Multidimensional Basis of Health Protective Behaviors

ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 1 of 101

In an individual with Sjogren's syndrome, nursing care should focus on:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 2 of 101

A student nurse attends a self-help group as part of a class assignment. While there the student recognizes a family friend. Upon returning home, the student talks about the experience with the family. The student's actions can be described as

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 3 of 101

During a support group, a patient diagnosed with schizophrenia says, Sometimes I feel sad that I will never have a good job like my brother. Then I dwell on it and maybe I should not. Select the nurse leaders best comment to facilitate discussion of this issue.

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 4 of 101

A patient is blaming his impending divorce on the fact that his wife goes out frequently with her girlfriends. If using reality therapy, the nurse would help the patient with which of the following responses?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 5 of 101

Which of the following medications rarely causes extrapyramidal side effects (EPS)?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 6 of 101

When observing a patient receiving tricyclic antidepressant therapy, which of the following would bring attention to the nurse that the patient was undergoing anticholinergic effects?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 7 of 101

A young female member in a therapy group says to an older female member, You are just like my mother, always trying to control me with your observations and suggestions. Which therapeutic factor of a group is evident by this behavior?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 8 of 101

Which developmental characteristic should the nurse identify as typical of a client diagnosed with severe intellectual disability (ID)?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 9 of 101

Which nursing statement is a good example of the therapeutic communication technique of offering self?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 10 of 101

A nurse is performing discharge planning for a client who will be returning home to live with family members. Which concept will be most important for the nurse in considering client needs?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 11 of 101

The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 12 of 101

What term can encompass various nonheteronormative sexual orientations and gender identities?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 13 of 101

Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 14 of 101

The nurse has scheduled a teaching session with a client. The nurse assesses the client's readiness to learn applying the concepts of Peplau's theory. Which assessment would be most important?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 15 of 101

According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 16 of 101

Nurse Tina prepares a client for peritoneal dialysis. Which of the following actions should the nurse take first?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 17 of 101

Nurse Kris is teaching a client with history of atherosclerosis. To decrease the risk of atherosclerosis, the nurse should encourage the client to:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 18 of 101

A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, 'You're worried about your medication?' The nurse's communication is:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 19 of 101

OR nurses should be aware that maintaining the client's safety is the overall goal of nursing care during the intraoperative phase. As the circulating nurse, you make certain that throughout the procedureÃ¢â‚¬Â¦

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 20 of 101

The nurse understands that if a client continues to be dependent on heroin throughout her pregnancy, her baby will be at high risk for:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 21 of 101

A nurse assesses a confused older adult. The nurse experiences sadness and reflects, The patient is like one of my grandparentso helpless. Which response is the nurse demonstrating?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 22 of 101

A newly licensed nurse shares with their preceptor, 'I really like working with Gloria! She and I are so much alike!' What concept should the preceptor review with the nurse?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 23 of 101

According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 24 of 101

The patient taking lithium should understand that the following could affect fluid and sodium levels and increase the chances of becoming toxic:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 25 of 101

Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 26 of 101

The nurse is assessing a client who is talking about her son's recent death but who shows no emotion of any kind. The nurse recognizes this behavior as which of the following defense mechanisms?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 27 of 101

Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with BPD?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 28 of 101

A student nurse tells the instructor, "I'm concerned that when a client asks me for advice I won't have a good solution." Which should be the nursing instructor's best response?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 29 of 101

Nurse Mandy is preparing a client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 30 of 101

Which of the following are core skill areas that are needed of any effective team member of an interdisciplinary team? Select one that doesn't apply.

