Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with an irritated nasal septum.
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Question 2 of 100
Which nursing diagnosis best addresses a client problem associated with an IQ of 47?
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Question 3 of 100
The treatment method known as behavior modification is based on the theory of the behavioral theorists Skinner and
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Question 4 of 100
A patient diagnosed with emphysema has severe shortness of breath and needs portable oxygen when leaving home. Recently the patient has reduced activity because of fear that breathing difficulty will occur. A nurse suggests using guided imagery. Which image should the patient be encouraged to visualize?
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Question 5 of 100
Herbert, a 45 year old construction engineer is brought to the hospital unconscious after falling from a 2-story building. When assessing the client, the nurse would be most concerned if the assessment revealed:
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Question 6 of 100
Mr. Marquez with rheumatoid arthritis is about to begin aspirin therapy to reduce inflammation. When teaching the client about aspirin, the nurse discusses adverse reactions to prolonged aspirin therapy. These include:
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Question 7 of 100
The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
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Question 8 of 100
When teaching a client about restrictions for tranylcypromine (Parnate), the nurse will tell the client to avoid which of the following foods?
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Question 9 of 100
Nurse Maria plans to administer dexamethasone cream to a female client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?
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Question 10 of 100
Katrina has an abnormal result on a Papanicolaou test. After admitting that she read her chart while the nurse was out of the room, Katrina asks what dysplasia means. Which definition should the nurse provide?
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Question 11 of 100
One week after beginning therapy with thiothixene (Navane), the client demonstrates muscle rigidity, a temperature of 103°F, an elevated serum creatinine phosphokinase level, stupor, and incontinence. The nurse should notify the physician because these symptoms are indicative of
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Question 12 of 100
Nurse Trinity administered neutral protamine Hagedorn (NPH) insulin to a diabetic client at 7 a.m. At what time would the nurse expect the client to be most at risk for a hypoglycemic reaction?
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Question 13 of 100
A Haitian patient diagnosed with major depressive disorder tells the nurse, "There's nothing you can do. This is a punishment. The only thing I can do is see a healer." The culturally aware nurse assesses that the patient
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Question 14 of 100
Which principle of the psychoanalytic model is particularly useful to psychiatric nurses?
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Question 15 of 100
Situation: A 30-year-old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. The client has which somatoform disorder?
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Question 16 of 100
The ABCs of rational-emotive therapy (RET) are:
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Question 17 of 100
Which neurotransmitters would a nurse expect to be elevated in a client with a diagnosis of catatonic schizophrenia?
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Question 18 of 100
A highly emotional client presents at an outpatient clinic appointment wearing flamboyant attire, spiked heels, and theatrical makeup. Which personality disorder should the nurse associate with these assessment data?
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Question 19 of 100
Which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?
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Question 20 of 100
A group has two more sessions before it ends. One member was previously vocal and has shown much progress but has now grown silent. What explanation most likely underlies this behavior? The silent member:
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Question 21 of 100
A client states, "You won't believe what my husband said to me during visiting hours. He has no right treating me that way." Which nursing response would best assess the situation that occurred?
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Question 22 of 100
Which of the following describes the role of a technician?
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Question 23 of 100
Which of the following statements explains the main difference between rheumatoid arthritis and osteoarthritis?
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Question 24 of 100
A patient states, 'I hate spending time with my family. They're always on my back about something! I won't do anything they ask me to do.' Which response by the nurse reflects a behavioral perspective?
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Question 25 of 100
The client with anorexia nervosa is improving if:
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Question 26 of 100
Which of the following should be given highest priority when receiving patient in the OR?
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Question 27 of 100
Mrs. Cruz, 80 years old is diagnosed with pneumonia. Which of the following symptoms may appear first?
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Question 28 of 100
Which element would be present in an assertive community treatment (ACT) program?
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Question 29 of 100
The physician orders laboratory tests to confirm hyperthyroidism in a female client with classic signs and symptoms of this disorder. Which test result would confirm the diagnosis?
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Question 30 of 100
A client with delusion of persecution believes the hospital food is being poisoned by the staff. The nurse knows the best appropriate method to encourage client to eat is:
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Question 31 of 100
What is the best nursing response when the client says, 'I will answer that question if you promise not to tell anyone'?
