After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
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Question 2 of 103
Which comment best indicates that a patient perceived the nurse was caring? "My nurse
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Question 3 of 103
Which of these mental health problems has the highest annual prevalence in the United States?
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Question 4 of 103
After a suicide attempt, Edgar tells the nurse, 'I need my belt to keep my pants up. They keep falling down.' Which response should the nurse provide?
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Question 5 of 103
A nurse is meeting with a new client at a substance use disorder clinic. During which of the following step of the nursing process should the nurse identify the types of interventions that might produce the best client outcomes?
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Question 6 of 103
A nurse is caring for a client who states, 'I have no interest in sexual activity or finding a partner.' The nurse should identify that this statement is consistent with which of the following personality disorders?
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Question 7 of 103
A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?
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Question 8 of 103
A nurse is planning care for a client who has Alzheimer's disease and is in the terminal phase. Which of the following findings should the nurse expect?
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Question 9 of 103
A patient being treated for major depressive disorder has taken 300 mg amitriptyline daily for a year. The patient calls the case manager at the clinic and says, 'I stopped taking my antidepressant 2 days ago. Now I am having cold sweats, nausea, a rapid heartbeat, and nightmares.' How should the nurse advise the patient?
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Question 10 of 103
Which medication is commonly used in the treatment of alcohol use disorder?
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Question 11 of 103
A community health nurse is preparing an educational activity on Alzheimer's disease. Which of the following risk factors should the nurse include as the greatest risk for this disease?
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Question 12 of 103
A patient diagnosed with major depressive disorder has been prescribed an antidepressant. The nurse should monitor for which of the following side effects?
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Question 13 of 103
A nurse is caring for a patient diagnosed with schizophrenia who is prescribed clozapine. The nurse should monitor for which of the following potentially serious side effects?
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Question 14 of 103
A nurse is working with a patient diagnosed with schizophrenia who is exhibiting negative symptoms. Which of the following is an example of a negative symptom?
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Question 15 of 103
A patient says, 'I've done a lot of cheating and manipulating in my relationships.' Select a nonjudgmental response by the nurse.
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Question 16 of 103
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's hand. Select the correct analysis of the nurse's behavior.
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Question 17 of 103
A nurse is caring for a patient diagnosed with schizophrenia who is experiencing delusions. The patient says, 'I am the president of the United States.' What is the most appropriate nursing response?
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Question 18 of 103
A nurse is caring for a patient diagnosed with schizophrenia who is experiencing auditory hallucinations. The patient states, 'The voices are telling me to hurt myself.' What is the priority nursing intervention?
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Question 19 of 103
A nurse is assessing a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting excessive spending and rapid speech. Which of the following is the priority nursing intervention?
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Question 20 of 103
A patient nervously says, 'Financial problems are stressing my marriage. I've heard rumors about cutbacks at work; I am afraid I might get laid off.' The patient's 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 21 of 103
A student says, 'Before taking a test, I feel very alert and a little restless.' The nurse can correctly assess the student's experience as
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Question 22 of 103
Which assessment questions would be most appropriate for the nurse to ask a patient with possible obsessive-compulsive disorder? (Select all that apply.)
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Question 23 of 103
A patient states, "I feel detached and weird all the time. It is as though I am looking at life through a cloudy window. Everything seems unreal. It really messes up things at work and school." This scenario is most suggestive of which health problem?
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Question 24 of 103
A soldier who served in a combat zone returned to the United States. The soldier's spouse complains to the nurse, "We had planned to start a family, but now he won't talk about it. He won't even look at children." The spouse is describing which symptom associated with PTSD?
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Question 25 of 103
Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder?
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Question 26 of 103
A nurse assesses a patient diagnosed with conversion (functional neurological) disorder. Which comment is most likely from this patient?
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Question 27 of 103
A patient diagnosed with a somatic symptom disorder says, "Why has God chosen me to be sick all the time and unable to provide for my family? The burden on my family is worse than the pain I bear." Which nursing diagnoses apply to this patient? (Select all that apply.)
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Question 28 of 103
An adolescent was recently diagnosed with ODD. The parents say to the nurse, "Isn't there some medication that will help with this problem?" Select the nurse's best response.
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Question 29 of 103
An adult seeks counseling after the spouse was murdered. The adult angrily says, "I hate the beast that did this. It has ruined my life. During the trial, I don't know what I'll do if the jury doesn't return a guilty verdict." What is the nurse's highest priority response?
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Question 30 of 103
Which scenario is an example of a situational crisis?
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Question 31 of 103
A team of nurses report to the community after a category 5 hurricane devastates many homes and businesses. The nurses provide emergency supplies of insulin to persons with diabetes and help transfer patients in skilled nursing facilities to sites that have electrical power. Which aspects of disaster management have these nurses fulfilled? (Select all that apply.)
