Population Based Health Care

ATI RN · Population Based Health Care

Question 1 of 82

When a patient diagnosed with paranoid schizophrenia was discharged from the unit 6 months ago, the plan was for him to take chlorpromazine (Thorazine), a conventional (first generation) antipsychotic medication, 300 mg po daily. He tells the nurse he stopped taking his pills after a few months because they made him feel like a 'zombie.' What other common side effects should the nurse determine if the patient experienced?

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ATI RN · Population Based Health Care

Question 2 of 82

Which of the following personality disorders describes a person who has an extremely unstable self image, is moody, and does not develop stable relationships?

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ATI RN · Population Based Health Care

Question 3 of 82

Explain four (4) the behavioral features of Anorexia Nervosa

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ATI RN · Population Based Health Care

Question 4 of 82

Family members of a patient newly diagnosed with paranoid schizophrenia state that they do not understand what caused the patient's illness. The nurse's response should be predicated on the:

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ATI RN · Population Based Health Care

Question 5 of 82

How does peer interaction influence mental development?

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ATI RN · Population Based Health Care

Question 6 of 82

A patient is diagnosed with anorexia nervosa. A nurse who is assessing for co-morbid psychiatric disorders should begin by looking for signs of which common, concurrent diagnosis?

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ATI RN · Population Based Health Care

Question 7 of 82

An elderly patient must be physically restrained. Who is responsible for the patient's safety?

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ATI RN · Population Based Health Care

Question 8 of 82

After a person was abducted and raped at gunpoint by an unknown assailant, which trauma syndrome is most likely to occur?

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ATI RN · Population Based Health Care

Question 9 of 82

Which of the following is a characteristic of anorexia nervosa?

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ATI RN · Population Based Health Care

Question 10 of 82

A patient diagnosed with schizophrenia tells the community mental health nurse, 'I threw away my pills because they interfere with Gods voice.' The nurse identifies the etiology of the patients ineffective management of the medication regime as:

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ATI RN · Population Based Health Care

Question 11 of 82

An 83-year-old man becomes lost while driving. He pulls into a driveway to turn around and cannot figure out how to put his car in reverse, so he drives into the yard, makes a circle, and drives back out of the driveway. He is stopped by police, who take him to the emergency department. The physician diagnoses him with Alzheimer's disease and refers him to the neurology clinic for follow-up. Given this diagnosis, which behaviors should the clinic nurse anticipate?

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ATI RN · Population Based Health Care

Question 12 of 82

A friend brings a teenager to the emergency department. The friend found the patient unconscious in a bedroom at a party. Semen is observed on the patient's underclothes. Priority actions by the nurse should focus on:

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ATI RN · Population Based Health Care

Question 13 of 82

Which of the following is a common physical sign of anorexia nervosa?

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ATI RN · Population Based Health Care

Question 14 of 82

A patient asks, 'What advantage does a durable power of attorney for health care have over a living will?' The nurse should reply, 'A durable power of attorney for health care:

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ATI RN · Population Based Health Care

Question 15 of 82

A newly admitted client has the diagnosis of catatonic schizophrenia. The nurse would expect to assess:

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ATI RN · Population Based Health Care

Question 16 of 82

A patient with antisocial personality disorder tells Nurse A, 'You're a much better nurse than Nurse B said you were.' The patient tells Nurse B, 'Nurse A's upset with you for some reason.' To Nurse C the patient states, 'You'd like to think you're perfect, but I've seen three of your mistakes this morning.' Which nursing intervention would be most helpful for addressing this behavior?

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ATI RN · Population Based Health Care

Question 17 of 82

An expected outcome for a client who hears voices telling him he is evil would be that by discharge, client will:

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ATI RN · Population Based Health Care

Question 18 of 82

When coping with a patient's inappropriate expression of anger, a psychiatric-mental health nurse's initial action is to identify the:

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ATI RN · Population Based Health Care

Question 19 of 82

Anorexia nervosa is best described as a disorder that is potentially:

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ATI RN · Population Based Health Care

Question 20 of 82

Which of the following is a technique used to address stuttering?

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ATI RN · Population Based Health Care

Question 21 of 82

The nurse is planning care for a battered woman who has mentioned, 'Someday I'll have to leave him.' Which outcome should the nurse include in the plan of care for this client?

