A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the client to do which of the following to prevent lithium toxicity?
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Question 2 of 90
Which of the following is a common side effect of opioid analgesics?
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Question 3 of 90
A client is prescribed sertraline (Zoloft). To guarantee a safe administration, the nurse would administer the dose:
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Question 4 of 90
Which term on an assessment form is broader?
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Question 5 of 90
Your male patient tells you that he has women throwing themselves at him everywhere he goes. The best nursing response to the patient is:
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Question 6 of 90
The nurse has completed the musculoskeletal examination of a patient's knee and has found a positive bulge sign. The nurse interprets this finding to indicate:
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Question 7 of 90
Lithium is most commonly used to treat which of the following disorders?
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Question 8 of 90
Which of the following is the most common reason for a patient to develop delirium?
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Question 9 of 90
A man who was found wandering in a park at 2 AM has been brought to the emergency department for an examination; he said he fell and hit his head. During the examination, the nurse asks him to use his index finger to touch the nurse's finger, then his own nose, then the nurse's finger again (which has been moved to a different location). The patient is clumsy, unable to follow the instructions, and overshoots the mark, missing the finger. The nurse should suspect which of the following?
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Question 10 of 90
A nurse can anticipate anticholinergic side effects will be likely when a patient is taking:
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Question 11 of 90
A nurse is caring for a patient who is recovering from surgery. Which of the following is the most appropriate intervention to prevent complications related to immobility?
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Question 12 of 90
A nurse is assessing a patient who is experiencing depression. Which of the following is a common symptom of depression?
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Question 13 of 90
Following withdrawal after extended heavy drinking over a number of years, the drinker may experience:
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Question 14 of 90
A nurse is caring for a patient who has recently been diagnosed with terminal cancer. Which intervention is most appropriate to address the patient's emotional needs?
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Question 15 of 90
Which theorist most influenced the professional practice of psychiatric nursing?
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Question 16 of 90
Your new patient admitted to the psychiatric unit is pacing and agitated. Which of the following is the most appropriate intervention?
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Question 17 of 90
Which of the following is an enzyme inducer?
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Question 18 of 90
Which of the following neurotransmitters is considered the chief inbibitory neurotransmitter?
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Question 19 of 90
A patient has fear as well as increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?
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Question 20 of 90
Which of the following drugs is a tricyclic antidepressant?
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Question 21 of 90
A 78-year-old man has a history of a cerebrovascular accident. The nurse notes that when he walks, his left arm is immobile against the body with flexion of the shoulder, elbow, wrist, and fingers and adduction of the shoulder. His left leg is stiff and extended and circumducts with each step. What type of gait disturbance is this individual experiencing?
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Question 22 of 90
A patient is suffering from shortness of breath. The correct goal statement would be written as:
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Question 23 of 90
When working with a female client experiencing a phobia about spiders, Nurse Toni should anticipate that a problem for this client would be:
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Question 24 of 90
Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention?
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Question 25 of 90
Your new patient is admitted after a suicide attempt. She states, 'Let me die, I don't deserve to live.' What is your best response?
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Question 26 of 90
What type of substance refers to any drug that a statute in question has designated it as such?
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Question 27 of 90
An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?
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Question 28 of 90
A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn to roll over. The nurse knows that the reason for this is:
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Question 29 of 90
A nurse is caring for a patient who is withdrawing from alcohol. Which of the following symptoms should the nurse monitor for?
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Question 30 of 90
The parent of an adolescent with schizophrenia asks a nurse, 'My child's doctor ordered a positron-emission tomography (PET) scan. What is that?' Select the nurse's best reply.
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Question 31 of 90
A nurse prepares to administer an antipsychotic medication to a patient with schizophrenia. Additional monitoring of the medication's effects and side effects will be most important if the patient is also diagnosed with which health problem? Select all that apply.
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Question 32 of 90
Obsessive-compulsive disorders are anxiety disorders and respond best to _________________.
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Question 33 of 90
Which action reflects therapeutic practices associated with operant conditioning?
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Question 34 of 90
The LPN/LVN is assisting with the data collection of a patient recently admitted to the mental health unit. During the interview, the patient makes a statement that concerns the nurse. Which of the following statements would be most likely to prompt immediate attention?
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Question 35 of 90
Which of the following mechanisms would you associate with an antago- nist drug action?
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Question 36 of 90
Which instruction has priority when teaching a patient about clozapine (Clozaril)?
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Question 37 of 90
What type of behavior modification is being used when the patient transforms into a relaxed state? (Documented by checking their heart rate and blood pressure.)
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Question 38 of 90
After your first conversation, Becky withdraws from you again before you've even really begun. Which statement will contribute most to establishing Becky's trust?
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Question 39 of 90
JS continues to argue with staff. He is not aggressive, but refuses all treatment. Legal and clients' rights are suspended when a client is hospitalized involuntarily.
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Question 40 of 90
Which is the odd one out?
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Question 41 of 90
Morgan is a third-year nursing student in her psychiatric clinical rotation. She is assigned to an 80-year-old widow admitted for major depressive disorder. The patient describes many losses and sadness. Morgan becomes teary and says meaningfully, 'I am so sorry for you.' Morgan's instructor overhears the conversation and says, 'I understand that getting tearful is a human response. Yet, sympathy isn't helpful in this field.' The instructor urges Morgan to focus on:
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Question 42 of 90
Which of the following EEG patterns is rarely seen in normal patients and has a high specificity for temporal lobe epilepsy?
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Question 43 of 90
The category of drugs that receives the highest regulation by the federal Controlled Substances Act are Schedule ________ drugs.
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Question 44 of 90
Which of the following seizure/epilepsy subtypes appears to respond best to deep brain stimulation techniques?
