of 'offering self.'
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Question 39 of 102
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 40 of 102
A patient is brought to the Emergency Department after a motorcycle accident. The patient is alert, responsive, and diagnosed with a broken leg. The patient's vital signs are pulse (P) 72 and respiration (R) 16. After being informed surgery is required for the broken leg, which vital sign readings would be expected?
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Question 41 of 102
Which statements are true of concrete and abstract messages? Select one that does not apply.
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Question 42 of 102
The nurse has been working with a patient with an eating disorder for one week. During the morning treatment team meeting, the treatment plan is updated. Which of the following would be appropriate interventions at this time in the nurse-patient relationship? Select one that does not apply.
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Question 43 of 102
While talking with a patient diagnosed with major depression, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest, while the patient looks at the floor. Which aspect of communication has the nurse assessed?
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Question 44 of 102
A patient presents to the emergency department with mixed psychiatric symptoms. The admission nurse suspects the symptoms may be the result of a medical problem. Lab results show elevated BUN (blood urea nitrogen) and creatinine. What is the nurse's next best action?
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Question 45 of 102
Which of the following are true regarding mental health and mental illness?
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ATI RN · Behavioral Questions for Nurse
Question 46 of 102
A school nurse is planning a presentation about identifying potential warning signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the teaching?
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Question 47 of 102
A nurse is teaching a group of newly licensed nurses about personality disorders. Which of the following information should be included?
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Question 48 of 102
A nurse assesses a patient for inclusion in group therapy. This patient has a childhood history of neglect and ridicule by parents. The patient says to the nurse, "My boss always expects more of me than the others, but talking to him would only make it worse." Which type of group would best address the patient's needs?
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Question 49 of 102
A person in the community asks, 'People with mental illnesses went to state hospitals in earlier times. Why has that changed?' Select the nurses accurate responses.Select one that does not apply.
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Question 50 of 102
Nurses understand that when caring for patients with mental illnesses, a nurses communication is (select all that apply):
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Question 51 of 102
A Puerto Rican American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behavior? The patient
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Question 52 of 102
A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with PTSD. The nurse's highest priority is to screen this soldier for
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Question 53 of 102
A nurse is assessing a patient diagnosed with post-traumatic stress disorder (PTSD). The patient states, 'I keep having flashbacks to the accident, and I can't stop thinking about it.' Which of the following interventions should the nurse prioritize?
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Question 54 of 102
The nurse says to the client, 'You become very anxious when we start talking about your drinking.' Which of the following techniques is the nurse using?
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Question 55 of 102
To assist patients diagnosed with somatic symptom disorders, nursing interventions of high priority
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Question 56 of 102
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?
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Question 57 of 102
Which patient would be most appropriate to refer for assertive community treatment (ACT)? A patient diagnosed with:
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Question 58 of 102
The patient had undergone a total hip replacement. He complains of pain in the operative site. Which of the following is the appropriate initial nursing action?
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Question 59 of 102
A client who had agreed to be hospitalized for depression problems has decided that now she wants to leave the hospital. The mental health staff caring for her realizes that at present she can legally
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Question 60 of 102
After the admission of the patient, Nurse Toni will get specific information from the patient. This method of getting information is known as the:
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Question 61 of 102
Stimulus Control Treatment for Generalised Anxiety Disorder involves:
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Question 62 of 102
An anxiety disorder is:
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Question 63 of 102
Which of the following statements is true of the component of a therapeutic relationship/acceptance?
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Question 64 of 102
A patient diagnosed with major depressive disorder tells the nurse, 'Bad things that happen are always my fault.' To assist the patient in reframing this overgeneralization, how should the nurse respond?
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Question 65 of 102
A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?
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Question 66 of 102
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 67 of 102
Which patient meets criteria for involuntary hospitalization for psychiatric treatment? The patient who:
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Question 68 of 102
The first training of nurses to work with persons with mental illness was in 1882 in which state?
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Question 69 of 102
What is grief?
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Question 70 of 102
A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
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Question 71 of 102
Select the example of tertiary prevention.
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Question 72 of 102
The nurse frequently includes daily sessions involving relaxation techniques. Which assessment data would most indicate a need for this intervention to be included in the initial plan of care for a patient?
