Use of Psychotropic Medications

ATI RN · Use of Psychotropic Medications

Question 1 of 95

A patient with which of the following conditions should not be placed on a ketogenic diet?

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ATI RN · Use of Psychotropic Medications

Question 2 of 95

A male patient reports to the nurse, 'I'm told I have memories of childhood abuse stored in my unconscious mind. I want to work on this'. Based on this statement, what information should the nurse provide the patient?

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ATI RN · Use of Psychotropic Medications

Question 3 of 95

A nurse notes that a client with schizophrenia receiving an antipsychotic medication is having uncontrolled movement of the lips and tongue. The nurse determines that the client is experiencing:

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ATI RN · Use of Psychotropic Medications

Question 4 of 95

A nurse is working with a patient who has bipolar disorder. The patient is currently in a manic episode. Which of the following interventions is most appropriate?

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ATI RN · Use of Psychotropic Medications

Question 5 of 95

A patient is complaining of pain in his joints that is worse in the morning, better after he moves around for a while, and then gets worse again if he sits for long periods. The nurse should assess for other signs of what problem?

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ATI RN · Use of Psychotropic Medications

Question 6 of 95

A 59-year-old patient has a herniated intervertebral disk. Which of the following findings should the nurse expect to see on physical assessment of this individual?

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ATI RN · Use of Psychotropic Medications

Question 7 of 95

Of the 33 vertebrae in the spinal column, there are:

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ATI RN · Use of Psychotropic Medications

Question 8 of 95

A nurse caring for a patient taking a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to:

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ATI RN · Use of Psychotropic Medications

Question 9 of 95

A nice-looking male patient is making suggestive comments to the female nursing staff. When he asks you for your phone number, you therapeutically respond:

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ATI RN · Use of Psychotropic Medications

Question 10 of 95

First responders and emergency department healthcare providers often use dark humor in an effort to:

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ATI RN · Use of Psychotropic Medications

Question 11 of 95

A patient becomes suicidal and is transferred to the locked unit of your hospital. Because this patient is actively suicidal you should:

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ATI RN · Use of Psychotropic Medications

Question 12 of 95

A patient needs supportive care for the maintenance treatment of bipolar disorder. The new nurse demonstrates an understanding of the services provided by the various members of the patient's mental healthcare team when he makes which statement:

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ATI RN · Use of Psychotropic Medications

Question 13 of 95

Which of the following is NOT a class of antidepressant?

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ATI RN · Use of Psychotropic Medications

Question 14 of 95

Consultation occurs most often during which phase of the nursing process?

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ATI RN · Use of Psychotropic Medications

Question 15 of 95

Which statement by a patient with schizophrenia demonstrates a need for further teaching regarding medication adherence?

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ATI RN · Use of Psychotropic Medications

Question 16 of 95

SSRIs, SNRIs, and tricyclic antidepressants increase levels of which neu- rotransmitter?

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ATI RN · Use of Psychotropic Medications

Question 17 of 95

A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the shoulder, arms, or jaw. The nurse knows that the best explanation why this occurs is which one of these statements?

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ATI RN · Use of Psychotropic Medications

Question 18 of 95

Which of the following identifies the titles that registered nurses will use and what they are legally allowed to do?

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ATI RN · Use of Psychotropic Medications

Question 19 of 95

A man who has had gout for several years comes to the clinic with a problem with his toe. On examination, the nurse notices the presence of hard, painless nodules over the great toe; one has burst open with a chalky discharge. This finding is known as:

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ATI RN · Use of Psychotropic Medications

Question 20 of 95

Biological theories of depressive disorders include all of the following except:

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ATI RN · Use of Psychotropic Medications

Question 21 of 95

What lobe of the brain is responsible for higher-level executive functions such as expressive language and voluntary movement?

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ATI RN · Use of Psychotropic Medications

Question 22 of 95

What is another name for hallucinogens?

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ATI RN · Use of Psychotropic Medications

Question 23 of 95

The school nurse has been alerted to the fact that an 8-year-old boy routinely play-acts as a police officer 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:

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ATI RN · Use of Psychotropic Medications

Question 24 of 95

Which of the following is the most common side effect seen after placement of a vagus nerve stimulator?

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ATI RN · Use of Psychotropic Medications

Question 25 of 95

A professional football player is seen in the emergency department after losing consciousness from an illegal block. Prior to discharge the nurse assists the patient to schedule an outpatient CT scan for the next day. Which strategy should the nurse use to ensure the patient remembers the appointment?

