Target Healthcare · NurseQuizzes

ATI RN · Target Healthcare

Question 1 of 80

The following descriptions of a client's experience and behavior can be assessed as an illusion.

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ATI RN · Target Healthcare

Question 2 of 80

The nurse who works in a sleep clinic knows that approximately ______% of adults suffer from insomnia.

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ATI RN · Target Healthcare

Question 3 of 80

A 70-year-old woman is beginning to notice mild memory impairment. She fears she is developing dementia. What is the most likely cause of her memory impairment?

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ATI RN · Target Healthcare

Question 4 of 80

Which of the following is an example of an intellectual disability?

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ATI RN · Target Healthcare

Question 5 of 80

The medication donepezil (Aricept) frequently is used to treat the early-stage symptoms of Alzheimer's disease. When administering this particular medication, the nurse should be especially alert to assess the client for:

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ATI RN · Target Healthcare

Question 6 of 80

A 25-year-old individual was brought by ambulance to the emergency room. The patient's sensorium alternates between clouded and clear, and the patient becomes agitated both physically and verbally when approached. The patient's roommate states that the patient "was fine after getting up this morning but started talking crazy about 3 hours ago."Â The patient's cognitive impairment is most consistent with:

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ATI RN · Target Healthcare

Question 7 of 80

The nurse is working with a patient diagnosed with bulimia nervosa. Which assessment is most important?

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ATI RN · Target Healthcare

Question 8 of 80

Early manifestation of symptoms such as severe impairment in social interaction and in communication can be diagnosed as which of the following?

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ATI RN · Target Healthcare

Question 9 of 80

A client displays disorganized thinking, difficult-to-follow speech, and silly, inappropriate affect. The client isolates himself from other clients and staff, ignores unit activities, and often seems to be listening and responding to unseen stimuli. This client's behavior most closely conforms to the characteristic behavior of:

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ATI RN · Target Healthcare

Question 10 of 80

The physician prescribes haloperidol (Haldol), a first-generation antipsychotic drug, for a patient with schizophrenia who displays delusions, hallucinations, apathy, and social isolation. Which symptoms should most be monitored to evaluate the expected improvement from this medication?

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ATI RN · Target Healthcare

Question 11 of 80

A nursing colleague says, 'This patient was admitted claiming to have been raped by her boyfriend, but just look at the sexy clothes she's wearing.' Which response reflects an understanding of the most likely source of the colleague's comment?

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ATI RN · Target Healthcare

Question 12 of 80

A client who is diagnosed with schizoid personality disorder is isolative, does not speak to her peers, and sits through the community meeting without speaking. Her mother describes her as shy and having few friends. Which would be an appropriate nursing diagnosis for this client?

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ATI RN · Target Healthcare

Question 13 of 80

A client diagnosed with Alzheimer's disease has a catastrophic reaction during an activity involving simultaneous playing of music and working on a craft project. The client starts shouting 'no, no, no' and rushes out of the room. The nurse should:

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ATI RN · Target Healthcare

Question 14 of 80

The sibling of a patient who was diagnosed with a serious mental illness asks why a case manager has been assigned. The nurses reply should cite the major advantage of the use of case management as:

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ATI RN · Target Healthcare

Question 15 of 80

The nurse is administering donepezil (Aricept) to a client with stage 1 Alzheimer's disease. Based on this drug's mechanism of action, the nurse will seek evidence of improvement in the client's:

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ATI RN · Target Healthcare

Question 16 of 80

When planning inpatient psychotherapeutic activities for a patient who has antisocial personality disorder, the psychiatric-mental health nurse:

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ATI RN · Target Healthcare

Question 17 of 80

Which statement best describes postpartum blues?

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ATI RN · Target Healthcare

Question 18 of 80

A client tells the nurse, 'I hear people whispering about me. When I'm in the day room and they do that, I want to punch them.' The information the nurse should give to staff in report consists of which of the following?

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ATI RN · Target Healthcare

Question 19 of 80

What behavior signals that a nurse caring for a patient with bulimia nervosa is experiencing rescue feelings? The nurse:

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ATI RN · Target Healthcare

Question 20 of 80

Which statement by a patient with an eating disorder reflects a correct understanding of the condition?

