A 76-year-old patient who is determined to be a poor 2D6 metabolizer is being prescribed vortioxetine for his depression. What does the PMHNP need to remember when prescribing this drug?
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Question 2 of 91
What is a liquid obtained by fermentation of carbohydrates by yeast or by distillation?
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Question 3 of 91
The nurse is examining a 2-month-old infant and notices asymmetry of the infant's gluteal folds. The nurse should assess for other signs of what disorder?
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Question 4 of 91
In addition to a risk of major congenital malformations, which antiepileptic drug is also associated with an elevated risk of autism spectrum disorders and lower IQ at age 6?
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Question 5 of 91
Which statement about the process of grief is most accurate?
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Question 6 of 91
Using Dell'Osso et al.'s sequential framework of priorities to promote medication adherence, determine which step is being defined
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Question 7 of 91
The Supreme Court views forfeiture of property as punishment and applies which clause of the Eighth Amendment?
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Question 8 of 91
Which of the following is a priority intervention for a patient who is experiencing an acute manic episode?
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Question 9 of 91
Drug-prevention schemes targeting young people and their parents who may be specifically at risk provide:
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Question 10 of 91
Fluoxetine and sertraline are what type of medication?
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Question 11 of 91
Suicide is most likely to occur:
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Question 12 of 91
The best approach a nurse can use to gain information relating to a patient's potential for suicide is to ask:
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Question 13 of 91
Which statement concerning the areas of the brain is true?
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Question 14 of 91
During an assessment of a 32-year-old patient with a recent head injury, the nurse notices that the patient responds to pain by extending, adducting, and internally rotating his arms. His palms pronate, and his lower extremities extend with plantar flexion. Which statement concerning these findings is most accurate? This patient's response:
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Question 15 of 91
Which second-generation antipsychotic requires routine absolute neutrophil count monitoring?
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Question 16 of 91
From birth to adulthood, the amount of sleep we need per night:
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Question 17 of 91
Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse do?
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Question 18 of 91
An overactive mesolimbic pathway will result in
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Question 19 of 91
When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations?
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Question 20 of 91
Which patient would most likely benefit from taking St. John's wort? A patient with
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Question 21 of 91
Which hormone helps us fall asleep?
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Question 22 of 91
In biological treatments of substance abuse, an example of a user being weaned onto a weaker substance would be which of the following?
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Question 23 of 91
The nurse is reviewing a patient's medical record and notes that he is in a coma. Using the Glasgow Coma Scale, which number indicates that the patient is in a coma?
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Question 24 of 91
A nurse is working with a patient who has a history of chronic pain. Which of the following interventions would be most appropriate for managing the patient's pain?
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Question 25 of 91
Your patient with major depression sits in her room for hours staring out the window. Which of the following would be the most appropriate intervention?
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Question 26 of 91
Denise is brought by ambulance to the emergency room with agitation related to an overdose of prescribed antipsychotic medication. Initially the most important piece of information the charge nurse should obtain is:
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Question 27 of 91
Which of the following clinical factors is most predictive of cognitive decline after epilepsy surgery?
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Question 28 of 91
A patient says, “I have taken mega doses of vitamins for 3 months to improve my circulation, but I think I feel worse.†Which action should the nurse take first?
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Question 29 of 91
When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics?
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Question 30 of 91
________ behavior is to unconscious as ________ behavior is to conscious.
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Question 31 of 91
An increase of which neurotransmitter can result in hallucinations and/or psychosis?
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Question 32 of 91
Your male patient tells you that he has women throwing themselves at him everywhere he goes. From this statement, what is the most likely personality disorder he is exhibiting?
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Question 33 of 91
As you begin working with her, you notice Ms. V has an uncanny resemblance to your younger sister. As a child, this sister lied and criticized you constantly, then screamed and cried to others if you challenged her. You realize that you are responding negatively to this patient. What's going on here?
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Question 34 of 91
A patient begins therapy with a phenothiazine medication. What teaching should a nurse provide related to the drug's strong dopaminergic effect?
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Question 35 of 91
Damage to the anterior portion of which lobe can cause asterogenesis?
