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Question 1 of 82

A patient's medical record documents sexual masochism. This patient derives sexual pleasure

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Question 2 of 82

A patient with anorexia nervosa is treated as an outpatient. Select the desired outcome related to the nursing diagnosis Imbalanced nutrition: less than body requirements. Within 1 week, the patient will:

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Question 3 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 4 of 82

The physician prescribes haloperidol (Haldol), a first-generation antipsychotic drug, for a patient with schizophrenia who displays delusions, hallucinations, apathy, and social isolation. Which symptoms should most be monitored to evaluate the expected improvement from this medication?

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Question 5 of 82

A patient with schizophrenia tells the nurse 'I don't know, it's just all the same. You never know. It comes, it goes, it blows away. Get it?' The best response for the nurse to make would be:

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Question 6 of 82

An appropriate short-term goal for a withdrawn, isolated patient diagnosed with schizophrenia is:

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Question 7 of 82

A patient tells the nurse, 'I can't go to any unit meetings because when I get in that room, everyone can hear my thoughts.' The nurse can correctly assess this symptom as:

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Question 8 of 82

The client in whom schizophrenia has been diagnosed usually is medicated with an ____ drug.

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Question 9 of 82

Which is the most appropriate initial goal for a nurse when attempting to overcome personal negative attitudes about a patient who has a history of returning to an abusive spouse?

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Question 10 of 82

Which patient is at greatest risk for physical abuse by a family member?

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Question 11 of 82

A woman who is a victim of severe emotional violence tells the nurse that her husband abuses her most often when he is intoxicated, just as his father had beaten him and his mother. The woman is aware of the location of a safe house and has considered leaving home with her two children, but she cites being brought up to believe 'you keep quiet and stay together, no matter what happens.' She states the husband is always apologetic and remorseful after an incident. The nurse responds, 'You cannot live like this; you have to defend yourself and your children.' Which statement most accurately describes the nurse's response?

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Question 12 of 82

A client who received chlorpromazine (Thorazine) for 15 years to treat schizophrenia developed tardive dyskinesia as evidenced by tongue thrusting and chewing motions. The physician discontinued the chlorpromazine and prescribed Seroquel (quetiapine). As a result of this change, the nurse should carefully monitor for:

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Question 13 of 82

A catatonic patient admitted in a stuporous condition begins to demonstrate increased motor activity. During his assessment, the psychiatrist raises the patient's arm above his head and releases it. The patient maintains the position his arm was placed in, immobile in that position for 15 minutes, moving only when the nurse gently lowers his arm. What symptom is demonstrated by this assessment technique?

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Question 14 of 82

A male patient diagnosed with paranoid schizophrenia typically relates effectively with female staff but angrily tells the male nurse, 'You act like a homosexual. None of the men trust you or want to be around you.' The nurse, who is heterosexual, is perplexed by the patient's statements and discusses the event with his mentor. Which explanation most likely underlies the patient's behavior?

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Question 15 of 82

A woman has been severely beaten by her husband, has no relatives or friends in the community, is afraid to return home, has no financial resources of her own, and has no job skills. Which would be the most important referral for the nurse to make?

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Question 16 of 82

A rape victim tells the nurse, "I should not have been out on the street alone."Ã‚Â Select the nurse's most helpful response.

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Question 17 of 82

A nurse cares for a rape victim who was given flunitrazepam (Rohypnol) by the assailant. Which intervention has priority? Monitoring for:

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Question 18 of 82

According to statistical research data, which of these children currently being followed by the pediatric nurse practitioner is at the greatest risk for fatal abuse?

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Question 19 of 82

The nurse is to perform a complete assessment of a client in her home, using the Mini-Mental State Examination as one component. When the nurse arrives, the client is seated at the table with her husband, the TV is on, and several grandchildren are visiting. The client's husband says, 'Let's get on with this business.' The client is quiet, but her hands are gripped tightly, and she is staring at the ceiling. The best action for the nurse to take would be to:

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Question 20 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. Which nursing intervention should the nurse implement at the time of this client's admission?

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Question 21 of 82

A client has just been diagnosed with mild Alzheimer's disease. A family member asks what medications are used for treatment. The nurse knows that which of the following medications are the ones most used for mild to moderate Alzheimer's disease? (Select all that apply.)

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Question 22 of 82

Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently?

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Question 23 of 82

What is the priority intervention for a nurse caring for a patient with bulimia nervosa?