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ATI RN · Target Healthcare

Question 21 of 80

An 85-year-old has difficulty walking after a knee replacement. The patient tells the nurse, 'It's awful to be old. Every day is a struggle. No one cares about old people.' Select the nurse's best response.

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ATI RN · Target Healthcare

Question 22 of 80

A nurse is providing education to a patient with anorexia nervosa. Which of the following statements indicates a need for further education?

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ATI RN · Target Healthcare

Question 23 of 80

A major difference in assessment findings between a patient with anorexia nervosa and a patient with bulimia nervosa is the patient with bulimia:

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ATI RN · Target Healthcare

Question 24 of 80

An 82-year-old widow with Alzheimer's disease lives with her daughter's family, which owns a catering business. During the week, the patient attends a daycare center for patients. During the evenings, members of the family care for the patient. One day, the nurse at the daycare center notices the patient's appearance is disheveled and that she has bruises on her wrists and back when escorted to the bathroom. What most likely explains the nurse's observations?

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ATI RN · Target Healthcare

Question 25 of 80

A patient was admitted in a semistuporous catatonic state. Family states that the patient has neither left the apartment nor attended to personal hygiene for several weeks. The patient's last 48 hours have been spent lying in bed, mute and motionless. The nursing diagnosis that should be considered the priority is:

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ATI RN · Target Healthcare

Question 26 of 80

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.' These comments can best be assessed as:

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ATI RN · Target Healthcare

Question 27 of 80

A core feature of all abnormal behavior is that it is

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ATI RN · Target Healthcare

Question 28 of 80

A child, age 9, is being evaluated in the Emergency Department at the hospital. Her mother is with her and describes her as withdrawn and quiet. The nurse practitioner suspects child abuse. Which of these findings indicates that physical abuse may be a chronic problem for the child?

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ATI RN · Target Healthcare

Question 29 of 80

A new client admits to having been battered by her live-in boyfriend several times over the past 2 years. She states to the nurse, 'We plan to get married next June, and I think things will be better then. He is always so sorry afterward, that I think I can trust him to change.' Which intervention should be included in the client's teaching plan?

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ATI RN · Target Healthcare

Question 30 of 80

The male manager of a health club placed a hidden video camera in the women's locker room and recorded several women as they showered and dressed. The disorder most likely represented by this behavior is

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ATI RN · Target Healthcare

Question 31 of 80

Retreat from reality by hallucinations and delusions and by social withdrawal typically characterizes

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ATI RN · Target Healthcare

Question 32 of 80

What is an appropriate goal for a nurse working with a patient with anorexia nervosa?

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ATI RN · Target Healthcare

Question 33 of 80

What is the most appropriate intervention for a patient with bulimia nervosa who is refusing to eat?

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ATI RN · Target Healthcare

Question 34 of 80

An acutely psychotic individual diagnosed with schizophreniaform disorder at admission is immediately placed on daily doses of risperidone. A hospitalization of 8 days' duration has been authorized by the HMO. By what hospital day would the nurse expect to note that client was demonstrating beginning trust in the nurse and reduction in hallucinations and delusions?

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ATI RN · Target Healthcare

Question 35 of 80

Behavioral problems in which the person exhibits symptoms suggesting physical disease or injury, but for which there is no identifiable cause, are called

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ATI RN · Target Healthcare

Question 36 of 80

In DSM-IV-TR intellectual disabilities are divided into a number of degrees of severity, depending primarily on the range of IQ score provided by the sufferer. One of these is Severe Mental Retardation, represented by an IQ score between:

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ATI RN · Target Healthcare

Question 37 of 80

Schizophrenia in children as young as 5 years:

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ATI RN · Target Healthcare

Question 38 of 80

A rape victim tells the emergency room nurse, "I feel so dirty. Help me take a shower before the doctor examines me."Â The nurse should:

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ATI RN · Target Healthcare

Question 39 of 80

A patient with bipolar disorder has rapid cycles. To prepare teaching materials, the nurse anticipates which medication will be prescribed?

