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Question 1 of 95
A patient states, 'I can hear a crunching or grating sound when I kneel.' She also states that 'it is very difficult to get out of bed in the morning because of stiffness and pain in my joints.' The nurse should assess for signs of what problem?
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Question 2 of 95
A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months. Which response by the nurse is appropriate?
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Question 3 of 95
When performing a musculoskeletal assessment, the nurse knows that the correct approach for the examination should be:
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Question 4 of 95
The ability that humans have to perform very skilled movements such as writing is controlled by the:
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Question 5 of 95
When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:
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Question 6 of 95
The nurse is caring for a patient who has just had neurosurgery. To assess for increased intracranial pressure, what would the nurse include in the assessment?
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Question 7 of 95
The nurse is assessing the vital signs of a 78-year-old patient. His temperature is 36.5°C (97.7°F), pulse is 90 beats per minute, respiratory rate is 18 breaths per minute, and blood pressure is 138/80 mm Hg. The nurse notices that the patient is slightly confused and asks the nurse if she can help him with anything. The nurse should:
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Question 8 of 95
A patient has symptoms of acute anxiety related to the death of a parent in an automobile accident 2 hours earlier. The nurse should prepare to teach the patient about a medication from which group?
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Question 9 of 95
A patient tells the nurse, “I’ve been having problems getting a good night’s sleep. I read some information on the Internet and started taking kava kava.†Select the nurse’s priority response.
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Question 10 of 95
A nurse plans health education for a patient who will be receiving warfarin for several weeks after knee-replacement surgery. Which substance should the nurse caution the patient to avoid?
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Question 11 of 95
The cerebellum, cerebrum, brain stem, and butterfly-shaped portion of the central spinal cord are comprised of which contains neural cell bodies, axon terminals, dendrites, and all nerve synapses.
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Question 12 of 95
Which of the following is true regarding epigenetic changes?
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Question 13 of 95
Which medication class does not affect serotonin?
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Question 14 of 95
The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts 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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Question 15 of 95
Which of the following is a common symptom of generalized anxiety disorder?
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Question 16 of 95
Which of the following is a priority nursing intervention for a patient who has been prescribed an antipsychotic medication?
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Question 17 of 95
A nurse is caring for a patient who is experiencing withdrawal from alcohol. Which of the following symptoms should the nurse monitor for?
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Question 18 of 95
A nurse is caring for a patient with bipolar disorder. Which of the following interventions would be most appropriate during a depressive episode?
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Question 19 of 95
As Becky is preparing for discharge, she presents you with a handmade card of appreciation for the care you provided. Should you accept the card?
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Question 20 of 95
A nurse was the case manager for a client with serious mental illness for 6 years. The client died by suicide 1 week ago. Today, the client’s spouse asks, “I always wondered if my spouse was a victim of sexual abuse in childhood. What can you tell me about that?â€ÂCan the nurse disclose information to the surviving spouse?
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Question 21 of 95
Nurse-initiated interventions are:
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Question 22 of 95
When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager?
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Question 23 of 95
Which of these mental health problems has the highest annual prevalence in the United States?
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Question 24 of 95
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, 'You are pretty like my mother.' The nurse recognizes that the male is exhibiting:
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Question 25 of 95
A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient's rights?
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Question 26 of 95
A 13-year-old boy is undergoing a mental health assessment. The nurse practitioner assures him that his medical records are protected and private. The nurse recognizes that this promise cannot be kept when the youth divulges:
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Question 27 of 95
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
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Question 28 of 95
Your 39-year-old patient, Samantha, who was admitted with anxiety, asks you what the stress-relieving technique of mindfulness is. The best response is:
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Question 29 of 95
What is the greatest trigger for the development of a patient's nurse-focused transference?
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Question 30 of 95
Which nursing actions demonstrate cultural competence? Select all that apply.
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Question 31 of 95
A 33-year-old female was brought to the hospital for an acute mental status change by her husband. He reports that she has been taking the same medication to treat symptoms of anxiety and paranoia for the past year. On examination, the woman is diaphoretic, with some rigidity of her extremities. Her blood pressure is 198/109, and her Temperature is 101. Blood analyses show grossly elevated creatine kinase. Which of the following medications could have caused her serious condition?
