A man who reports frequently experiencing premature ejaculation tells the nurse, 'I feel like such a failure. It's so awful for both me and my partner. Can you help me?' Select the nurse's best response.
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Question 2 of 81
The wife of a client diagnosed with paranoid schizophrenia asks, 'I've been told that my husband's illness is probably related to imbalanced brain chemicals. Can you be more specific?' The response based on the dopamine hypothesis is:
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Question 3 of 81
A patient with schizophrenia has been stabilized in the Crisis Center and is about to be discharged. He will be living with his family, but the family knows nothing about the patient's illness, its treatment, or the role they can play in his recovery. Which activity would be most beneficial for the family to attend?
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Question 4 of 81
A patient with schizophrenia repeatedly asks for directions and the time of day. The nurse should:
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Question 5 of 81
People who experience psychotic disorders lose:
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Question 6 of 81
The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving from chair to chair during a group activity, and he complains that he feels 'nervous and jittery inside.' The nurse is aware that this client most likely is experiencing:
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Question 7 of 81
An Arab student new to an elementary school reports, 'I just don't want to go to gym class.' Which factor would be of primary concern for a school nurse?
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Question 8 of 81
A client who has been diagnosed as having paranoid schizophrenia is highly suspicious and delusional. He hears voices telling him terrorists are plotting to assassinate him. He refuses to eat, saying the food is poisoned. The nursing action that best addresses his needs is to:
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Question 9 of 81
A nurse observes a patient who is sitting alone in a room put hands over both ears and vigorously shake her head as though saying, 'No.' Later the patient cries and mutters, 'You don't know what you're talking about! Leave me alone.' What assessment should the nurse attempt to validate?
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Question 10 of 81
A victim of rape says, "My family is not very supportive." Which belief contributes to a negative family response?
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Question 11 of 81
The nurse who sees a number of battered women each year decides to put together a set of guidelines for nurses. An appropriate guideline to include, with the victims' informed consent, would be to:
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Question 12 of 81
Which situation would be most likely to serve as a trigger to a catastrophic reaction in a client with stage 2 Alzheimer's disease?
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Question 13 of 81
A 72-year-old client with dementia, who resides in a long-term care facility, frequently goes to her room and cries because she misses her children. This client could benefit most from which intervention?
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Question 14 of 81
An emergency department nurse prepares to assist with examination of a sexual assault victim. What equipment will be needed to collect and document forensic evidence? Select all that apply.
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Question 15 of 81
Impaired environmental interpretation syndrome related to metabolic disorders is a condition that affects how the body processes nutrients and energy.
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Question 16 of 81
Which symptom is most closely associated with the onset of anorexia nervosa?
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Question 17 of 81
Which of the following is an expected finding for a patient with anorexia nervosa?
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Question 18 of 81
Which statement by a patient with bulimia nervosa suggests the need for further education?
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Question 19 of 81
Which behaviors would indicate the need for further assessment to consider avoidant personality disorder?
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Question 20 of 81
The patient tells his primary nurse 'I get into trouble because I have hair-trigger responses. I shoot from the hip. Lots of times that gets me into a mess.' Which response would be most therapeutic?
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Question 21 of 81
The nurse in the emergency department tells the daughter of a patient that her 86-year-old mother has had a stroke. The daughter tearfully asks the nurse, 'Who will take care of me now?' When the nurse explores this query, the daughter mentions that her mother always tells her what job to take, what clothes to buy and wear, and what to have for lunch. The daughter states that she needs someone to direct her and reassure her when she gets anxious. With which personality disorder is this presentation most consistent?
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Question 22 of 81
Which complication should a nurse monitor for when treating a patient with bulimia nervosa who is experiencing frequent vomiting?
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Question 23 of 81
Which of the following statements about attention deficit hyperactivity disorder (ADHD) are true? (Select one tha does not apply)
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Question 24 of 81
Major concerns of the elderly living alone in their home are: (Name 2)
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Question 25 of 81
Older adults have reached Erikson's developmental stage of ego integrity when they:
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Question 26 of 81
When screening families for post-traumatic stress disorder following a major natural disaster, psychiatric-mental health nurses are practicing which type of disease prevention?
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Question 27 of 81
A student nurse visiting a senior center says, 'Its depressing to see these old people. They are weak and frail. I doubt any of them can engage in a discussion.' The student is expressing:
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Question 28 of 81
A 79-year-old white male tells a nurse, 'I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing.' The nurse should analyze this comment as:
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Question 29 of 81
The highest priority for assessment by nurses caring for older adults who self-administer medications is:
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Question 30 of 81
A homeless individual diagnosed with serious mental illness, anosognosia, and a history of persistent treatment nonadherence is persuaded to come to the day program at a community mental health center. Which intervention should be the teams initial focus?