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ATI RN · Population Based Health Care

Question 22 of 82

The subjective internal feeling of being either male of female is called

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ATI RN · Population Based Health Care

Question 23 of 82

A 5-year-old boy is diagnosed in the Emergency Department as having measles, the first symptoms having started 2 days previously. He has a 2-year-old sister, who has received the recommended immunisation schedule. Which one of the following is the most appropriate treatment?

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ATI RN · Population Based Health Care

Question 24 of 82

One bed is available on the eating disorders unit. Which patient should be admitted? The patient whose assessment findings show the weight dropped from:

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ATI RN · Population Based Health Care

Question 25 of 82

The nurse has recently set limits for a patient with borderline personality disorder. The patient tells the nurse, 'You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You're hateful.' Which phenomenon is represented by this response?

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ATI RN · Population Based Health Care

Question 26 of 82

A 35-year-old woman who is being interviewed by the advanced practice nurse indicates that she has few friends, fears criticism from others, and withholds information about her thoughts and feelings because she anticipates a negative reaction. Based on these data, the nurse suspects that Sarah may later be diagnosed as having:

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ATI RN · Population Based Health Care

Question 27 of 82

A respected school coach was arrested after a student reported the coach attempted to have sexual contact. Which nursing action has priority in the period immediately following the coach's arrest?

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ATI RN · Population Based Health Care

Question 28 of 82

Prior to discharge, the nurse plans to teach the client and family about relapse. Which items will the nurse include in the teaching?

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ATI RN · Population Based Health Care

Question 29 of 82

A 17-year-old client is admitted to the ED after being alternately hyperalert and difficult to arouse. His symptoms all started within the last few hours, during which time he became disoriented and confused. His behavior was agitated and restless, and his memory was impaired, especially for recent events. The client displayed some delusions and misinterpretations of his surroundings. The nurse knows she needs to assess the client further for:

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ATI RN · Population Based Health Care

Question 30 of 82

A psychiatric technician asks the nurse to explain the difference between schizotypal personality disorder and schizophrenia. The information that should serve as the basis for the nurse's response is the fact that with schizotypal personality disorder:

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ATI RN · Population Based Health Care

Question 31 of 82

A patient with many positive symptoms of schizophrenia, whose behavior is disorganized and who is highly anxious, tells the nurse in the psychiatric emergency department, 'You have got to help me. I do not know what is going on. I think someone is trying to wipe me out. I have to get a gun.' The patient, a college student, lives alone and has no family or support system in the immediate area. He has not left his room in 2 weeks, has not eaten in several days, and is unkempt. Of the available treatment settings, the nurse should recommend:

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ATI RN · Population Based Health Care

Question 32 of 82

A severely depressed patient with psychomotor retardation has begun activities therapy. His schedule is: 9 AM, ceramics; 10 AM, exercise group; 11 AM to noon, open; noon, lunch. The nurse creating the patient's schedule should opt to fill the hour block from 11 AM to noon with:

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ATI RN · Population Based Health Care

Question 33 of 82

What is the primary concern when caring for a patient with bulimia nervosa who has been purging regularly?

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ATI RN · Population Based Health Care

Question 34 of 82

The wife of a patient with schizophrenia is worried about her 17-year-old daughter and asks the nurse what symptoms mark the prodromal stage of schizophrenia. The nurse should respond by listing behaviors such as:

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ATI RN · Population Based Health Care

Question 35 of 82

Which of the following statements by your ADHD childs parents indicate they need further teaching?

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ATI RN · Population Based Health Care

Question 36 of 82

An older adult patient was diagnosed with schizophrenia at age 18. A nurse at the outpatient medication clinic interviews this patient. Which communication strategy will be most helpful?

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ATI RN · Population Based Health Care

Question 37 of 82

The quality of life of people with intellectual disabilities can be improved significantly with the help of basic training procedures that will equip them with a range of skills depending on their level of disability. The application of learning theory to training in these areas is also known as:

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ATI RN · Population Based Health Care

Question 38 of 82

A drug causes muscarinic receptor blockade. The nurse will assess the patient for

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ATI RN · Population Based Health Care

Question 39 of 82

Which of the following will lead one to need to consider autism spectrum disorder as a likely diagnosis?