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Question 32 of 95
A patient has disorganized thinking associated with schizophrenia. Neuroimaging would likely show dysfunction in which part of the brain?
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Question 33 of 95
By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve depression?
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Question 34 of 95
The alcohol-intoxicated individual has less cognitive capacity available to process all ongoing information, and so alcohol acts to narrow attention and means that the drinker processes fewer cues less well. This is known as:
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Question 35 of 95
The term psychological dependence is used when:
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Question 36 of 95
According to the activation-synthesis theory of dreaming, dreams are triggered by the random firing of neurons in the:
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Question 37 of 95
If you were looking at an EEG recording of a sleeping person and noticed theta waves, which stage of sleep would that indicate?
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Question 38 of 95
The challenge now for those who believe marijuana should be permitted for medicinal reasons is to convince Congress to amend:
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Question 39 of 95
Which of the following conditions would likely preclude the consideration of epilepsy surgery in a patient?
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Question 40 of 95
Fetal exposure to which of the following medications is most likely to be associated with decreased IQ during childhood?
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Question 41 of 95
A 25-year-old man with a 10-year history of medically intractable focal epilepsy undergoes an evaluation for epilepsy surgery. His symptoms and EEG findings suggest a left mesial temporal focus. Which MRI sequence is most sensitive for diagnosing hippocampal sclerosis?
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Question 42 of 95
While shopping in the local supermarket, a mental health nurse encounters an individual who recently was a patient on her unit. Which is the proper response by the nurse?
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Question 43 of 95
When preparing the discharge plans for a patient with chronic anxiety, Nurse Barbara evaluates the goals that were set for the patient. Nurse Barbara also evaluates if the patient has achieved the discharge long-term goals. Which goal would be most appropriate to be included in the plan of care requiring evaluation?
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Question 44 of 95
Your patient with major depression tells you he suffers from urinary retention. Which medication would be most likely to cause this?
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Question 45 of 95
Lithium toxicity is most likely with which of the following patients?
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Question 46 of 95
Patients are most likely to commit suicide when:
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Question 47 of 95
The main mechanism used by patients who have personality disorders is:
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Question 48 of 95
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement?
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Question 49 of 95
An imaginary line connecting the highest point on each iliac crest would cross the __________ vertebra.
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Question 50 of 95
During a neonatal examination, the nurse notices that the newborn infant has six toes. This finding is documented as:
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Question 51 of 95
During the taking of the health history, a patient tells the nurse that 'it feels like the room is spinning around me.' The nurse would document this finding as:
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Question 52 of 95
The nurse is testing superficial reflexes on an adult patient. When stroking up the lateral side of the sole and across the ball of the foot, the nurse notices the plantar flexion of the toes. How should the nurse document this finding?
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Question 53 of 95
A patient is unable to perform rapid alternating movements such as rapidly patting her knees. The nurse should document this inability as:
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Question 54 of 95
The nurse wants to assess for disturbances in circadian rhythms in a patient admitted for depression. Which question best implements this assessment?
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Question 55 of 95
A nurse caring for a patient taking a serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to:
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Question 56 of 95
A patient tells the nurse, "I get sick so much, so I started taking ginseng to boost my immune system.†The patient’s only other medication is warfarin daily. Which potential complication should be included in the nursing assessment?
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Question 57 of 95
A patient in good health and without any major health needs says, "I want to try some techniques to improve my mental and physical well-being but I’m overwhelmed by all the suggestions on the Internet.†Which techniques would be appropriate for the nurse to suggest? (Select all that apply.)
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Question 58 of 95
Which area of the brain is regulates long term memory?
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Question 59 of 95
A patient presents to the PMHNP with report of having anxiety, frequent occurrences of feeling frozen in place and like his heart is pounding out of his chest, as well as having difficulty sleeping. The PMHNP suspects the patient has an elevated level of which neurotransmitter?
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Question 60 of 95
Which of the following teaching provided by the PMHNP is correct when teaching a patient about EPS?
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Question 61 of 95
Which intervention would be most appropriate for a patient experiencing severe anxiety?
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Question 62 of 95
Which of the following actions is most appropriate when dealing with a patient who has been non-compliant with prescribed medications?
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Question 63 of 95
A nurse is caring for a patient with dementia. Which of the following is an appropriate communication technique?