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Question 31 of 81
A person diagnosed with a serious mental illness enters a shelter for the homeless. Which intervention should be the nurses initial priority?
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Question 32 of 81
While performing an assessment, the nurse says to a patient, 'While growing up, most of us heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to your mind now?' The purpose of this question is to
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Question 33 of 81
In a sad voice, an elderly patient tells the nurse of the recent deaths of a spouse and close friend. The patient has no other family and only a few acquaintances in the community. The nurse's priority is to determine whether which nursing diagnosis applies to this patient?
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Question 34 of 81
A psychiatric clinical nurse specialist uses cognitive therapy with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?
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Question 35 of 81
Which theme is most likely during family therapy with parents, siblings, and a teen patient with anorexia nervosa who engages in provocative behavior?
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Question 36 of 81
A woman became severely depressed when the last of her six children moved out of the home 4 months ago. Since then she has neglected to care for herself, sleeps poorly, lost weight, and repeatedly states, "No one cares about me anymore. I'm worthless." After hospitalization, the nursing diagnosis of situational low self-esteem related to feelings of abandonment was identified. The nurse wishes to reinforce the patient's self-esteem by acknowledging the improvement in her personal appearance. She's wearing a new dress and has combed her hair. The most appropriate remark would be:
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Question 37 of 81
A patient with bipolar disorder is hyperactive and has not slept for 3 days. Mood and behavior are labile. The patient threatens to hit another patient. Which response by the nurse is appropriate?
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Question 38 of 81
A patient with schizophrenia has received typical (first-generation) antipsychotics for a year. His hallucinations are less intrusive, but he remains apathetic, has poverty of thought, cannot work, and is socially isolated. To address these symptoms, the nurse might consult the prescribing health care provider to suggest a change to:
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Question 39 of 81
Which of the following interventions should the nurse plan to use to reduce client focus on delusional thinking?
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Question 40 of 81
A client experiences intrusive, insulting auditory hallucinations. Which independent behavioral technique can the nurse teach the client to employ when the voices are troublesome?
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Question 41 of 81
A highly suspicious patient who has delusions of persecution about being poisoned has refused all hospital meals for 3 days. Which of the following interventions would be most appropriate under these circumstances?
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Question 42 of 81
A patient diagnosed with schizophrenia has difficulty completing tasks and seems forgetful and disinterested in unit activities. A nurse can best select successful strategies by understanding that these behaviors are due to:
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Question 43 of 81
Which of these assessment findings would indicate that a rape victim is exhibiting behavior typically seen in the acute stage of sexual assault?
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Question 44 of 81
A victim of partner abuse, parent of one child, describes the partner as someone who is easily frustrated and more likely to be abusive after experiencing an event in which self-esteem is challenged. The most recent episodes of violence were related to feeling 'upset' over a job loss. What type of therapy would provide the greatest help to the victim?
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Question 45 of 81
A patient received maintenance doses of fluphenazine decanoate (Prolixin Decanoate) 25 mg IM every 2 weeks for 2 years. The clinic nurse notes the patient is grimacing and seems to be constantly smacking her lips. On the next clinic visit, the patient's neck and shoulders twist in a slow, snakelike motion. The nurse should suspect the presence of ______ and should ______.
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Question 46 of 81
A woman has concerns about a man she recently began to date. She confides to her friend, a nurse in the clinic, that she recently discovered that he had been charged with domestic violence in a previous relationship. She asks if this means he will also hurt her and what signs would indicate that he is likely to be abusive. What should the nurse tell her friend?
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Question 47 of 81
The nurse is leading a group for women who have experienced interpersonal violence. A client asks what research statistics tell about the perpetrators of interpersonal violence. The nurse can accurately respond that perpetrators are:
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Question 48 of 81
Which outcome is realistic for a client with stage 1 Alzheimer's disease?
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Question 49 of 81
Vascular dementia is more common in individuals living in:
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Question 50 of 81
Which nursing intervention should be included in the care plan for a patient with anorexia nervosa who is at risk for refeeding syndrome?
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Question 51 of 81
It is a secondary dementia indicated by loss of recent memory and disorientation to time and place.
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Question 52 of 81
A patient is referred to the visiting nurse agency due to cognitive impairment. Which functional problems is this patient most likely to exhibit?