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ATI RN · Target Healthcare

Question 40 of 80

A newly admitted elderly client seems to become confused and agitated every evening after dinner. This client most likely is suffering from:

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ATI RN · Target Healthcare

Question 41 of 80

While the nurse at the personality disorders clinic is interviewing a patient, the patient constantly scans the environment and frequently interrupts to ask what the nurse means by certain words or phrases. The nurse notes that the patient is very sensitive to the nurse's nonverbal behavior. His responses are often argumentative, sarcastic, and hostile. He suggests that he is being hospitalized 'so they can exploit me.' The patient's behaviors are most consistent with the clinical picture of:

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ATI RN · Target Healthcare

Question 42 of 80

A depressed patient is receiving imipramine (Tofranil) 300 mg daily. Which side effect requires seeking medical attention?

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ATI RN · Target Healthcare

Question 43 of 80

A women who is 16 weeks pregnant presents with symptoms suggestive of a urinary tract infection. Which one of the following is correct?

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ATI RN · Target Healthcare

Question 44 of 80

Disorders related to abnormal functioning of the sleep-wake cycle or timing mechanisms of the body are called:

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ATI RN · Target Healthcare

Question 45 of 80

Which is a key nursing consideration when planning care for a patient with bulimia nervosa?

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ATI RN · Target Healthcare

Question 46 of 80

A patient with schizophrenia begins to talk about creatures called 'volmers' hiding in the warehouse where he works and undoing his work each night. The term 'volmers' most likely represents:

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ATI RN · Target Healthcare

Question 47 of 80

For patients diagnosed with serious mental illness, what is the major advantage of case management?

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ATI RN · Target Healthcare

Question 48 of 80

A patient, aged 77 years, has Alzheimer's disease and lives with her daughter. While checking her blood pressure at the clinic, the nurse noticed fresh bruises on the patient's palms and buttocks. The patient could not explain these bruises. The nurse discussed her observations with the daughter, who became defensive and said that her mother was very difficult to manage. She stated, "My mother is getting worse every week. She is not my mother anymore. She can't recognize me, and she wanders all night. We take turns because she has to be watched constantly. Last night I fell asleep, and she fell down the stairs while wandering."Â Which statement is most accurate?

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ATI RN · Target Healthcare

Question 49 of 80

A client frequently impulsively acts out suicidal impulses, including grabbing the coffee jar to smash it and attempting to hang herself with her bra. The nurse would view the client's behaviors as most consistent with:

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ATI RN · Target Healthcare

Question 50 of 80

A client tried to gouge out his eye in response to auditory hallucinations commanding, 'If thine eye offend thee, pluck it out.' The nurse would analyze this behavior as indicating:

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ATI RN · Target Healthcare

Question 51 of 80

The nurse is caring for a patient with anorexia nervosa. Which intervention is a priority?

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ATI RN · Target Healthcare

Question 52 of 80

During a treatment team meeting, the point is made that a client with schizophrenia has recovered from the acute psychosis but continues to demonstrate apathy, avolition, and blunted affect. The nurse who relates these symptoms to serotonin (SHT2) excess will suggest that the client receive:

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ATI RN · Target Healthcare

Question 53 of 80

The home care nurse assessed a client with a history of dementia who had a herniorrhaphy at an ambulatory surgical center the previous day. The client lives in a senior living facility. The client thinks he is in the army and that it is 1945. The nurse should:

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ATI RN · Target Healthcare

Question 54 of 80

A patient with bulimia nervosa expresses that they feel better after purging. How should the nurse respond?

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ATI RN · Target Healthcare

Question 55 of 80

Which expectation should be considered most critical prior to discharging a client with anorexia nervosa from the hospital?

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ATI RN · Target Healthcare

Question 56 of 80

A newly admitted patient with schizophrenia approaches the unit nurse and says, 'The voices are bothering me. They are yelling and telling me stuff. They are really bad.' Which response by the nurse would be most appropriate?

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ATI RN · Target Healthcare

Question 57 of 80

A nurse observes a patient who is sitting alone in a room put hands over both ears and vigorously shake her head as though saying, 'No.' Later the patient cries and mutters, 'You don't know what you're talking about! Leave me alone.' What assessment should the nurse attempt to validate?

