Why would a nurse establish goals for a client diagnosed with ADHD that allow the client to complete part of the task, rewarding each step completion with a break for physical activity?
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Question 2 of 100
In the OR, the nursing tandem for every surgery is:
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Question 3 of 100
The nurse is preparing to assess the client's attitude toward mental illness. Rank these steps in priority order for effectiveness of the interaction. 1. The nurse offers educational resources. 2. The nurse examines their own beliefs. 3. The nurse plans to use open-ended questions during the interaction. 4. The nurse explores the client's cultural values without judgment.
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Question 4 of 100
The sibling of an Asian American patient tells the nurse, "My sister needs help for pain. She cries from the hurt." Which understanding by the nurse will contribute to culturally competent care for this patient? Persons of an Asian American heritage
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Question 5 of 100
For a client with Graves' disease, which nursing intervention promotes comfort?
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Question 6 of 100
Which of the following is a neuromodulator?
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Question 7 of 100
A nurse leads a psychoeducational group for patients in the community diagnosed with schizophrenia. A realistic outcome for group members is that they will:
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Question 8 of 100
In response to the nurse's statement, 'Tell me about your family,' the patient became silent and displayed nonverbally that he is uncomfortable. Which statement by the nurse reflects sensitivity to the patient?
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Question 9 of 100
The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as:
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Question 10 of 100
A patient with bipolar disorder takes lithium 300 mg three times daily. The nurse evaluates that the dose is appropriate when the patient reports
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Question 11 of 100
A patient with bipolar disorder is pacing constantly today, while other clients are having a birthday party. There is music, noise, food. The patient walks over to the table and takes handfuls of cake to eat as he paces up and down the hall, the nurse best response to patient's behavior would be to:
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Question 12 of 100
A novice nurse who will be assessing a patient after electroconvulsive therapy (ECT) asks her mentor, 'What sort of memory impairment is present after several ECT treatments?' The best response for the mentor would be:
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Question 13 of 100
A patient who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?
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Question 14 of 100
What would the nurse most expect to observe in a client with impulsive behavior?
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Question 15 of 100
The sterile nurse or sterile personnel touch only sterile supplies and instruments. When there is a need for sterile supply which is not in the sterile field, who hands out these items by opening its outer cover?
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Question 16 of 100
Jomari is diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?
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Question 17 of 100
Lydia undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction?
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Question 18 of 100
A patient nervously says, Financial problems are stressing my marriage. Ive heard rumors about cutbacks at work; I am afraid I might get laid off. The patients pulse is 112/minute; respirations are 26/minute; and blood pressure is 166/88. Which nursing intervention will the nurse implement?
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Question 19 of 100
A patient tells the nurse, I will never be happy until Im as successful as my older sister. The nurse asks the patient to reassess this statement and reframe it. Which reframed statement by the patient is most likely to promote coping?
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Question 20 of 100
Nurse Maureen is talking to a male client, the client begins choking on his lunch. He's coughing forcefully. The nurse should:
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Question 21 of 100
You will give health instructions to Carlo, a case of bronchial asthma. The health instruction will include the following, EXCEPT:
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Question 22 of 100
Cognitive Development is the central thesis of the theorist
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Question 23 of 100
Marichu was given morphine sulfate for pain. She is sleeping and her respiratory rate is 4 breaths/minute. If action isn't taken quickly, she might have which of the following reactions?
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Question 24 of 100
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
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Question 25 of 100
The nurse would recommend individual therapy for the patient who expresses a desire to
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Question 26 of 100
The patient in which type of therapy gains knowledge that there are others with similar problems?
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Question 27 of 100
A male client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. The first nursing action should be to:
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Question 28 of 100
Three members of a therapy group share covert glances as other members of the group describe problems. When one makes a statement that subtly criticizes another speaker, the others nod in agreement. Which group dynamic should the leader suspect?
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Question 29 of 100
The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
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Question 30 of 100
Self-esteem components in Maslows Hierarchy of Needs are:
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Question 31 of 100
What is a crucial aspect of nursing care for LGBTQIA+ mental health clients to promote a supportive and inclusive environment?
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Question 32 of 100
As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, Thank you for helping mend my broken heart. Which is the nurses best response?
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Question 33 of 100
A group of psychiatricmental health nurses are reviewing information about different theorists who have played a role in shaping pyschiatricmental health nursing practice. The group demonstrates understanding of the information when they identify which theorist as proposing that adult sexuality is an end product of a complex process of development that begins in early childhood and involves a variety of body functions or areas that correspond to stages of relationships, especially with parents?