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Question 32 of 100
Which patient would the group co-leaders determine is demonstrating Yalom's therapeutic factor termed universality?
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Question 33 of 100
An adult client states 'I always imitated my parent and now I have grown up to be just like my parent.' According to Sigmund Freud, which concept does this represent?
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Question 34 of 100
Using Mahler's theory of object relations, which should the nurse expect to note in a client with BPD's childhood?
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Question 35 of 100
Where would nurse Kristine place the call light for a male client with a right-sided brain attack and left homonymous hemianopsia?
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Question 36 of 100
Freud defines the ego as:
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Question 37 of 100
What is a common symptom of post-traumatic stress disorder?
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Question 38 of 100
A nurse speaks with family members of a Chinese American parent recently diagnosed with major depressive disorder. Which comment by the nurse will the family find most comforting? "The nursing staff will
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Question 39 of 100
This theorist identified eight developmental tasks or stages that are expressed as opposites or contraindications of each other.
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Question 40 of 100
Which information would the nurse include when teaching the mother of a child diagnosed with mild ID?
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Question 41 of 100
Kennedy with acute asthma showing inspiratory and expiratory wheezes and a decreased forced expiratory volume should be treated with which of the following classes of medication right away?
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Question 42 of 100
During a breast examination, which finding most strongly suggests that the Luz has breast cancer?
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Question 43 of 100
Silence in therapeutic communication is:
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Question 44 of 100
A patient tells the nurse, I know that I should reduce the stress in my life, but I have no idea where to start. What would be the best initial nursing response?
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Question 45 of 100
The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin's disease?
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Question 46 of 100
After ileostomy, which of the following condition is NOT expected?
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Question 47 of 100
Stacy has beginning stomatitis. To promote oral hygiene and comfort, the nurse in-charge should:
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Question 48 of 100
The nurse is caring for Kenneth experiencing an acute asthma attack. The client stops wheezing and breath sounds aren't audible. The reason for this change is that:
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Question 49 of 100
At which point would the nurse determine that a client is at risk for developing a mental illness?
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Question 50 of 100
A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using?
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Question 51 of 100
Which of the following items should be included when providing patient teaching about monoamine oxidase inhibitor (MAOI) antidepressants?
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Question 52 of 100
The self-care deficit theory was initiated by which nursing theorist?
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Question 53 of 100
Nurse Len is teaching a group of women to perform BSE. The nurse should explain that the purpose of performing the examination is to discover:
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Question 54 of 100
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 55 of 100
Which of the following are examples of adventitious crises? Select one that doesn't apply.
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Question 56 of 100
Which of the following best explains why tricyclic antidepressants (TCA) are used cautiously with the elderly population?
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Question 57 of 100
Which nursing intervention is most appropriate for a client with anorexia nervosa during initial hospitalization on a behavioral therapy unit?
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Question 58 of 100
A patient tells members of a therapy group, I hear voices saying my doctor is poisoning me. Another patient replies, I used to hear 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 59 of 100
A patient says, Ive done a lot of cheating and manipulating in my relationships. Select a nonjudgmental response by the nurse.
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Question 60 of 100
A 51-year-old female client tells the nurse in-charge that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?
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Question 61 of 100
There is an order of Demerol 50 mg I.M. now and every 6 hours p r n. You injected Demerol at 5 pm. The next dose of Demerol 50 mg I.M. is given:
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Question 62 of 100
An abnormality of which of the following structures of the cerebrum would be associated with schizophrenia?
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Question 63 of 100
Mr. Gonzales develops hepatic encephalopathy. Which clinical manifestation is most common with this condition?
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Question 64 of 100
Which self-harm behavior should the nurse expect the client diagnosed with BPD to exhibit?
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Question 65 of 100
The nurse is assigned a client from another culture. Which theorist is best utilized to guide the nurse in understanding the impact of culture on treatment?
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Question 66 of 100
A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client's actions?
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Question 67 of 100
Group members are actively discussing a common topic. Members are sharing that they identify with what others are saying. The nurse leader recognizes that the group is in which stage of group development?
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Question 68 of 100
A nurse says, I am the only one who truly understands this patient. Other staff members are too critical. The nurses statement indicates:
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Question 69 of 100
Which of the following nursing interventions is done when examining the incision wound and changing the dressing?