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Question 53 of 81
Several clients are members of a therapy group for clients with eating disorders. Of what particular use is this type of group therapy for treatment of eating disorders?
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Question 54 of 81
Which of the following is a priority intervention for a patient with bulimia nervosa who has been purging?
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Question 55 of 81
Priority nursing interventions for a client with borderline personality disorder who has a history of self-mutilation and is currently angry, irritable, and impulsive would be:
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Question 56 of 81
What is an appropriate goal for a nurse working with a patient who has bulimia nervosa?
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Question 57 of 81
What is the priority nursing intervention for a patient with bulimia nervosa who is engaging in purging behaviors?
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Question 58 of 81
Which statement by a patient with anorexia nervosa indicates a need for further education?
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Question 59 of 81
A patient with an eating disorder states, 'I heard people laughing behind me in the check-out line at the department store. I bet they thought it was hysterically funny that I gained a pound in the last few days.' The nurse documents that the patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses?
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Question 60 of 81
A patient tells a nurse, 'The others won't give me my pain meds early, but you are more understanding, you know what it's like to be in pain, and you don't want to see your patients suffer. Could you find a way to get me my pill now? I won't tell anyone.' Which response by the nurse would be most therapeutic?
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Question 61 of 81
An individual accompanied by a sibling was brought by ambulance to the emergency room with suspected impaired cognitive function. The patient's aggressive behavior and attempts to get out of bed present a safety issue. The nurse should first consider:
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Question 62 of 81
A patient diagnosed with dementia associated with excessive alcohol use tells a nurse, "Last week I had to take my baby to the hospital for major surgery. That's why I've been so nervous and needed to come here." The nurse is aware that the patient has never parented any children. The symptom described can be assessed as:
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Question 63 of 81
A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self. Select the best outcome related to this diagnosis. Within 2 weeks, the patient will:
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Question 64 of 81
The nurse is caring for a client who is being treated for comorbid eating or affective disorder. For which medication would the nurse expect to prepare a client teaching plan?
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Question 65 of 81
A client who has been diagnosed as having bulimia nervosa is hospitalized for treatment of electrolyte imbalance. Just before lunch is finished, the client leaves the table and walks quickly in the direction of the bathroom. The nurse should say:
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Question 66 of 81
Sleep disorders that are characterized by abnormal behavioral or physical events during sleep are called:
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Question 67 of 81
A patient has a maladaptive response to eating regulation. Findings include the following: height, 5 feet 3 inches; current weight, 80 pounds with weight loss of 30% of body weight over the past 3 months; T, 96.6m F; BP, 68/40; P, 40; R, 20; poor skin turgor; lanugo; amenorrhea of 6 months' duration; admits to restricting intake to 350 calories daily; is a vegetarian; dissatisfied with eating pattern as evidenced by patient statement, 'I need to lose another 10 pounds to be at ideal weight'; diagnostic testing reveals serum potassium of 2.9 mEq/L and urine specific gravity of 1.028. Which of the following would be the highest priority nursing diagnosis for this patient?
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Question 68 of 81
Confidentiality should be discussed with all adolescents and parents before the consult. Confidentiality may be breached in all situations below EXCEPT:
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Question 69 of 81
What is not the primary evidence-based approach to managing oppositional behaviour in children?
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Question 70 of 81
The drug of choice for treating Tourette syndrome?
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Question 71 of 81
A normal person sees flashes of light while falling asleep. These are examples of
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Question 72 of 81
Which neighborhood in Boston had the highest rates of Chlamydia in 2006?
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Question 73 of 81
Why does more green space result in stronger neighborhoods?
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Question 74 of 81
In DSM-IV-TR intellectual disabilities are divided into a number of degrees of severity, depending primarily on the range of IQ score provided by the sufferer. One of these is Mild Mental Retardation, corresponding to an IQ score between:
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Question 75 of 81
Many individuals with intellectual disabilities are conscientious and valued workers employed in which of the normal work environments. Individuals with more specific needs may need to pursue employment within:
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Question 76 of 81
What is the primary source of mental stimulation in early childhood?
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Question 77 of 81
In south and east Asia, a man may experience Koro, which is
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Question 78 of 81
Mood disorders are those in which the person may
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Question 79 of 81
The most widely used system of psychological classification today is
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Question 80 of 81
The distinction between obsessions and compulsions is the distinction between
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Question 81 of 81
The most effective method of predicting that a mental patient will commit an act of violence is by
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