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Question 36 of 91
A nurse can anticipate anticholinergic side effects are likely when a patient takes:
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Question 37 of 91
The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork, the nurse notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patellae. Given this information, what would the nurse suspect?
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Question 38 of 91
A nurse is giving discharge instructions to a client who will be taking phenobarbital (Luminal). The nurse would educate the client on which of the following safety precautions?
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Question 39 of 91
A nurse cares for four patients who are receiving clozapine lithium fluoxetine and venlafaxine respectively. With which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance?
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Question 40 of 91
A nurse is caring for a patient who has been diagnosed with post-traumatic stress disorder (PTSD). Which of the following is an appropriate intervention?
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Question 41 of 91
A 27-year-old woman with longstanding complex partial seizures, well controlled on monotherapy with carbamazepine, is seen in the first trimester of pregnancy. She is concerned about seizures becoming more frequent during pregnancy. Which of the following is the most appropriate counseling of this patient regarding her pregnancy and seizure recurrence?
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Question 42 of 91
A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision, and ringing in the ears. The lithium level is 2 mEq/L. The nurse interprets this value as:
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Question 43 of 91
A patient who is diagnosed with narcissistic personality disorder is constantly using the call light or following the nursing staff into other patients' rooms to ask, 'Are you sure I look good? You know they can't get along without me at work. When can I leave here?' As the nurse caring for this patient, one of your goals for the patient will include all of the following except:
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Question 44 of 91
For which patient would it be most important for the nurse to urge immediate discontinuation of kava? A patient with a comorbid diagnosis of
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Question 45 of 91
Which of the following is an enzyme inhibitor?
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Question 46 of 91
Which individual may need involuntary hospitalization?
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Question 47 of 91
To establish an open and trusting relationship with a male patient who is in the hospital with severe anxiety, which response by the charge nurse is best?
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Question 48 of 91
Approximately what percentage of patients with epilepsy will become seizure free on the initial antiepileptic drug regimen?
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Question 49 of 91
In the UK, a male 'hazardous drinker' would consume how many drinks on a typical drinking day?
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Question 50 of 91
Which statement about mental illness is true?
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Question 51 of 91
A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. His family reports that for the past 2 months he has been in constant motion, sleeping very little, spending lots of money, and has been full of ideas. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?
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Question 52 of 91
Which goal should be addressed initially when providing care for 10-year-old Harper who is diagnosed with post-traumatic stress disorder (PTSD)?
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Question 53 of 91
Which of the following is TRUE in the stage of fight or flight of the general adaptation syndrome?
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Question 54 of 91
The National Institute on Drug Abuse (NIDA) describes _________ as a major public health problem.
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Question 55 of 91
A client with depression who has been taking amitriptyline for three months returns to the clinic for a follow-up. The nurse observes the client for which symptom?
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Question 56 of 91
A nurse is caring for a patient who has been prescribed an antidepressant medication. Which of the following is an appropriate intervention?
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Question 57 of 91
The nurse caring for a client administers sertraline (Zoloft) for which of the following disorders?
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Question 58 of 91
A long-term user of cocaine may well develop symptoms of other psychological disorders, such as:
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Question 59 of 91
A nurse administering psychotropic medications should be prepared to intervene when giving a drug that blocks the attachment of norepinephrine to alpha1 receptors because the patient may experience:
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Question 60 of 91
During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply.
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Question 61 of 91
A nurse is working with a patient who is struggling with obsessive-compulsive disorder (OCD). Which of the following interventions is most appropriate?
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Question 62 of 91
Which behavior from Noah would be considered a double-bind message?
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Question 63 of 91
A young child is found wandering alone at a mall. A male store employee approaches and asks where her parents are. She responds, 'I don't know. Maybe you will take me home with you?' This sort of response in children may be due to:
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Question 64 of 91
Your patient takes tranylcypromine for depression. Which of the following is most likely to indicate dietary restrictions have not been followed?
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Question 65 of 91
A patient has been diagnosed with osteoporosis and asks the nurse, 'What is osteoporosis?' The nurse explains that osteoporosis is defined as:
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Question 66 of 91
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week. The nurse should perform which type of neurologic examination?