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Question 24 of 82

A rape victim tells the emergency room nurse, 'I feel so dirty. Help me take a shower before anything else.' The nurse should:

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Question 25 of 82

After being raped, a woman was told by her aunt, 'I'm not surprised that happened to you. You were asking for it.' A few days later, a friend told her, 'Well after all, he took you to dinner. He expected something in return.' The victim states, 'I can't believe that people can think that way.' The rape crisis nurse correctly hypothesizes that the client is:

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Question 26 of 82

Which disorder is associated with persons with a body weight that is normal or even slightly above average?

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Question 27 of 82

Care planning requires that a nurse recognize that the dynamic focus directing a patient with anorexia nervosa is:

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Question 28 of 82

Which of the following are considered red flags for a communication disorder?

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Question 29 of 82

In refeeding syndrome that develops during nutritional rehabilitation of a patient with eating disorder, what is the most important biochemical change?

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Question 30 of 82

In Singapore, MSF-funded disability services for preschool children:

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Question 31 of 82

Schizophrenia is usually diagnosed in:

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Question 32 of 82

State four (4) negative symptoms of schizophrenia

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Question 33 of 82

In Massachusetts, which year contained the highest level of days exceeding the 8-hour average ground-level ozone standard?

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Question 34 of 82

Stuttering is a disturbance in the normal fluency and time patterning of speech that is inappropriate for the individual's age. It involves which of the following?

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Question 35 of 82

Which of the following is the main neurological birth syndrome caused by anoxia?

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Question 36 of 82

What is a key indicator of mental development in preschool children?

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Question 37 of 82

If you met an individual who appeared to be very charming at first, but later you discovered that he or she manipulated people, caused others hurt without a second thought, and could not be depended upon, you might suspect him of being

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Question 38 of 82

A PET scan involves the injection of

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Question 39 of 82

Irrational and very specific fears that persist even when there is no real danger to a person are called

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Question 40 of 82

The extreme reaction known as fugue refers to

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Question 41 of 82

The dopamine-psychosis link is based on the observation that

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Question 42 of 82

Which of the following statements is true about the differences in mental health problems between children and adults?

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Question 43 of 82

The Omnibus Budget Reconciliation Act (OBRA) provides standards of care for which of the following:

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Question 44 of 82

The management of nausea as a side effect of lithium carbonate (Eskalith) includes instructing the patient to take the medication:

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Question 45 of 82

The psychiatric-mental health nurse knows that the patient's spouse clearly understands the adverse effects of lithium carbonate (Eskalith), when they say:

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Question 46 of 82

A 5-year-old presents with a history of urgency of micturition, occasional enuresis, and a slight, non-offensive vaginal discharge for 3 months. She has had no vaginal bleeding. Examination reveals some reddening of the labia majora. Which one of the following is the most likely diagnosis?

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Question 47 of 82

A new nurse asks, 'My elderly patient has Lewy body disease. What should I do about assessing for pain?' Select the best response from the nurse manager.

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Question 48 of 82

An adult experienced a myocardial infarction six months ago. At a follow-up visit, this adult says, 'I haven't had much interest in sex since my heart attack. I finished my rehabilitation program, but having sex strains my heart. I don't know if my heart is strong enough.' Which nursing diagnosis applies?

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Question 49 of 82

An advance directive gives legally binding direction for health care interventions when a patient

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Question 50 of 82

Which finding for a patient with an eating disorder most clearly indicates the need for hospitalization?

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Question 51 of 82

A nurse can anticipate anticholinergic side effects are likely when a patient takes:

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Question 52 of 82

The spouse of a man being treated with sertraline (Zoloft) calls to report that he had a grand mal seizure. Prior to the seizure, he had seemed confused and his forehead felt hot. The man does not have a seizure-disorder history. Which action should the nurse direct the spouse to take?

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Question 53 of 82

A patient with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state. He is given several doses of haloperidol (Haldol) and becomes calm and approachable. During rounds the nurse notices the patient has his head rotated to one side in a stiffly fixed position. His lower jaw is thrust forward and he appears severely anxious. The patient has _____, and the nurse should _____.

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Question 54 of 82

A 32-year-old client with an admitting diagnosis of catatonic schizophrenia has been mute and motionless for 2 days. The priority nursing diagnosis is:

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Question 55 of 82

A 34-year-old male admitted with catatonic schizophrenia has been mute and motionless for several days while at home prior to admission. He still appears stuporous in the hospital. Which nursing intervention would be an initial priority?