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ATI RN · Use of Psychotropic Medications

Question 26 of 95

Which response best describes how dysthymic disorder is different from major depression?

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ATI RN · Use of Psychotropic Medications

Question 27 of 95

What is commonly used in drug trafficking to reduce or eliminate competition, expand markets, and intimidate anyone who interferes with the trafficking?

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ATI RN · Use of Psychotropic Medications

Question 28 of 95

What assessment question is focused on identifying a long-term consequence of chronic stress on physical health?

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ATI RN · Use of Psychotropic Medications

Question 29 of 95

Emma is a 40-year-old married female who has found it increasingly difficult to leave her home due to agoraphobia. Emma's family is appropriately concerned and suggests that she seek psychiatric care. After investigating her options, Emma decides to try:

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ATI RN · Use of Psychotropic Medications

Question 30 of 95

The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination. When striking the Achilles heel and quadriceps muscle, the nurse is unable to elicit a reflex. The nurse's next response should be to:

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ATI RN · Use of Psychotropic Medications

Question 31 of 95

Which patient outcome is directly associated with the goals of a therapeutic nurse-patient relationship?

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ATI RN · Use of Psychotropic Medications

Question 32 of 95

One of Mrs. M's complaints is about insurance. Which of the following does the Mental Health Parity Act provide?

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ATI RN · Use of Psychotropic Medications

Question 33 of 95

A nurse cares for patients taking various medications, including buspirone (BuSpar), haloperidol (Haldol), trazodone (Desyrel), and phenelzine (Nardil). The nurse will order a special diet for the patient taking:

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ATI RN · Use of Psychotropic Medications

Question 34 of 95

A nurse is giving discharge instructions to a client prescribed isocarboxazid (Marplan). The nurse will tell the client to anticipate which side effect?

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ATI RN · Use of Psychotropic Medications

Question 35 of 95

What is the expected outcome for a patient who is considered a "intermediate metabolizer"?

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ATI RN · Use of Psychotropic Medications

Question 36 of 95

A 69-year-old patient has been admitted to an adult psychiatric unit because his wife thinks he is getting more and more confused. He laughs when he is found to be forgetful, saying 'I'm just getting old!' After the nurse completes a thorough neurologic assessment, which findings would be indicative of Alzheimer disease? Select all that apply.

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ATI RN · Use of Psychotropic Medications

Question 37 of 95

The nurse is examining a 3-month-old infant. While the nurse holds his or her thumbs on the infant's inner mid thighs and the fingers on the outside of the infant's hips, touching the greater trochanter, the nurse adducts the legs until his or her thumbs touch and then abducts the legs until the infant's knees touch the table. The nurse does not notice any 'clunking' sounds and is confident to record a:

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ATI RN · Use of Psychotropic Medications

Question 38 of 95

A nurse is working with a patient who is recovering from substance abuse. Which of the following is most important in helping the patient maintain long-term recovery?

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ATI RN · Use of Psychotropic Medications

Question 39 of 95

Which of the following best describes bipolar I disorder?

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ATI RN · Use of Psychotropic Medications

Question 40 of 95

A patient's annual physical examination reveals a lateral curvature of the thoracic and lumbar segments of his spine; however, this curvature disappears with forward bending. The nurse knows that this abnormality of the spine is called:

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ATI RN · Use of Psychotropic Medications

Question 41 of 95

A patient presents with symptoms of mania, including increased energy and impulsivity. The nurse recognizes that the patient is likely experiencing:

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ATI RN · Use of Psychotropic Medications

Question 42 of 95

According to the International League Against Epilepsy's 2010 revision, which of the following factors is most helpful in initially focusing the scope of diagnostic possibilities for specific electroclinical syndromes?

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ATI RN · Use of Psychotropic Medications

Question 43 of 95

Which of the following is one of the advantages of the newer antipsychotic medication risperidone (Risperdal)?

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ATI RN · Use of Psychotropic Medications

Question 44 of 95

When planning care for a female patient diagnosed with obsessive and compulsive behavior, Nurse Barbara and case manager Marc must recognize that the ritual:

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ATI RN · Use of Psychotropic Medications

Question 45 of 95

Which diversional activity is most appropriate for a patient in a manic phase?

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ATI RN · Use of Psychotropic Medications

Question 46 of 95

A patient has delusions and hallucinations. Before beginning treatment with a psychotropic medication, the health care provider wants to rule out the presence of a brain tumor. For which test will a nurse need to prepare the patient?