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 31 of 101

Which one of the following drugs should the nurse expect the patient to require serum level monitoring?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 32 of 101

During electroconvulsive therapy (ECT), the patient is monitored carefully before and after the procedure. The nurse assisting with this procedure is aware that monitoring is necessary because the patient may suffer from:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 33 of 101

Hemoptysis may be present in the client with a pulmonary embolism because of which of the following reasons?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 34 of 101

The nurse is ware that the most relevant knowledge about oxygen administration to a male client with COPD is

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 35 of 101

A male client has jugular distention. On what position should the nurse place the head of the bed to obtain the most accurate reading of jugular vein distention?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 36 of 101

The superego is that part of the psyche that:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 37 of 101

Hans has schizophrenia and uses marijuana heavily. His living situation has been unstable in recent years, and he has been living in a rooming house for the past several months. His landlord, however, has contacted the home health nurse because of the squalor of Hans' room and frequent disturbances. What aspect of Hans' situation would be prioritized within the framework of Orem's Behavioral Nursing Theory?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 38 of 101

For a client taking clozapine (Clozaril), which of the following symptoms should the nurse report to the physician immediately as it may be indicative of a potentially fatal side effect?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 39 of 101

School phobia is usually treated by

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 40 of 101

Ricardo, was diagnosed with type I diabetes. The nurse is aware that acute hypoglycemia also can develop in the client who is diagnosed with:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 41 of 101

The eight stages of development with each one having contradictory developmental tasks was identified by

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 42 of 101

What sensation is used as a gauge so that patients with ileostomy can determine how often their pouch should be drained?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 43 of 101

A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 44 of 101

Which of the following groups of symptoms indicates a ruptured abdominal aortic aneurysm?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 45 of 101

If you are the nurse in charge for scheduling surgical cases, what important information do you need to ask the surgeon?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 46 of 101

Malingering is different from somatoform disorder because the former:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 47 of 101

Aminophylline was ordered for acute asthmatic attack. The mother asked the nurse, what is its indication, the nurse will say:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 48 of 101

Which statement by a 16-year-old is considered as positive evidence that the family's involvement in therapy is moving them towards effective functioning?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 49 of 101

Ricardo is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of anesthesia?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 50 of 101

Mental health is defined as:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 51 of 101

Which nursing intervention would be prioritized when caring for a child diagnosed with ID?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 52 of 101

In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload and relieves angina by:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 53 of 101

A client states to the nurse, 'I am not sure how others see me but I want them to think I am happy.' The nurse determines the client is describing which behavior?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 54 of 101

The nurse provides a referral to Alcoholics Anonymous to a client who describes a 20-year history of alcohol abuse. The primary function of this group is to:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 55 of 101

Which response should the nurse give to a novice staff member who says, 'I'm uncomfortable serving as an activity co-leader.'

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 56 of 101

A male client with type 1 diabetes is scheduled to receive 30 U of 70/30 insulin. There is no 70/30 insulin available. As a substitution, the nurse may give the client:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 57 of 101

Which remark by a group participant would the nurse expect during the working stage of group therapy?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 58 of 101

Ivan P. Pavlov is associated with the term ...

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 59 of 101

A patient who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this patient at this time?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 60 of 101

The primary advantage of an evolving consumer household is that clients

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 61 of 101

Which of the following outcome criteria is appropriate for the client with dementia?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 62 of 101

Situation: An old woman was brought for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 63 of 101

Which of the following is a side effect of ginkgo biloba?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 64 of 101

The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 65 of 101

A psychiatric-mental health nurse is working with a female client who has been a victim of abuse to foster a sense of empowerment and build relationships that are mutually satisfying. The nurse is incorporating the work of which theorist?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 66 of 101

Which nursing intervention is the priority when caring for a child diagnosed with conduct disorder?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 67 of 101

A female client is scheduled to receive a heart valve replacement with a porcine valve. Which of the following types of transplant is this?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 68 of 101

A nurse introduces the matter of a contract during the first session with a new patient because contracts:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 69 of 101

A patient consents to be hospitalized for psychiatric treatment. This is a:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 70 of 101

Which is the priority nursing diagnosis when providing care to a client diagnosed with paranoid personality disorder?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 71 of 101

On the third day after a partial thyroidectomy, Proserfina exhibits muscle twitching and hyperirritability of the nervous system. When questioned, the client reports numbness and tingling of the mouth and fingertips. Suspecting a lifethreatening electrolyte disturbance, the nurse notifies the surgeon immediately. Which electrolyte disturbance most commonly follows thyroid surgery?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 72 of 101

