A nurse is performing an assessment for a 59-year-old man with a long history of hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
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Question 2 of 82
An adult seeks treatment for urges involving sexual contact with children. The adult has not acted on these urges but feels shame. Which finding best indicates that this adult is making progress in treatment? The adult
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Question 3 of 82
A new nurse asks, 'My elderly patient's CT scan of the head shows many Lewy bodies are present. What should I do about assessing for pain?' Select the best response from the nurse manager.
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Question 4 of 82
A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, "Describe what you think about your present weight and how you look." Which response would be most consistent with anorexia nervosa?
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Question 5 of 82
Which personality characteristic is most likely in a patient with anorexia nervosa?
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Question 6 of 82
A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on the knowledge that paroxetine is a:
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Question 7 of 82
A depressed patient is to have his first electroconvulsive therapy (ECT) session tomorrow morning. Which intervention would routinely be implemented in preparing the patient for treatment?
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Question 8 of 82
A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which nursing intervention should receive the highest priority?
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Question 9 of 82
A 34-year-old client with residual schizophrenia frequently displays ambivalence. The community mental health nurse suggests that a realistic short-term outcome for this client problem is that client will:
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Question 10 of 82
A client with paranoid schizophrenia has said she feels like throwing a chair. The nurse in the dayroom hears this and wishes to encourage verbalization as a desecalation technique. Which response by the nurse would fulfill this plan?
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Question 11 of 82
Because of the cognitive disturbances associated with schizophrenia, which technique will be useful as the nurse teaches a client about self-management?
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Question 12 of 82
When a patient diagnosed with paranoid schizophrenia was discharged from the unit 6 months ago, the plan was for him to take chlorpromazine (Thorazine), a conventional (first generation) antipsychotic medication, 300 mg po daily. He tells the nurse he stopped taking his pills after a few months because they made him feel like a 'zombie.' What other common side effects should the nurse determine if the patient experienced?
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Question 13 of 82
The signs and symptoms of schizophrenia must be present for at least _____ months before a diagnostic label is assigned.
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Question 14 of 82
A 45-year-old married woman who works full time in a factory has recently been absent for 3-day periods on several occasions. Each time, she returned to work wearing dark glasses. Facial and body bruises were apparent. Her supervisor became suspicious that she was a victim of battering and referred her to the occupational health nurse. Which initial inquiry would be most important for the nurse to make?
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Question 15 of 82
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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Question 16 of 82
The physician and advanced practice nurse are considering which antipsychotic medication to prescribe for a patient with schizophrenia who demonstrates auditory hallucinations, apathy, anhedonia, and poor social functioning. The patient is overweight and has hypertension. Bearing these facts in mind, the drug the nurse should advocate would be:
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Question 17 of 82
The plan of care for a patient who has demonstrated outbursts of physical violence against his family when frustrated, followed by periods of remorse after each outburst, would be considered successful when the patient:
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Question 18 of 82
A rape victim asks a nurse, "How do I know whether this attack was my fault?" Which response by the nurse is therapeutic?
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Question 19 of 82
A victim of a violent rape was treated in the emergency department. As discharge preparation begins, the victim says softly, "I will never be the same again. I can't face my friends. There is no reason to go on." Select the nurse's most appropriate response.
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Question 20 of 82
To provide nursing care to abused children and their families, the nurse must first:
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Question 21 of 82
A client tells the nurse he has just finished an important business meeting, when in fact he has been napping. Upon what rationale should the nurse's response be based?
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Question 22 of 82
An elderly client was well until 12 hours ago, when she reported to her family that during the evening she saw strange faces peering in her windows and in the middle of the night awakened to see a man standing at the foot of her bed. She admits to being very frightened. She is presently pacing and somewhat agitated in the examining room. The client's family reports that the client has recently been to the doctor, who made some medication changes, although they are unsure what the changes were. The nurse hearing this history will identify the history and symptoms as pointing to:
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Question 23 of 82
The nurse is aware, when developing a care plan, that the three major goals of care for the client in whom Alzheimer's disease has been diagnosed include providing for the client's safety and well-being, therapeutically managing the client's behaviors, and:
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Question 24 of 82
A nurse caring for a patient with bulimia nervosa should teach the patient about:
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Question 25 of 82
An elderly client who lives with her daughter and son-in-law and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things. The daughter is a mid-level business executive who is under considerable stress at work. The children are often left in the care of the elderly client. The husband is often out of town on business trips. The daughter states, 'I have so much to do that I become frustrated when my mother can't move fast enough or causes me extra work.' The nurse caring for the mother could appropriately suggest:
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Question 26 of 82
An elderly woman is brought to the clinic by her daughter. The client states that she has had a cold for several days. Her daughter states that her mother has been confused about when her routine medications are to be taken and that her mother has never experienced confusion before. Based on this information, it is important that the nurse ask the client whether:
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Question 27 of 82
You are a nurse meeting for the first time with a stage 3 Alzheimer's patient who is newly referred to your home health agency. Which assessment data about the patient and caregiver(s) would be most important to acquire during your first visit to the family's home?