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Question 32 of 103
The nurse is planning a new sexuality group for patients. Which location would best enhance the effectiveness of this group?
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Question 33 of 103
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 34 of 103
Nurses often care for clients and families experiencing death and dying. What is an important part of self-care for a nurse to promote their own health? Select one that does not apply.
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Question 35 of 103
What is a primary goal of crisis care in cases of abuse and violence?
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Question 36 of 103
The goal of the 1963 Community Mental Health Centers Act was to
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Question 37 of 103
Which is included in Healthy People 2020 objectives?
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Question 38 of 103
When a nursing student expresses concerns about how mental health nurses lose all their nursing skills, the best response by the mental health nurse is:
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Question 39 of 103
The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies:
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Question 40 of 103
An experienced nurse says to a new graduate, When you've practiced as long as I have, you instantly know how to take care of psychotic patients. What information should the new graduate consider when analyzing this comment? Select one that does not apply.
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Question 41 of 103
Which principle has the highest priority when addressing a behavioral crisis in an inpatient setting?
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Question 42 of 103
The case manager plans to discuss the treatment plan with a patients family. Select the case managers first action.
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Question 43 of 103
A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to: (Select one that does not apply.)
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Question 44 of 103
A Haitian patient diagnosed with depression tells the nurse,There's nothing you can do. This is a punishment. The only thing I can do is see a healer. The culturally aware nurse assesses that the patient:
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Question 45 of 103
A nurse prepares to teach important medication information to a patient of Mexican heritage. How should the nurse manage the teaching environment?
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Question 46 of 103
The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?
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Question 47 of 103
The client tells the nurse, 'I don't think you can help me. Every time I talk to you, I am reminded of my mother, and I hated her.' The nurse should recognize this as
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Question 48 of 103
A nurse openly admits to not being able to relate to a patient's experience. According to Munhall, this will most likely have what influence on the therapeutic relationship?
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Question 49 of 103
Which of the following statements correctly depict the problem of feeling sympathy toward the client? Select one that does not apply.
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Question 50 of 103
The patient expresses frustration that the doctor does not spend enough time with the patient when making rounds. The nurse replies, 'The doctors are very busy. What can I help you with?' The nurse incorporated which nontherapeutic technique in this response?
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Question 51 of 103
The nurse is sitting with a patient who is crying. After a few minutes the nurse places one hand on the patient's shoulder. Which of the following best describes the purpose of the nurse's touch with this patient?
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Question 52 of 103
Patient says to the nurse, 'I wonder what's playing at the movie tonight.' The most therapeutic response would be,
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Question 53 of 103
Which one of the following statements about the roles that biologic makeup plays in a client’s emotional responses is most accurate?
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Question 54 of 103
You are working on a mental health unit and have a diverse group of patients. Some of the patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did prior to admission. What is your response?
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Question 55 of 103
In the principles of teaching, which abbreviation is used to describe the nursing process?
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Question 56 of 103
Any form of loss may precipitate
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Question 57 of 103
Which of the following factors ensure the validity of informed written consent, except:
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Question 58 of 103
The nurse is transferring the patient from the postanesthesia care unit to the surgical unit. Which of the following is the primary reason for the gradual change of position of the patient?
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Question 59 of 103
A patient being admitted to the eating disorders unit has a yellow cast to the skin, has hair that is limp and dry, and has fine, downy hair covering the body. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient is quiet and sullen during the physical assessment saying only, 'I don’t intend to eat until I lose enough weight to look thin.' What is the best initial nursing diagnosis?
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Question 60 of 103
A child stays home from school to care for siblings while the parents work because the family cannot afford a babysitter. The home is cluttered and dirty. The child reveals, 'My father doesn’t like me very much. He calls me stupid all the time.' The wife mentions that the father is easily frustrated and has trouble disciplining the children. In planning interventions to stabilize the home situation, the community health nurse should consider which resources? (More than one answer is correct.)
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Question 61 of 103
A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should
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Question 62 of 103
As you begin working with her, you notice Ms. V has an uncanny resemblance to your younger sister. As a child, this sister lied and criticized you constantly, then screamed and cried to others if you challenged her. You realize that you are responding negatively to this patient. What's going on here?
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Question 63 of 103
A nurse is caring for a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders?
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Question 64 of 103
A nurse working in a detoxification unit is reviewing the process of addiction. The nurse should identify that which of the following parts of the brain are implicated in the reward pathway leading to addiction?
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Question 65 of 103
A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature?
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Question 66 of 103
A patient should be considered for involuntary commitment for psychiatric care when demonstrating what behavior?
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Question 67 of 103
A nurse is working with a patient diagnosed with post-traumatic stress disorder (PTSD). Which of the following interventions is most appropriate for this patient?
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Question 68 of 103
A nurse is working with a patient diagnosed with bipolar disorder who is in the manic phase. Which of the following behaviors should the nurse anticipate observing in this patient?