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Question 34 of 100
A student nurse is learning about the appropriate use of touch when communicating with clients diagnosed with psychiatric disorders. Which statement by the instructor best provides information about this aspect of therapeutic communication?
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Question 35 of 100
A patient has been started on antidepressants. The interdisciplinary team member most responsible for monitoring effectiveness and side effects of this new medication is the
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Question 36 of 100
Which laboratory test value is elevated in clients who smoke and can't be used as a general indicator of cancer?
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Question 37 of 100
Being creative, productive, and establishing the next generation occurs in which stage of Erikson's psychosocial development?
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Question 38 of 100
Another nursing check that should not be missed before the induction of general anesthesia is:
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Question 39 of 100
What does a sample group represent?
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Question 40 of 100
Which nursing intervention is most appropriate when caring for a client diagnosed with BPD using a behavioral approach?
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Question 41 of 100
In the management of bulimic patients, the following nursing interventions will promote a therapeutic relationship EXCEPT:
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Question 42 of 100
The client's family asks the nurse ' what is hypchondriasis ? . The best response by the nurse, hypochondriasis is .....
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Question 43 of 100
Nurse Patricia finds a female client who is post-myocardial infarction (MI) slumped on the side rails of the bed and unresponsive to shaking or shouting. Which is the nurse next action?
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Question 44 of 100
A client diagnosed with major depressive disorder asks, What part of my brain controls my emotions? Which nursing response is appropriate?
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Question 45 of 100
Aldo with a massive pulmonary embolism will have an arterial blood gas analysis performed to determine the extent of hypoxia. The acid-base disorder that may be present is?
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Question 46 of 100
The primary goal of a psychiatric rehabilitation program is to promote
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Question 47 of 100
Nursing preparation for a client undergoing electroconvulsive therapy (ECT) resembles those used for general anesthesia. The nurse should follow these steps for this procedure (place in the order they will occur):
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Question 48 of 100
Which intervention would the nurse include in the plan of care for a preschool child diagnosed with ASD to help the child feel more secure on the unit?
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Question 49 of 100
Tonny has undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted, and one-bottle water-seal drainage is instituted in the operating room. In the postanesthesia care unit Tonny is placed in Fowler's position on either his right side or on his back. The nurse is aware that this position:
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Question 50 of 100
In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?
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Question 51 of 100
A therapeutic environment in mental health terminology is called a:
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Question 52 of 100
This theorist supported the theory of moral reasoning. The theory of moral reasoning demonstrates how a person justifies right or wrong.
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Question 53 of 100
Lynn, the LPN/LVN, is providing care for a patient diagnosed with depression. The patient is not responding to any of the medications ordered. The nurse foresees this patient may be a candidate for:
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Question 54 of 100
A client slammed a door on the unit several times. The nurse responds, "You seem angry." The client states, "I'm not angry." What therapeutic communication technique has the nurse employed and what defense mechanism is the client unconsciously demonstrating?
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Question 55 of 100
A patient being medicated with haloperidol for over 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Of the following extrapyramidal adverse reactions, the client is showing signs of:
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Question 56 of 100
The spouse of a patient diagnosed with schizophrenia says, 'I don't understand how events from childhood have anything to do with this disabling illness.' Which response by the nurse will best help the spouse understand the cause of this disorder?
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Question 57 of 100
After several days of admission, Francis becomes disoriented and complains of frequent headaches. The nurse in-charge first action would be:
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Question 58 of 100
A client with a history of trauma has told the nurse that he is pursuing psychoanalysis with an independent therapist. What statement by the client would be most consistent with a Freudian approach to psychoanalysis?
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Question 59 of 100
The nurse is aware that one of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?
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Question 60 of 100
Nurse Patricia is aware that the average length of time from human immunodeficiency virus (HIV) infection to the development of acquired immunodeficiency syndrome (AIDS)?
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Question 61 of 100
Which adult client should the nurse recognize as exhibiting the characteristics of a dependent personality disorder?
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Question 62 of 100
Which client statement would demonstrate a common characteristic of a cluster B personality disorder?
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Question 63 of 100
An unemployed woman, age 24, seeks help because she feels depressed and abandoned and doesn't know what to do with her life. She says she has quit her last five jobs because her coworkers didn't like her and didn't train her adequately. Last week, her boyfriend broke up with her after she drove his car into a tree after an argument. The client's initial diagnosis is borderline personality disorder. Which nursing observations support this diagnosis?
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Question 64 of 100
The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child's frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?
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Question 65 of 100
The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important?