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Question 28 of 82
The wife of a client who is being seen in the sleep clinic states that her husband snores terribly at night and that she has to shake him to get him to stop. The client complains of a headache upon wakening and often falls asleep during the day when he sits for long periods. This client is exhibiting signs and symptoms characteristic of:
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Question 29 of 82
The nurse is assessing a patient with anorexia nervosa. What is the most important physical examination finding to monitor?
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Question 30 of 82
A client with borderline disorder tells the nurse, 'It's hard to figure out who I am. Sometimes I'm sexually attracted to women and sometimes to men.' The nurse using Freudian concepts can analyze this as a developmental problem related to:
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Question 31 of 82
A psychiatric technician remarks to the nurse, 'That client with dependent personality disorder is so clingy! I almost hate to see her coming my way.' The response by the nurse that will be helpful to the technician is:
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Question 32 of 82
The characteristic in individuals with personality disorders that makes it most necessary for staff to schedule frequent meetings is:
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Question 33 of 82
A nurse is working with a patient with anorexia nervosa. What is the priority assessment for this patient?
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Question 34 of 82
What is the primary concern when a patient with bulimia nervosa engages in frequent purging?
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Question 35 of 82
A client is admitted to a day hospital following an episode in which he purchased a gun to use while standing guard over his property to prevent a neighbor from erecting a boundary fence. His wife describes him as distrustful of the motives of others and often interpreting others' motives as threats. She mentions that one time he accused her of having an affair with a neighbor with whom she chatted occasionally. The care plan will list the priority outcome as 'Client will:
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Question 36 of 82
An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, "I like the style." The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?
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Question 37 of 82
A 16-year-old client has anorexia nervosa. She has lost 50 pounds during the past 3 months and is about 20 pounds under the weight that is normal for her height. She has dry skin with poor turgor, hair breakage, and brittle nails. The nurse can anticipate that when giving information about her menstrual history, the client is likely to report:
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Question 38 of 82
A pediatric nurse at the clinic interviews a 14-year-old client who is dressed in baggy clothes and two sweaters on a warm day. The client admits to not having had her period for 4 months. The nurse notes fine downy hair along the client's cheeks. Vital signs are T, 36.6; P, 64; and BP, 84/50. Which additional objective sign would best support the nurse's assessment that the client has anorexia nervosa?
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Question 39 of 82
Which disorder is often difficult to detect and consequently often goes untreated?
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Question 40 of 82
The coping mechanism that patients with anorexia nervosa use maladaptively is:
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Question 41 of 82
A nurse would evaluate that a family education plan for preventing childhood eating problems has met the stated objectives if which outcome is evident?
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Question 42 of 82
In Avoidant/Restrictive Food Intake Disorder (ARFID), which of the following is a characteristic clinical feature?
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Question 43 of 82
People with disabilities (PWD):
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Question 44 of 82
All of the following are ways that you can reduce your contributions to ground ozone pollution except
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Question 45 of 82
Which of the following is an example of a peri-natal cause of intellectual disability when there is a significant period without oxygen occurring during or immediately after delivery?
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Question 46 of 82
Bob has never met Madonna but he is convinced that she is deeply in love with him. Bob is suffering from
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Question 47 of 82
Which of the following medical conditions can produce a mild neurocognitive disorder and mild impairments in social/occupational functioning?
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Question 48 of 82
Obsessive-compulsive disorders involve
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Question 49 of 82
Which of the following would be the first priority for nurses caring for autistic children?
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Question 50 of 82
During an initial patient interview, the psychiatric-mental health nurse begins by asking the patient to describe their:
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Question 51 of 82
A primigravida patient at 34 weeks gestation presents with a history of not having felt fetal movements for 24 hours. Which one of the following statements is most appropriate?
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Question 52 of 82
Discharge planning begins for an elderly patient hospitalized for 2 weeks diagnosed with major depression. The patient needs ongoing assessment and socialization opportunities as well as education about medication and relapse prevention. The patient lives with a daughter, who works during the week. Select the best referral for this patient.
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Question 53 of 82
After 5 years in a state hospital, an adult diagnosed with schizophrenia was discharged to the community. This patient now requires persistent direction to accomplish activities of daily living and expects others to provide meals and do laundry. The nurse assesses this behavior as the probable result of:
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Question 54 of 82
A patient diagnosed with serious mental illness was living successfully in a group home but wanted an apartment. The prospective landlord said, 'People like you have trouble getting along and paying their rent.' The patient and nurse meet for a problem-solving session. Which options should the nurse endorse? Select one tha does not apply.