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Question 45 of 90
What principle about nurse-patient communication should guide a nurse's fear about 'saying the wrong thing' to a patient?
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Question 46 of 90
Which situations demonstrate liable behavior on the part of the staff? Select all that apply.
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Question 47 of 90
Decreased levels of dopamine in which pathway is responsible for negative symptoms of schizophrenia?
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Question 48 of 90
The World Health Organization describes health as 'a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity.' Which statement is true in regards to overall health? Select all that apply.
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Question 49 of 90
The area of the nervous system that is responsible for mediating reflexes is the:
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Question 50 of 90
A patient's history shows drinking 4 to 6 liters of fluid and eating more than 6,000 calories per day. Which part of the central nervous system is most likely dysfunctional for this patient?
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Question 51 of 90
Local community drug prevention schemes have used which of the following?
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Question 52 of 90
Acupuncture is a traditional Chinese medical treatment based on the belief that
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Question 53 of 90
The nurse places a key in the hand of a patient and he identifies it as a penny. What term would the nurse use to describe this finding?
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Question 54 of 90
A Gulf War veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since ACT provides:
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Question 55 of 90
The therapeutic action of monoamine oxidase inhibitors (MAOIs) blocks neurotransmitter reuptake, causing:
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Question 56 of 90
Which of the following medications is most likely to be associated with interictal spikes or epileptiform abnormalities on EEG?
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Question 57 of 90
A 35-year-old man with abnormal behavior has been diagnosed with schizophrenia. In schizophrenia, Clozapine is more effective than haloperidol against:
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Question 58 of 90
The nurse should use which test to check for large amounts of fluid around the patella?
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Question 59 of 90
A woman who has had rheumatoid arthritis for years is starting to notice that her fingers are drifting to the side. The nurse knows that this condition is commonly referred to as:
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Question 60 of 90
When planning care for a patient who is suicidal, the nurse knows:
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Question 61 of 90
During an assessment interview, a patient diagnosed with inflammatory bowel disease accompanied by frequent episodes of diarrhea says, "I've been using probiotics in small doses for about a week.†When the nurse assesses mental status, expected findings would be
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Question 62 of 90
Important teaching for a client receiving risperidone (Risperdal) would include advising the client to:
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Question 63 of 90
A patient recovering from a stroke has trouble with speech comprehension and works with a speech therapist twice a week. Which part of the patient's brain has been affected by the stroke?
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Question 64 of 90
A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient's adult son died in a car accident last month, the nurse suspects:
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Question 65 of 90
Your depressed patient who is taking a tricyclic antidepressant is advised of possible anticholinergic side effects. Which of the following is NOT an anticholinergic side effect?
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Question 66 of 90
A patient is expressing anger when the nurse attempts to make him take a medication that he is refusing. If the nurse pushes to give the medication against his will, the nurse is:
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Question 67 of 90
Which statement made by either the nurse or the patient demonstrates an ineffective patient-nurse relationship?
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Question 68 of 90
The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?
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Question 69 of 90
What part of a neuron receives the signal?
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Question 70 of 90
The articulation of the mandible and the temporal bone is known as the:
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Question 71 of 90
The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?
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Question 72 of 90
Amotivational syndrome in cannabis users suggests that those who use cannabis regularly are more likely to:
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Question 73 of 90
Hugo is 21 and diagnosed with schizophrenia. His history includes significant turmoil as child and adolescent. Hugo reports his father was abusive and routinely beat him, all of his siblings, and his mother. Hugo's early exposure to stress most likely:
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Question 74 of 90
During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?
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Question 75 of 90
Noah has made it clear he doesn't want to talk about his dad. But the truth is, as the interview proceeds, he becomes anxious and tries to evade all questions about why he is here. Which type of communication might be most appropriate right now?
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Question 76 of 90
When it comes to a drug's 'safety ratio' the bigger the ratio the, ________ drug.
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Question 77 of 90
A patient tells the nurse, "I prefer to treat my physical problems with herbs and vitamins.
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Question 78 of 90
A 40-year-old woman is admitted to an epilepsy monitoring unit for evaluation of paroxysmal episodes of neurologic dysfunction. Her episodes involve nonrhythmic shaking of both arms and pelvic thrusting without EEG correlation; psychogenic nonepileptic events are diagnosed. Which of the following characteristics is most associated with a good outcome (ie, resolution of episodes)?
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Question 79 of 90
Which intervention demonstrates the nurse's understanding of the importance of family involvement in patient care?
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Question 80 of 90
A nurse is caring for a patient with anorexia nervosa. Which of the following behaviors would indicate that the patient may be at risk for refeeding syndrome?
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Question 81 of 90
Which of the following antidepressants is a tricyclic?
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Question 82 of 90
The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable?
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Question 83 of 90
________ waves are to wakefulness as ________ waves are to deep sleep.
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Question 84 of 90
The Controlled Substances Act, among other provisions, established five categories of controlled substances, also referred to as:
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Question 85 of 90
Antabuse or disulfiram affects the metabolism of alcohol so that the normal process of converting toxic alcohol products into non-toxic acetic acids is slowed. Which of the following are problems associated with Antabuse?
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Question 86 of 90
People who have borderline personality disorders:
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Question 87 of 90
A nurse is caring for a patient who is experiencing an anxiety attack. Which of the following is an appropriate intervention?
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Question 88 of 90
Which nursing interventions best demonstrate an understanding of the Quality and Safety Education in Nursing (QSEN) competences? Select all that apply.
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Question 89 of 90
What is the contraindication for ziprasidone?
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Question 90 of 90
To test for gross motor skill and coordination of a 6-year-old child, which of these techniques would be appropriate? Ask the child to:
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