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ATI RN · Population Based Health Care

Question 40 of 82

Which would be the best initial approach for a nurse to select when managing the care of an individual with two children who works full-time and has been abused by a partner?

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ATI RN · Population Based Health Care

Question 41 of 82

Health Services for disabilities in children and youth:

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ATI RN · Population Based Health Care

Question 42 of 82

Which intervention would be most appropriate for a patient with bulimia nervosa who is at risk for electrolyte imbalance?

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ATI RN · Population Based Health Care

Question 43 of 82

The most severe psychological disorder is a(n)

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ATI RN · Population Based Health Care

Question 44 of 82

The client is describing her trip to town. She tells the nurse, 'I cold town yellow water girl outside below ground.' This speech disturbance is called:

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ATI RN · Population Based Health Care

Question 45 of 82

Multiple personality or dissociative identity disorder often begins

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ATI RN · Population Based Health Care

Question 46 of 82

A nurse conducts group therapy on the eating disorders unit. Sessions are scheduled immediately after meals. What is the rationale?

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ATI RN · Population Based Health Care

Question 47 of 82

The nurse is answering questions from a client and his family regarding a recent diagnosis of Alzheimer's disease. The client asks how effective medication is in treating the disease. What is the nurse's best response?

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ATI RN · Population Based Health Care

Question 48 of 82

A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:

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ATI RN · Population Based Health Care

Question 49 of 82

Which of the following behaviors is most consistent with bulimia nervosa?

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ATI RN · Population Based Health Care

Question 50 of 82

After assessing a patient with anorexia nervosa, a nurse writes the following nursing diagnosis: imbalanced nutrition, less than body requirements related to refusal to eat as evidenced by being 25% below body weight for height. The expected outcome should be listed as:

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ATI RN · Population Based Health Care

Question 51 of 82

An outpatient diagnosed with schizophrenia tells the nurse, I am here to save the world. I threw away the pills because they make God go away. The nurse identifies the patients reason for medication nonadherence as:

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ATI RN · Population Based Health Care

Question 52 of 82

A 45-year-old married woman who works full time in a factory has recently been absent for 3-day periods on several occasions. Each time, she returned to work wearing dark glasses. Facial and body bruises were apparent. Her supervisor became suspicious that she was a victim of battering and referred her to the occupational health nurse. What should the nurse first focus on as she meets the patient?

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ATI RN · Population Based Health Care

Question 53 of 82

The daughter of an 84-year-old client with dementia tearfully tells the nurse that she doesn't know what's wrong with her mother, who has begun accusing the family of stealing her lingerie and holding her prisoner. The nurse assesses the client's stage of Alzheimer's disease as stage:

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ATI RN · Population Based Health Care

Question 54 of 82

After taking an antidepressant for about a week, a patient reports constipation and blurred vision, with no improvement in mood. The psychiatric-mental health nurse informs the patient,:

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ATI RN · Population Based Health Care

Question 55 of 82

Some eating habits that seem to contribute to the incidence of cardiovascular disease are

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ATI RN · Population Based Health Care

Question 56 of 82

The nurse who works in a sleep clinic knows that approximately __________% of adults experience some form of sleep disorder.

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ATI RN · Population Based Health Care

Question 57 of 82

According to Freud, an individual who experiences problems during the phallic stage of development may have a poorly developed superego. This construct is most relevant to planning care for a client who has the DSM-IV-TR diagnosis of:

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ATI RN · Population Based Health Care

Question 58 of 82

A woman with Alzheimer's disease has significant apraxia and poor hygiene. Which intervention would be most appropriate for ensuring that the patient completes a shower?

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ATI RN · Population Based Health Care

Question 59 of 82

A patient with schizophrenia tells the nurse, 'Everyone must listen to me. I am the redeemer. I will bring peace to the world.' From this the nurse can determine that an appropriate nursing diagnosis is:

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ATI RN · Population Based Health Care

Question 60 of 82

A 72-year-old patient has the medical diagnosis of delirium secondary to anticholinergic medication toxicity. Family members are very anxious and express their concerns about placing the patient in a nursing home. What information should serve as a basis for the nurse's reply?