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Question 55 of 82
A patient has not come out of her room for breakfast. The nurse finds the patient moving restlessly about her room in a disorganized manner. The patient is talking to herself, and her verbal responses to the nurse are nonsensical and suggest disorientation. The nurse notices that the patient's skin is hot and dry, and her pupils are somewhat dilated. All these symptoms are significant departures from the patient's recent presentation. The patient is likely experiencing _____, and the nurse should _____.
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Question 56 of 82
A patient with many positive symptoms of schizophrenia, whose behavior is disorganized and who is highly anxious, tells the nurse in the psychiatric emergency department, 'You have got to help me. I do not know what is going on. I think someone is trying to wipe me out. I have to get a gun.' The patient, a college student, lives alone and has no family or support system in the immediate area. He has not left his room in 2 weeks, has not eaten in several days, and is unkempt. Of the available treatment settings, the nurse should recommend:
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Question 57 of 82
Which point should be included in teaching patients and families about relapse?
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Question 58 of 82
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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Question 59 of 82
Which of these nursing interventions would be most effective when using an empowerment model of intervention with an individual who has been abused?
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Question 60 of 82
An adolescent claims to have been physically abused by a parent. The adolescent's other parent angrily tells the nurse, 'It's ridiculous for our child to accuse my spouse, who's a prominent doctor and is respected by the community.' Which of these nursing communications would be most effective for the parent?
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Question 61 of 82
When a patient with paranoid schizophrenia has a recurrence of positive symptoms after stopping his antipsychotic medication because of its postural hypotension (orthostasis) side effect, he is readmitted to the mental health unit. What measure should the nurse suggest to help the patient address this side effect?
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Question 62 of 82
A 17-year-old client is admitted to the ED after being alternately hyperalert and difficult to arouse. His symptoms all started within the last few hours, during which time he became disoriented and confused. His behavior was agitated and restless, and his memory was impaired, especially for recent events. The client displayed some delusions and misinterpretations of his surroundings. The nurse's first action should be to:
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Question 63 of 82
A rape victim asks a nurse, 'How do I know whether this attack was my fault?' Which response by the nurse is therapeutic?
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Question 64 of 82
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.' Select the best initial nursing diagnosis.
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Question 65 of 82
What is the primary nursing intervention for a patient with anorexia nervosa who is refusing to eat?
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Question 66 of 82
When planning nursing care for a client with a dependent personality disorder, the nurse recognizes which of the following as characteristic behavior for someone with this disorder? The client:
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Question 67 of 82
What should the nurse do when a patient with anorexia nervosa expresses a fear of gaining weight?
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Question 68 of 82
The nurse reports to the interdisciplinary team that an antisocial patient lies to other patients, verbally abuses a patient with Alzheimer's disease, flatters his primary nurse, and is detached and superficial during counseling sessions. Which behavior should be the priority focus of limit setting?
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Question 69 of 82
Which of the following is an appropriate nursing intervention for a patient with anorexia nervosa?
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Question 70 of 82
A nurse is caring for a patient with bulimia nervosa who is experiencing frequent purging. What is a priority assessment?
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Question 71 of 82
A 72-year-old female patient has the medical diagnosis of delirium secondary to anticholinergic medication toxicity. A nurse planning discharge care must consider the need to teach the family to be alert for maladaptive cognitive symptoms because:
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Question 72 of 82
When are the recommended ages for developmental screening to be done according to AAP guidelines?
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Question 73 of 82
In phobia fear of heights is referred to as
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Question 74 of 82
Identify five barriers to access of mental health services in Kenya
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Question 75 of 82
Which of the following is the percentage of pre-school children who are diagnosed with a phonological disorder of unknown origin?
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Question 76 of 82
Which factor most significantly impacts early mental development?
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Question 77 of 82
A rare condition in which separate personalities exist in the same person is called
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Question 78 of 82
A psychosis arising from an advanced stage of syphilis, in which the disease attacks brain cells, is called
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Question 79 of 82
An 85-year-old patient is admitted to the hospital with the diagnosis of cerebrovascular accident and depression. The symptom that is unrelated to depression would be?
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Question 80 of 82
To evaluate whether patient teaching for coping skills has been effective, the psychiatric-mental health nurse asks an adolescent patient to:
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Question 81 of 82
An elderly patient must be physically restrained. Who is responsible for the patients safety?
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Question 82 of 82
A nurses neighbor says, 'My sister has been diagnosed with bipolar disorder but will not take her medication. I have tried to help her for over 20 years, but it seems like everything I do fails. Do you have any suggestions?' Select the nurses best response.
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