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ATI RN · Use of Psychotropic Medications

Question 47 of 95

A 70-year-old woman tells the nurse that every time she gets up in the morning or after she's been sitting, she gets 'really dizzy' and feels like she is going to fall over. The nurse's best response would be:

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ATI RN · Use of Psychotropic Medications

Question 48 of 95

Behavioural Self-Control Training (BSCT) is based on conditioning principles. These include which of the following?

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ATI RN · Use of Psychotropic Medications

Question 49 of 95

In 2010, the International League Against Epilepsy revised its seizure classification system. What was the primary goal of this change?

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ATI RN · Use of Psychotropic Medications

Question 50 of 95

Which intervention demonstrates the nurse's understanding of what guides effective nursing care with a diverse patient population?

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ATI RN · Use of Psychotropic Medications

Question 51 of 95

Which of the following is an important factor in substance abuse?

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ATI RN · Use of Psychotropic Medications

Question 52 of 95

A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:

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ATI RN · Use of Psychotropic Medications

Question 53 of 95

Which of the following is supervised by a sitting judge and is an intensive, community-based treatment, rehabilitation, and supervision program for drug defendants?

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ATI RN · Use of Psychotropic Medications

Question 54 of 95

You are caring for an older adult who is recently widowed. She says, 'No one cares if I die. Everyone I ever loved is dead.' What is the best response?

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ATI RN · Use of Psychotropic Medications

Question 55 of 95

A patient has anxiety, increased heart rate, and fear. The nurse would suspect the presence of a high concentration of which neurotransmitter?

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ATI RN · Use of Psychotropic Medications

Question 56 of 95

A nurse spends extra time with a client who has personality features similar to the nurse's estranged spouse. Which aspect of countertransference is most likely to result?

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ATI RN · Use of Psychotropic Medications

Question 57 of 95

A nurse is assessing a patient who has been diagnosed with major depressive disorder. Which of the following is a common symptom of depression?

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ATI RN · Use of Psychotropic Medications

Question 58 of 95

During the neurologic assessment of a 'healthy' 35-year-old patient, the nurse asks him to relax his muscles completely. The nurse then moves each extremity through full range of motion. Which of these results would the nurse expect to find?

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ATI RN · Use of Psychotropic Medications

Question 59 of 95

In providing care for patients of a mental health unit, Li recognizes the importance of standards of care. When Li notices that some policies fall short of the state licensing laws, which of the following statements represents the most appropriate standard of care pathway?

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ATI RN · Use of Psychotropic Medications

Question 60 of 95

Which CAM method is associated with using allergy injections of small amounts of an allergen in solution?

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ATI RN · Use of Psychotropic Medications

Question 61 of 95

A woman, 68 years of age, presents with blunted affect; she seems indifferent to her surroundings and says that she has no sense of pleasure in life. She complains that she hears voices and fears that she is about to be killed. She is admitted to the acute psychiatric ward, where she is given an antipsychotic Ã¢â‚¬â€œDrug A. After treatment, her hallucinations and paranoia resolve, but she complains that she has a tremor and cannot move about quickly. After a change in her medication to Drug B, all of her symptoms improved. She does not need to have weekly blood tests. Which one of the following pairs most likely corresponds to Drug A and Drug B?

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ATI RN · Use of Psychotropic Medications

Question 62 of 95

Intergenerational conflict may arise in immigrant families because the process of acculturation may be:

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Question 63 of 95

What is the name of the lobe that controls visual processing?

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ATI RN · Use of Psychotropic Medications

Question 64 of 95

In discharge teaching, the nurse should emphasize that which of the following is a common side effect of clozapine (Clozaril) therapy?

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ATI RN · Use of Psychotropic Medications

Question 65 of 95

Schizotypal personality disorder may be confused with what other psychiatric disorder?

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Question 66 of 95

The telephone rings at the nurse's station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient's rights and confidentiality?

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ATI RN · Use of Psychotropic Medications

Question 67 of 95

Alcohol Dependence is supported specifically by evidence of tolerance effects and withdrawal symptoms that develop within:

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ATI RN · Use of Psychotropic Medications

Question 68 of 95

A patient diagnosed with depression confidently tells the nurse, "I've been supplementing my paroxetine with St. John's wort. It has helped a great deal.â€ What is the nurse's priority action?

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ATI RN · Use of Psychotropic Medications

Question 69 of 95

Which intervention would be most appropriate for a patient experiencing acute psychosis?

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ATI RN · Use of Psychotropic Medications

Question 70 of 95

Prolonged sleep deprivation can result in:

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ATI RN · Use of Psychotropic Medications

Question 71 of 95

Which neurotransmitter in considered the chief inhibitory neurotransmit- ter?