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Question 67 of 91
Amadi is a 40-year-old African national being treated in a psychiatric outpatient setting due to a court order. Amadi's medical record is limited in scope, so where can Renata, his registered nurse, obtain more data on Amadi's condition within legal parameters? Select all that apply.
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Question 68 of 91
You notice that you look forward to talking to Becky because her dark sense of humor reminds you of your best friend in high school. You also begin to make little cynical jokes, hoping to have a good laugh together. What is this relationship showing early signs of?
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Question 69 of 91
Which of the following antiepileptic drug combinations is most likely to result in symptoms of diplopia and dizziness?
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Question 70 of 91
A 68-year-old woman has come in for an assessment of her rheumatoid arthritis, and the nurse notices raised, firm, nontender nodules at the olecranon bursa and along the ulna. These nodules are most commonly diagnosed as:
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Question 71 of 91
A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?
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Question 72 of 91
A nurse is working with a patient who adheres to an alternative medicine practice that contradicts traditional medical treatments. The best approach for the nurse to take is:
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Question 73 of 91
A newly divorced 36-year-old mother of three has difficulty sleeping. When she shares this information to her gynecologist, she suggests which of the following services as appropriate for her patient's needs?
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Question 74 of 91
Which would be the most likely diagnosis for this patient?
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Question 75 of 91
A nurse is working with a patient who has been diagnosed with borderline personality disorder. Which of the following is a priority goal in treating this patient?
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Question 76 of 91
A 21-year-old patient has a head injury resulting from trauma and is unconscious. There are no other injuries. During the assessment what would the nurse expect to find when testing the patient's deep tendon reflexes?
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Question 77 of 91
Ling has a nursing diagnosis of risk for other-directed violence. Ling's Eastern culture family is having difficulty coping with the illness due to their beliefs. A favorable therapeutic modality for this patient might include:
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Question 78 of 91
While assessing a 7-month-old infant, the nurse makes a loud noise and notices the following response: abduction and flexion of the arms and legs; fanning of the fingers, and curling of the index finger and thumb in a C position, followed by the infant bringing in the arms and legs to the body. What does the nurse know about this response?
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Question 79 of 91
Your bipolar patient approaches you and says, 'I will be running this hospital someday. I know I can change everything.' What is the best intervention?
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Question 80 of 91
A nurse is caring for a patient who is being treated for chronic pain. Which of the following interventions is most appropriate for managing the patient's pain?
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Question 81 of 91
A nurse should assess a patient taking a medication with anticholinergic properties for inhibited function of the:
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Question 82 of 91
A patient asks a nurse, 'What are neurotransmitters? My doctor says mine are out of balance.' The best reply would be:
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Question 83 of 91
An 80-year-old woman is visiting the clinic for a checkup. She states, 'I can't walk as much as I used to.' The nurse is observing for motor dysfunction in her hip and should ask her to:
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Question 84 of 91
When considering facility admissions for mental healthcare, what characteristic is unique to a voluntary admission?
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Question 85 of 91
Which intervention demonstrates a nurse's understanding of the initial action associated with the assessment of a patient's spiritual beliefs?
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Question 86 of 91
A male patient frequently inquires about the female student nurse's boyfriend, social activities, and school experiences. Which is the best initial response by the student?
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Question 87 of 91
A patient with a long history of hypertension and diabetes now develops confusion. The health care provider wants to make a differential diagnosis between Alzheimer's disease and multiple infarcts. Which diagnostic procedure should the nurse expect to prepare the patient for first?
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Question 88 of 91
Your depressed patient is starting a new medication called phenelzine (Nardil). Which teaching would be most important to emphasize?
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Question 89 of 91
For a student to avoid a data collection error, the student should:
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Question 90 of 91
Jackson has suffered from migraine headaches all of his life. Fatima, his nurse practitioner, suspects muscle tension as a trigger for his headaches. Fatima teaches him a technique that promotes relaxation by using:
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Question 91 of 91
The nurse notices that a woman in an exercise class is unable to jump rope. The nurse is aware that to jump rope, one's shoulder has to be capable of:
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