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ATI RN · Target Healthcare

Question 58 of 80

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 the patient's condition. What information should serve as the basis for the nurse's reply?

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ATI RN · Target Healthcare

Question 59 of 80

A nurse and social worker co-lead a reminiscence group for eight young-old adults. Which activity is most appropriate to include in the group?

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ATI RN · Target Healthcare

Question 60 of 80

What should the nurse focus on when planning care for a patient with anorexia nervosa?

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ATI RN · Target Healthcare

Question 61 of 80

A patient admitted to the eating disorders unit has yellow skin, the extremities are cold, and the heart rate is 42 bpm. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient is quiet during the assessment saying only, "I will not eat until I lose enough weight to look thin."Â Select the best initial nursing diagnosis.

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ATI RN · Target Healthcare

Question 62 of 80

During occupational therapy a young patient diagnosed with schizophrenia sits staring at a piece of paper. Which response is most therapeutic at this time?

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ATI RN · Target Healthcare

Question 63 of 80

When making a distinction as to whether an elderly patient has confusion related to delirium or another problem, what information would be of particular value?

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ATI RN · Target Healthcare

Question 64 of 80

A nurse caring for a patient with Alzheimer disease can anticipate that the family will most likely need information about:

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ATI RN · Target Healthcare

Question 65 of 80

When a person's sexual identity does not match his or her physical gender, the diagnosis is

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ATI RN · Target Healthcare

Question 66 of 80

A 15-year-old boy presents with fatigue to the clinic. He reports that he is unable to wake up in the mornings and is missing a lot of school. On further questioning he reveals that he has some thoughts of suicide, but requests that the information be withheld from his parent who is in the waiting room. On examination he is noted to be obese with acanthosis. The next best step is to ensure his safety is:

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ATI RN · Target Healthcare

Question 67 of 80

Which symptom reported by a client, age 35, who was sexually abused as a child reflects the diagnosis of posttraumatic stress disorder (PTSD)?

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ATI RN · Target Healthcare

Question 68 of 80

Select the best comment for a nurse to begin an interview with an elderly patient.

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ATI RN · Target Healthcare

Question 69 of 80

Which regions have the lowest rates of death due to poor air quality?

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ATI RN · Target Healthcare

Question 70 of 80

A client with anorexia nervosa engages in manipulative behavior. She tells the nurse, 'I can't get weighed this morning, because I drank a glass of juice a few minutes before breakfast.' The best approach by the nurse would be:

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ATI RN · Target Healthcare

Question 71 of 80

When told that he is scheduled to interview a patient with narcissistic personality disorder, the nurse can anticipate the assessment findings will include the following:

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ATI RN · Target Healthcare

Question 72 of 80

A student nurse visiting a senior center says, 'It's depressing to see these old people. They are weak and frail. I doubt any of them can engage in a discussion.' The student is expressing

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ATI RN · Target Healthcare

Question 73 of 80

Which of the following is true regarding the management of oppositional behaviours in children?

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ATI RN · Target Healthcare

Question 74 of 80

Which nursing diagnosis is a priority for both a patient with depression and one with acute mania?

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ATI RN · Target Healthcare

Question 75 of 80

A 17-year-old patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to:

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ATI RN · Target Healthcare

Question 76 of 80

A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the emergency department after taking an overdose of sedatives. He tells the nurse, 'Sure I overbilled. Why not? Everybody takes advantage of the government. They have too many rules. No one can abide by all of them.' These statements can be assessed as showing:

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ATI RN · Target Healthcare

Question 77 of 80

How does emotional regulation relate to mental development?

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ATI RN · Target Healthcare

Question 78 of 80

A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. The home is cluttered and dirty. When asked about his parents, the child reluctantly reveals that he thinks his father does not like him very much because he calls him 'stupid' and says he can never do anything right. This should be assessed as:

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ATI RN · Target Healthcare

Question 79 of 80

To cope with the devastating effects of schizophrenia and other serious mental illnesses, family members or significant others and clients will benefit most from:

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ATI RN · Target Healthcare

Question 80 of 80

Suzanne is a 10-year-old girl who has been diagnosed as experiencing depression. What is likely to be the most effective way to help Suzanne express her feelings?

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