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ATI RN · Population Based Health Care

Question 61 of 82

The nurse performs a functional assessment of a client upon admission to a home health agency. The purpose of this assessment is to determine the client's:

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ATI RN · Population Based Health Care

Question 62 of 82

Which of the following is classified as a mood disorder?

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ATI RN · Population Based Health Care

Question 63 of 82

A client with a borderline personality disorder tells the nurse, 'My doctor tells me there's something wrong with the hard wiring of my brain, and that's why I'm so impulsive and get so many mood swings. He said he's going to prescribe some medication.' Being aware of current practice guidelines, the nurse will prepare a teaching plan for:

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ATI RN · Population Based Health Care

Question 64 of 82

Many clients with eating disorders have difficulty translating their pain into words. Which approach may be used to promote getting in touch with feelings and greater self-disclosure?

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ATI RN · Population Based Health Care

Question 65 of 82

The population of Boston today is compared to its population after World War

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ATI RN · Population Based Health Care

Question 66 of 82

A patient who has been physically abused says, 'When I called the police, I just wanted my spouse to stop shoving me around and kicking me. I didn't want anyone to get in trouble. It's easy to get angry with me because I spend too much money.' Which nursing intervention would be most therapeutic for this patient?

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ATI RN · Population Based Health Care

Question 67 of 82

A nurse is working with a family with an elderly family member who is in the predisgnostic phase of Alzheimer disease. The most important nursing intervention at this time would be to provide:

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ATI RN · Population Based Health Care

Question 68 of 82

Which aspect of assessment has priority when a nurse interviews a rape victim?

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ATI RN · Population Based Health Care

Question 69 of 82

Which intervention is appropriate for a patient who has anorexia nervosa and is resisting weight gain?

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ATI RN · Population Based Health Care

Question 70 of 82

A nurse is working with a perpetrator of family violence who has a long history of violent rages when frustrated, with periods of remorse after each outburst. The nurse is most likely to establish the nursing diagnosis of:

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ATI RN · Population Based Health Care

Question 71 of 82

The federal act that establishes the standards of care for older adults is known as the Omnibus Budget Act.

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ATI RN · Population Based Health Care

Question 72 of 82

Which behavior is most characteristic of a patient with bulimia nervosa?

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ATI RN · Population Based Health Care

Question 73 of 82

A psychotic patient is delusional and has auditory hallucinations. The best statement to make when approaching the patient with an oral electronic thermometer would be:

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ATI RN · Population Based Health Care

Question 74 of 82

A client in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been feeling anxious. For what other condition should the nurse assess this client?

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ATI RN · Population Based Health Care

Question 75 of 82

A useful strategy for helping a patient with schizophrenia manage a potential relapse is to:

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ATI RN · Population Based Health Care

Question 76 of 82

What is the first intervention a nurse should take when assessing a patient with suspected anorexia nervosa?

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ATI RN · Population Based Health Care

Question 77 of 82

A community health nurse is working with a family in which an elderly woman was neglected by her son and his wife. The elderly woman insists on remaining with the young couple despite the threat of future neglect. Which intervention should be given highest priority?

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ATI RN · Population Based Health Care

Question 78 of 82

Which of the following should be considered in the assessment of oppositional behaviours in children?

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ATI RN · Population Based Health Care

Question 79 of 82

A patient was admitted to the mental health unit after arguing with co-workers and threatening to kill them. He is diagnosed with paranoid schizophrenia. On the unit he is aloof and suspicious. He mentioned that two physicians he saw talking were plotting to kill him. On the basis of data gathered at this point, which two primary nursing diagnoses should the nurse consider?

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ATI RN · Population Based Health Care

Question 80 of 82

False beliefs that are held even when the facts contradict them are called

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ATI RN · Population Based Health Care

Question 81 of 82

A client who was treated for anorexia nervosa is seen by the therapist for a follow-up visit 1 month after discharge from the hospital. Which statement indicates that the client has met the goal 'Demonstrate improvement in body image with more realistic view of body shape and size?'

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ATI RN · Population Based Health Care

Question 82 of 82

A mother discusses her concerns about genetic transmission of schizophrenia with the nurse saying, 'My son is a fraternal twin. He has been diagnosed with schizophrenia. Will my other son develop schizophrenia, too?' The response that is both sensitive and shows understanding of the genetic component is:

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