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Question 56 of 82

The wife of a client newly diagnosed with paranoid schizophrenia asks the nurse, 'My husband was well adjusted until a month ago, and then, after a lot of work stress, he got sick. What can I expect? Will he be this sick for the rest of his life?' What information can the nurse provide about prognosis?

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Question 57 of 82

A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin, hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety. When the son visited today, he found his mother confused and disoriented, with an unsteady gait. The nurse assessed the patient as having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms that the patient's symptoms developed:

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Question 58 of 82

The head nurse on a unit that serves persons with cognitive impairment is concerned about her staff, many of whom seem to be becoming 'burned out' by their challenging work. Which response by the head nurse is most likely to minimize staff frustration and burnout on the unit? Select all that apply.

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Question 59 of 82

Appropriate teaching for a patient with bulimia nervosa who binges and purges is:

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Question 60 of 82

A nurse assesses that which of the following individuals is most likely to engage in eating behaviors characteristic of bulimia?

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Question 61 of 82

Which of the following behaviors is characteristic of anorexia nervosa?

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Question 62 of 82

Which of the following is the most important initial intervention for a patient with bulimia nervosa?

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Question 63 of 82

Which of the following should the nurse consider when planning care for a client with antisocial personality disorder? Clients with antisocial personality disorder:

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Question 64 of 82

A nurse is providing care for a patient diagnosed with bulimia nervosa. What is a priority nursing intervention?

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Question 65 of 82

Which of the following interventions is most appropriate for a patient with bulimia nervosa?

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Question 66 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 67 of 82

A patient with borderline personality disorder has been making steady progress but one day gets a phone call from her boyfriend, who breaks off their relationship. Although she has not self-injured in over 2 months, she makes repeated lacerations on her forearm. Which statement about this and most maladaptive behaviors seen in personality disorders is most accurate?

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Question 68 of 82

A patient tells the nurse that he is planning to hire a private detective to follow his wife, who he believes is having an extramarital affair. The patient looks behind the door to be sure no one is eavesdropping and asks the nurse what she did with his medical record after he left. The patient's behaviors are most consistent with a diagnosis of:

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Question 69 of 82

Which statement by a patient with bulimia nervosa indicates a need for further education?

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Question 70 of 82

What is the most important goal for a nurse when providing care for a patient with bulimia nervosa?

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Question 71 of 82

What is an appropriate goal for a nurse when working with a patient who has anorexia nervosa?

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Question 72 of 82

A nurse is assessing a patient with anorexia nervosa. Which of the following findings would be a priority for intervention?

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Question 73 of 82

A client with obsessive-compulsive personality disorder is described by other staff as being perfectionistic, inflexible, and a 'master at procrastination.' The nurse learns that the client is nearly immobilized during times that call for the client to make a decision. The nurse realizes that the most likely hypothesis is this behavior is related to:

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Question 74 of 82

Which intervention would best address the nursing diagnosis of Imbalanced nutrition for elderly patients in stages 2 to 3 of Alzheimer's disease?

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Question 75 of 82

A nurse is caring for a patient who is confused, disoriented in all three spheres, and experiencing visual hallucinations. While preparing to provide personal care, the nurse should:

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Question 76 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."Ã‚Â Which response would be most consistent with anorexia nervosa?

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Question 77 of 82

A 14-year-old client on the eating disorders unit refuses to eat her meals and says to the nurse on the unit, 'You can't make me eat! There is nothing wrong with me.' The nurse will assess this as use of which defense mechanism?

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Question 78 of 82

A client with anorexia nervosa has refused meal trays and supplemental feedings for 3 days following admission to the general hospital. The nurse can anticipate that intervention will include:

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Question 79 of 82

A patient living in community housing for the elderly says, 'I dont go to the senior citizens club. They play cards and talk about the past because thats all they can do.' The nurse analyzes these remarks to represent:

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Question 80 of 82

An adult diagnosed with a serious mental illness says, I do not need help with money management. I have excellent ideas about investments. This patient usually does not have money to buy groceries by the middle of the month. The nurse assesses the patient as demonstrating:

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Question 81 of 82

Serious mental illness is characterized as:

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Question 82 of 82

An adult patient tells the case manager, 'I dont have bipolar disorder anymore, so I dont need medicine. After I was in the hospital last year, you helped me get an apartment and disability checks. Now Im bored and dont have any friends.' Where should the nurse refer the patient? Select one tha does not apply.

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