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Question 64 of 95
A nurse is working with a patient who has depression and reports feeling tired and unmotivated. Which of the following interventions is most appropriate?
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Question 65 of 95
A nurse is caring for a patient who has schizophrenia. Which of the following is a common symptom of schizophrenia?
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Question 66 of 95
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
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Question 67 of 95
You teach Mr. R’s sister about important precautions associated with a new prescription. Afterward, she accurately summarizes major self-management strategies associated with this drug. Which step of the nursing process applies to her summarization?
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Question 68 of 95
Which nursing assessments are directed at monitoring a patient's fight-or-flight response? Select all that apply.
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Question 69 of 95
A pregnant woman is in a relationship with a male who routinely abuses her. Her unborn child may engage in high-risk behavior as a teen as a result of:
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Question 70 of 95
Which statement indicates the beliefs and values that tend to be representative of a member of an indigenous culture? Select all that apply.
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Question 71 of 95
Lucas has completed his inpatient psychiatric treatment, which was ordered by the court system. Which statement reveals that Lucas does not understand the concept of conditional release?
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Question 72 of 95
An elderly female Dominican patient under treatment for schizophrenia is readmitted to the hospital with a history of increasing jaundice over the past four weeks. She reports that her urine has become darker, her stools have become lighter, and her skin is itching. Blood tests show that her alkaline phosphatase and conjugated bilirubin were raised. Which of the following drugs is she most likely taking?
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Question 73 of 95
A drug causes muscarinic receptor blockade. The nurse will assess the patient for:
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Question 74 of 95
With Barbiturate and Benzodiazepine Abuse and Dependency, sedative intoxication is generally associated with:
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Question 75 of 95
Which of the following is an assumption of controlled drinking, which is a variant of Behavioural Self-Control Training (BSCT)?
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Question 76 of 95
Which of the following is NOT one of the 4 primary classes of psychoactive drugs?
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Question 77 of 95
The term 'hypnosis' is based on the Greek word for:
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Question 78 of 95
Which is the odd one out?
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Question 79 of 95
The Office of the National Drug Control Policy (ONDCP) classifies what type of drugs as the fastest-growing drug problem in the United States?
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Question 80 of 95
A 10-year-old child with epilepsy since age 2 that is refractory to medical treatment has been followed serially with brain MRI scans, which show progressive atrophy of the left hemisphere. What is the most likely diagnosis?
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Question 81 of 95
A 23-year-old man is admitted to the hospital for long-term video-EEG monitoring. He has multiple events while in the hospital, but no clear abnormality is apparent on the EEG. Which of the following characteristics may still support a diagnosis of epileptic seizures as opposed to psychogenic nonepileptic events?
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Question 82 of 95
Which of the following is a priority in dealing with a highly anxious patient?
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Question 83 of 95
In caring for a patient with major depression, the nurse knows that the patient needs:
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Question 84 of 95
Light therapy has been shown to be effective in treating patients with:
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Question 85 of 95
Which of the following would be the most effective intervention for a depressed patient?
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Question 86 of 95
Which of the following would present the greatest risk to develop bipolar disorder?
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Question 87 of 95
A suicidal patient has been transferred to your unit from the medical floor and asks you why he or she has to be watched every minute. 'I have a right to my privacy; I'm an adult and can come and go as I please.' The best response to this patient is:
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Question 88 of 95
When planning care for an individual with borderline personality disorder, nurses realize that the patient:
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Question 89 of 95
Which characteristic is unlikely to be present in a patient with avoidant personality?
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Question 90 of 95
A client who has been taking buspirone (BuSpar) for two months returns to the clinic for a follow-up. The nurse determines that the medication is effective if there is an absent display of?
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Question 91 of 95
A client with depression is taking phenelzine (Nardil). The nurse advises the client to avoid consuming which food?
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Question 92 of 95
A client with schizophrenia has been started on medication therapy with clozapine (Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse effects related to this medication?
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Question 93 of 95
A client with schizophrenia who receives fluphenazine (Prolixin) develops pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize extrapyramidal symptoms?
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Question 94 of 95
Amitriptyline, amoxapine, doxepin, and nortriptyline are examples of what class of medications?
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Question 95 of 95
To which client would the nurse question administering lithium (Eskalith), an antimania medication?
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