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Question 70 of 100
What are the two essential components of transitional care discharge model that is used in Canada and Scotland?
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Question 71 of 100
A nurse is orienting to a new position working the infirmary in the state penitentiary. When working with prisoners who are also mentally ill, the nurse examines her own attitudes. Which of the following beliefs should the nurse discuss with her supervisor before caring for incarcerated patients?
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Question 72 of 100
Nurse Eve is caring for a client who had a thyroidectomy 12 hours ago for treatment of Grave's disease. The nurse would be most concerned if which of the following was observed?
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Question 73 of 100
A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?
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Question 74 of 100
A 62-year-old male client was in a motor vehicle accident as an unrestrained driver. He's now in the emergency department complaining of difficulty of breathing and chest pain. On auscultation of his lung field, no breath sounds are present in the upper lobe. This client may have which of the following conditions?
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Question 75 of 100
An elderly client with Alzheimer's disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:
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Question 76 of 100
Which finding best indicates that the goal 'Demonstrate mentally healthy behavior' was achieved for an adult patient?
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Question 77 of 100
When a novice nurse asks why the unit has a multidisciplinary approach to therapeutic activities, the nurse should explain that multidisciplinary collaboration:
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Question 78 of 100
Ruby is receiving thyroid replacement therapy develops the flu and forgets to take her thyroid replacement medicine. The nurse understands that skipping this medication will put the client at risk for developing which of the following lifethreatening complications?
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Question 79 of 100
The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral colic and hematuria is to decrease:
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Question 80 of 100
A nursing student is preparing to take an exam and is experiencing anxiety as a heightened sense of awareness. Which level of anxiety would this correspond with?
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Question 81 of 100
As a therapy group is disbanding, members are voicing feelings of sadness and loss. The most important nursing intervention will be to:
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Question 82 of 100
A patient with schizophrenia is being treated with olanzapine (Zyprexa) 10 mg. daily. The patient asks the nurse how this medicine works. The nurse explains that the mechanism by which the olanzapine controls the patient's psychotic symptoms is believed to be
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Question 83 of 100
A Vietnamese patient's family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?
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Question 84 of 100
A 10 year old child has very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:
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Question 85 of 100
You identified a potential risk of pre-and postoperative clients. To reduce the risk of patient harm resulting from fall, you can implement the following, EXCEPT:
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Question 86 of 100
Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
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Question 87 of 100
Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behavior and thinking patterns, followed by identifying and practicing more adaptive alternate behaviors and thinking. Which theory is evident by this approach?
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Question 88 of 100
When planning care for clients diagnosed with personality disorders, which treatment outcome should the nurse anticipate?
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Question 89 of 100
The nurse considers a client's response to crisis intervention successful if the client:
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Question 90 of 100
A client is seen in the clinic with clinical manifestations of an inability to sit still and a rigid posture. These side effects would be correctly identified as which of the following?
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Question 91 of 100
An unemployed woman, age 24, seeks help because she feels depressed and abandoned and doesn't know what to do with her life. She says she has quit her last five jobs because her coworkers didn't like her and didn't train her adequately. Last week, her boyfriend broke up with her after she drove his car into a tree after an argument. The client's initial diagnosis is borderline personality disorder. Which nursing observations support this diagnosis?
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Question 92 of 100
Situation: A 20-year-old college student is admitted to the medical ward because of sudden onset of paralysis of both legs. Extensive examination revealed no physical basis for the complaint. The nurse plans intervention based on which correct statement about conversion disorder?
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Question 93 of 100
The type of therapy that seeks a response through the sense of smell is known as:
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Question 94 of 100
Which of the following is true about lithium?
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Question 95 of 100
What main purpose does self-reflection provide for the nurse?
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Question 96 of 100
The movie about Patch Adams represents this type of therapy:
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Question 97 of 100
What percentage of ID cases result in early alterations in embryonic development?
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Question 98 of 100
The nurse is administering a psychotropic drug to an elderly client who has a history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to:
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Question 99 of 100
Macario had coronary artery bypass graft (CABG) surgery 3 days ago. Which of the following conditions is suspected by the nurse when a decrease in platelet count from 230,000 ul to 5,000 ul is noted?
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Question 100 of 100
The theoretical terms 'meaning, rhythmicity, and transcendence' are components of which of the following nursing theorists' work?
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