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ATI RN · Use of Psychotropic Medications

Question 72 of 95

A patient with borderline personality disorder approaches you and voices concern that she is being ignored and feels unimportant. The patient blames the nursing staff for these feelings because the nurses are not paying attention to her. Your best therapeutic response to this patient is:

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ATI RN · Use of Psychotropic Medications

Question 73 of 95

The body's primary circadian pacemaker is the:

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ATI RN · Use of Psychotropic Medications

Question 74 of 95

You are admitting a new patient who is depressed. Your initial contact should do what?

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ATI RN · Use of Psychotropic Medications

Question 75 of 95

According to Maslow's hierarchy of needs, the most basic needs category for nurses to address is:

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ATI RN · Use of Psychotropic Medications

Question 76 of 95

A nurse is caring for a patient with bipolar disorder who is currently in a manic episode. Which of the following interventions is most appropriate?

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ATI RN · Use of Psychotropic Medications

Question 77 of 95

As Mr. R's sister has suspected, Mr. R sometimes forgets to eat. In which part of the nursing care plan would the nurse expect to find this statement: 'Offer snacks and finger foods frequently.'

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ATI RN · Use of Psychotropic Medications

Question 78 of 95

A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health care provider to prescribe a medication from which group?

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ATI RN · Use of Psychotropic Medications

Question 79 of 95

________ is defined as persistent difficulty falling or staying asleep.

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ATI RN · Use of Psychotropic Medications

Question 80 of 95

Theodore, a 45-year-old male, is admitted to a mental health unit displaying inappropriate behavior. The patient has been responding to voices when no one is in the room and isolating himself in his room. Which of the following best describes this patient?

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ATI RN · Use of Psychotropic Medications

Question 81 of 95

Which of the following is NOT associated with REM sleep?

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ATI RN · Use of Psychotropic Medications

Question 82 of 95

A patient diagnosed with major depressive disorder tells the nurse, "I want to try supplementing my selective serotonin reuptake inhibitor (SSRI) with St. John's wort.â€ Which action should the nurse take first?

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ATI RN · Use of Psychotropic Medications

Question 83 of 95

Which student behavior is consistent with therapeutic communication?

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ATI RN · Use of Psychotropic Medications

Question 84 of 95

A nurse would anticipate that treatment for a patient with memory difficulties might include medications designed to:

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Question 85 of 95

A 6-year-old child with Lennox-Gastaut syndrome and medically resistant epilepsy is on two anticonvulsants but continues to have seizures. What is the approximate percent chance of a greater than 50% seizure reduction with a ketogenic diet?

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ATI RN · Use of Psychotropic Medications

Question 86 of 95

Which standardized rating scale will the nurse specifically include in the assessment of a newly admitted patient diagnosed with major depressive disorder?

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ATI RN · Use of Psychotropic Medications

Question 87 of 95

A 17-year-old male diagnosed with schizophrenia was treated with Fluphenazine. Three days later, he developed a high body temperature and lead-pipe rigidity. The appropriate treatment for this patient would be:

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ATI RN · Use of Psychotropic Medications

Question 88 of 95

A nurse is caring for a patient with hypertension. Which of the following interventions is most appropriate for managing the patient's blood pressure?

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ATI RN · Use of Psychotropic Medications

Question 89 of 95

The nursing student uses the client's full name on the assigned care plan during her recent clinical rotation. What is the instructor's priority intervention?

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ATI RN · Use of Psychotropic Medications

Question 90 of 95

A nurse is caring for a patient who is recovering from a stroke. The patient has difficulty speaking and is unable to express themselves clearly. Which of the following interventions is most appropriate?

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ATI RN · Use of Psychotropic Medications

Question 91 of 95

An individual is experiencing problems associated with memory. Which cerebral structures are most likely to be involved in this deficit? Select all that apply.

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ATI RN · Use of Psychotropic Medications

Question 92 of 95

Which statement demonstrates the nurse's understanding of the effect of environmental factors on a patient's mental health?

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Question 93 of 95

Ethical issues within mental health include which of the following?

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Question 94 of 95

While the nurse is taking the history of a 68-year-old patient who sustained a head injury 3 days earlier, he tells the nurse that he is on a cruise ship and is 30 years old. The nurse knows that this finding is indicative of a(n):

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Question 95 of 95

You are caring for an adolescent patient who has swallowed all of his mother's sleeping pills and pain pills. The patient has had a gastric lavage and is able to answer questions. The best question to ask this patient is:

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