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Question 66 of 100
During chemotherapy for lymphocytic leukemia, Mathew develops abdominal pain, fever, and "horse barn" smelling diarrhea. It would be most important for the nurse to advise the physician to order:
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Question 67 of 100
Nurse Greta is working on a surgical floor. Nurse Greta must logroll a client following a:
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Question 68 of 100
A Chinese American patient diagnosed with an anxiety disorder says, "My problems began when my energy became imbalanced." The nurse asks for the patient's ideas about how to treat the imbalance. Which comment would the nurse expect from this patient?
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Question 69 of 100
Nurse Cecile is teaching a female client about preventing osteoporosis. Which of the following teaching points is correct?
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Question 70 of 100
Which method would a nurse use to determine a client's potential risk for suicide?
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Question 71 of 100
A 5-year-old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?
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Question 72 of 100
She tearfully tells the nurse " can't take it when she accuses me of stealing her things."Â Which response by the nurse will be most therapeutic?
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Question 73 of 100
The term "pink puffer"Â refers to the female client with which of the following conditions?
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Question 74 of 100
Which of the following classes of psychiatric medications is primarily used to treat bipolar disorder?
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Question 75 of 100
An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?
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Question 76 of 100
Which side effect of aripiprazole would be of most concern to the nurse when assessing a 14-year-old client?
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Question 77 of 100
The nursing theorist Peplau identified which as the essence of psychiatric-mental health nursing?
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Question 78 of 100
Which nursing intervention related to self-care is most appropriate for a teenager diagnosed with moderate ID?
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Question 79 of 100
Primary level of prevention is exemplified by:
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Question 80 of 100
Which activity therapy should the nurse recommend to the treatment team to assist the patient to relieve tension and achieve increased body awareness?
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Question 81 of 100
Which would a nursing instructor describe to students as the emotional brainÂ?
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Question 82 of 100
Tracy is receiving combination chemotherapy for treatment of metastatic carcinoma. Nurse Ruby should monitor the client for the systemic side effect of:
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Question 83 of 100
Which individual is demonstrating the highest level of resilience?
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Question 84 of 100
The following statements describe somatoform disorders:
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Question 85 of 100
A nurse is assisting a patient who is working on the technique of systematic desensitization. When the patient feels anxious, the nurse can best use the principles of this technique by stating,
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Question 86 of 100
You would expect a client with a diagnosis of bipolar disorder to be treated with:
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Question 87 of 100
Nurse Len should expect to administer which medication to a client with gout?
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Question 88 of 100
Unlike psychophysiologic disorder Linda may be best managed with:
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Question 89 of 100
During group therapy, one patient says to another, When I first started in this group, you were unable to make a decision, but now you can. Youve made a lot of progress. I am beginning to think that maybe I can conquer my fears too. Which therapeutic factor is evident by this statement?
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Question 90 of 100
After undergoing a cardiac catheterization, Tracy has a large puddle of blood under his buttocks. Which of the following steps should the nurse take first?
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Question 91 of 100
The nurse is caring for a group of clients and recognizes which client is acting from the id portion of personality according to Sigmund Freud?
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Question 92 of 100
A nurse cares for a first-generation American whose family emigrated from Germany. Which worldview about the source of knowledge would this patient likely have?
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Question 93 of 100
It is helpful as a nurse to be able to recognize the channel through which your patient communicates if following the primary sensory representation philosophy. Your patient Tamara's sensory representation is visual. Which term would identify visual sensory?
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Question 94 of 100
Which client outcome is most appropriately achieved in a community approach setting in psychiatric nursing?
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Question 95 of 100
A college student decides to go to a party the night before a major exam instead of studying. After receiving a low score on the exam, the student tells a fellow student, 'I have to work too much and don't have time to study. It wouldn't matter anyway because the teacher is so unreasonable.' The defense mechanisms the student is using are
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Question 96 of 100
A patient with depression is admitted to an inpatient hospital unit for treatment. The type of therapy most likely provided in this setting includes
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Question 97 of 100
Nurse Jannah teaches an elderly client with right-sided weakness how to use cane. Which of the following behaviors, if demonstrated by the client to the nurse, indicates that the teaching was effective?
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Question 98 of 100
Marco falls off his bicycle and injuries his ankle. Which of the following actions shows the initial response to the injury in the extrinsic pathway?
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Question 99 of 100
Which of the following increases the risk for neuroleptic malignant syndrome (NMS)?
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Question 100 of 100
Which of the following disorders isn't an extrapyramidal symptom that may be caused by antipsychotic drugs?
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