The following are the appropriate nursing diagnosis for the client EXCEPT:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 73 of 101

A nursing diagnosis for bulimia nervosa is powerlessness related to feeling not in control of eating habits. The goal for this problem is:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 74 of 101

A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 75 of 101

After insertion of a cheat tube for a pneumothorax, a client becomes hypotensive with neck vein distention, tracheal shift, absent breath sounds, and diaphoresis. Nurse Amanda suspects a tension pneumothorax has occurred. What cause of tension pneumothorax should the nurse check for?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 76 of 101

The treatment for patients with leukemia is bone marrow transplantation. Which statement about bone marrow transplantation is not correct?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 77 of 101

Which of the following may be a concern for patients who practice Judaism?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 78 of 101

The love and belonging needs components in Maslows Hierarchy of Needs are:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 79 of 101

The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 80 of 101

A nurse in the clinic has a full appointment schedule. A Hispanic American patient arrives at 1230 for a 1000 appointment. A Native American patient does not keep an appointment at all. What understanding will improve the nurse's planning? These patients are

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 81 of 101

If the client was experiencing negative symptoms of schizophrenia, the nurse would expect to see :

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 82 of 101

A patient who had been experiencing significant stress learned to use progressive muscle relaxation and deep breathing exercises. When the patient returns to the clinic 2 weeks later, which finding most clearly shows the patient is coping more effectively with stress?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 83 of 101

Nurse Sarah expects to note an elevated serum glucose level in a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which other laboratory finding should the nurse anticipate?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 84 of 101

A nurse prepares to teach important medication information to a patient of Mexican heritage. How should the nurse manage the teaching environment?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 85 of 101

A health-care provider prescribes computerized electroencephalography mapping for a client with suspected schizophrenia. Which statement made by the client accurately describes the procedure?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 86 of 101

The nurse knows that neurologic complications of multiple myeloma (MM) usually involve which of the following body system?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 87 of 101

Which of the following is an inhibitory neurotransmitter?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 88 of 101

Cyrill with severe head trauma sustained in a car accident is admitted to the intensive care unit. Thirty-six hours later, the client's urine output suddenly rises above 200 ml/hour, leading the nurse to suspect diabetes insipidus. Which laboratory findings support the nurse's suspicion of diabetes insipidus?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 89 of 101

Which statement by a patient who has given informed consent for ECT confirms that the patient understands the side effects of this treatment?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 90 of 101

Which mental illness would a nurse identify as being associated with an increase in prolactin level?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 91 of 101

Pain in ortho cases may not be mainly due to the surgery. There might be other factors such as cultural or psychological that influence pain. How can you alter these factors as the nurse?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 92 of 101

Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 93 of 101

The term "blue bloater"Â refers to a male client which of the following conditions?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 94 of 101

Which nursing intervention is most appropriate for a child diagnosed with ADHD who is easily distracted and unable to complete classroom activities?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 95 of 101

Mark, a 7-year-old client is brought to the emergency department. He's tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and has a nonproductive cough. He recently had a cold. Form this history; the client may have which of the following conditions?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 96 of 101

Cristina undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion according to the TNM staging system as follows: TIS, N0, M0. What does this classification mean?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 97 of 101

One group of patients receives supportive interventions and antidepressant medication. The other group receives only medication. The team measures outcomes for each group. Which type of study is evident?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 98 of 101

A recent immigrant from Honduras comes to the clinic with a family member who has been a U.S. resident for 10 years. The family member says, The immigration to America has been very difficult. Considering cultural background, which expression of stress by this patient would the nurse expect?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 99 of 101

Which factor should the nurse recognize distinguishes personality disorders from psychosis?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 100 of 101

A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the client's anxiety as which level?

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ATI RN · Multidimensional Basis of Health Protective Behaviors

Question 101 of 101

Which level of Maslows hierarchy of need pyramid is necessary for survival?

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