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Question 73 of 102
A nurse is caring for a patient diagnosed with bipolar disorder. The patient is exhibiting impulsive behaviors, such as excessive spending and poor judgment. Which of the following interventions should the nurse prioritize?
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Question 74 of 102
A patient tells a nurse, 'My best friend is a perfect person. She is kind, considerate, good-looking, and successful with every task. I could have been like her if I had the opportunities, luck, and money she's had.' This patient is demonstrating
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Question 75 of 102
A nurse is assessing a patient who graduated at the top of his class but now obsesses about being incompetent in his new job. The nurse recognizes that this patient may benefit from the following type of psychotherapy:
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Question 76 of 102
The best position for kidney, chest, or hip surgery is:
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Question 77 of 102
A nurse prepares to assess a new patient who moved to the United States from Central America 3 years ago. After introductions, what is the nurse's next comment?
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Question 78 of 102
A woman just received notification that her husband died. She approaches the nurse who cared for him during his last hours and says angrily, "If you had given him your undivided attention, he would still be alive." How should the nurse analyze this behavior?
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Question 79 of 102
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:
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Question 80 of 102
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting rapid speech, impulsive behavior, and an inflated sense of self-importance. What is the priority nursing intervention?
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Question 81 of 102
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was developed by the Department of Health and Human Services to provide national standards pertaining to transmission and communication of medical information. Which of the following are true about HIPAA (select all that apply)?
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Question 82 of 102
Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder. Disturbed personal identity related to
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Question 83 of 102
A Native American patient sadly describes a difficult childhood. The patient abused alcohol as a teenager but stopped 10 years ago. The patient now says,I feel stupid and good for nothing. I dont help my people. How should the treatment team focus planning for this patient?
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Question 84 of 102
During a group therapy session, a newly admitted patient suddenly says to the nurse, "How old are you? You seem too young to be leading a group." Select the nurse's most appropriate response.
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Question 85 of 102
A nurse assesses a patient in crisis. Select the most appropriate question for the nurse to ask to assess this patient's situational support.
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Question 86 of 102
It is recorded in the client's chart that the family is resilient. The nurse concludes which of the following characteristics about the family life of this client?Select one that does not apply.
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Question 87 of 102
A patient who has been hospitalized for 3 days with a serious mental illness says,I've got to get out of here and back to my job. I get 60 to 80 messages a day and Im getting behind on my email correspondence. What is this patients perspective about health and illness?
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Question 88 of 102
Which of the following are the types of roles that are usually included when assessing roles and relationships? Select all that apply.
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Question 89 of 102
A nurse on an inpatient unit is caring for a group of clients who have depression. When planning care, which of the following clients should the nurse see first?
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Question 90 of 102
At what point in an assessment interview would a nurse ask, 'How does your faith help you in stressful situations?' During the assessment of
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Question 91 of 102
The following best describe the components of supportive care, except
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ATI RN · Behavioral Questions for Nurse
Question 92 of 102
Which entry in the medical record best meets the requirement for problem-oriented charting?
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Question 93 of 102
A nurse is assessing a patient diagnosed with generalized anxiety disorder. The patient states, 'I worry about everything, even things I can't control.' Which nursing diagnosis is most appropriate for this patient?
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Question 94 of 102
A nurse explains to the family of a mentally ill patient how a nurse-patient relationship differs from social relationships. Which is the best explanation?
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Question 95 of 102
How does a psychiatric nurse best implement the ethical principle of autonomy?
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ATI RN · Behavioral Questions for Nurse
Question 96 of 102
A patient referred to the eating disorders clinic has lost 35 pounds during one summer. To assess the patient's eating patterns, the nurse should ask:
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Question 97 of 102
A nurse is caring for a patient diagnosed with schizophrenia who is experiencing visual hallucinations. The patient states, 'I see people standing around me.' What is the most appropriate nursing response?
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Question 98 of 102
A patient is admitted for alcohol detoxification. The nurse observes the patient to be agitated and sweaty, with hand tremors. What is the priority nursing intervention?
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Question 99 of 102
The nurse is trying to obtain some information about family relationships from the client. Which of the following statements is best?
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Question 100 of 102
Some of the defining features of Social phobia are described in DSM-IV-TR as:
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ATI RN · Behavioral Questions for Nurse
Question 101 of 102
During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
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Question 102 of 102
In the planning phase of the nursing process, establishing short- and long-term goals is very important. Planning should:
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