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Question 69 of 103
A nurse is assessing a patient diagnosed with bulimia nervosa. Which of the following behaviors should the nurse monitor for in this patient?
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Question 70 of 103
Which entry in the medical record best meets the requirement for problem-oriented charting?
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Question 71 of 103
When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in
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Question 72 of 103
A nurse is caring for a patient diagnosed with bulimia nervosa. The patient states, 'I feel ashamed of my eating habits.' Which of the following is the most appropriate response by the nurse?
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Question 73 of 103
A nurse is working with a patient diagnosed with anorexia nervosa. The patient states, 'I am so afraid of gaining weight. I can't eat.' What is the most appropriate response by the nurse?
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Question 74 of 103
A newly admitted patient diagnosed with major depressive disorder has gained 20 pounds over a few months and has suicidal ideation. The patient has taken antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
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Question 75 of 103
A patient reports, 'I am overwhelmed by stress.' Which question by the nurse would be most important to use in the initial assessment of this patient?
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Question 76 of 103
A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings and concerns. What is the rationale for this intervention?
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Question 77 of 103
Which of the following factors would be the most influential in determining a client’s response to a particular stressor?
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Question 78 of 103
Culture has the most influence on a person’s health beliefs and practices. African Americans believe that the cause of mental illness occurs because of which of the following?
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Question 79 of 103
Two hospitalized patients fight whenever they are together During a team meeting, a nurse asserts that safety is of paramount importance, so treatment plans should call for both patients to be secluded to keep them from injuring each other This assertion:
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Question 80 of 103
A voluntarily hospitalized patient tells the nurse, 'Get me the forms for discharge I want to leave now' Select the nurse’s best response
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Question 81 of 103
After leaving work, a nurse realizes documentation of administration of a PRN medication was omitted This off-duty nurse phones the nurse on duty and says, 'Please document administration of the medication for me My password is alpha' The nurse receiving the call should:
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Question 82 of 103
A patient presents to the emergency department with mixed psychiatric symptoms The admission nurse suspects the symptoms may be the result of a medical problem Lab results show elevated BUN (blood urea nitrogen) and creatinine What is the nurse’s next best action?
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Question 83 of 103
At what point in an assessment interview would a nurse ask, How does your faith help you in stressful situations? During the assessment of:
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Question 84 of 103
A client is being evaluated for dementia. The nurse knows that a client who is able to complete very few tasks is most likely to have
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Question 85 of 103
The client spoke of a current event in the national news and described it as it relates to the client. Then the client spoke of a historical event and described it as it relates to the client. Which of the following questions might the nurse ask to determine if the client is experiencing ideas of reference?
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Question 86 of 103
The client tells the nurse, 'That new TV anchor is telling the world about me.' This is an example of
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Question 87 of 103
Under which conditions would it be in the client's best interest for the court to appoint a conservator, or legal guardian? Select one that does not apply.
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Question 88 of 103
A client who is depressed and suicidal is scheduled for electroconvulsive therapy (ECT), which requires consent. Legally, who should sign the consent for this treatment?
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Question 89 of 103
Which one of the following is the most common reason for ethical dilemmas being a challenge to nurses?
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Question 90 of 103
During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
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Question 91 of 103
Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
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Question 92 of 103
A nurse interacts with a newly hospitalized patient. Select the nurse’s comment that applies the communication technique of offering self.
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Question 93 of 103
A Puerto Rican American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient’s behavior? The patient:
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Question 94 of 103
Jaime has a diagnosis of schizophrenia with negative symptoms. In planning care for the client, Nurse Brienne would anticipate a problem with:
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Question 95 of 103
According to conditioning theory Incubation is a phenomenon that should lead to:
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Question 96 of 103
In panic disorder anxiety sensitivity refers to:
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Question 97 of 103
Sometimes as a last resort Neurosurgery has become an intervention in OCD. The most common procedure is:
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Question 98 of 103
A patient states, I don’t know what the pills are for or why I am taking them, so I don’t want them. What therapeutic communication would help this patient?
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Question 99 of 103
According to Diana Baumrind, there are three types of parenting. When the parent provides a minimum amount of structure and the child does not learn any boundaries, this type of parenting is known as:
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HESI LPN · HESI Behavioral Nursing Questions
Question 100 of 103
The Mental Health Status Examination is an assessment of the patients mental status and current mental functioning. The following are components of the Mental Health Status Examination (Select one that does not apply):
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HESI LPN · HESI Behavioral Nursing Questions
Question 101 of 103
Emotion that is separated from the original feeling describes this defense mechanism:
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HESI LPN · HESI Behavioral Nursing Questions
Question 102 of 103
Palliative sedation aims to achieve
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HESI LPN · HESI Behavioral Nursing Questions
Question 103 of 103
The most common type of dementia is-
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