A client with depression remains in bed most of the day and declines activities. Which nursing problem has the greatest priority for this client?
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Question 2 of 129
The RN is planning client teaching for a 35-year-old client with alcoholic cirrhosis. Which self-care measure should the RN emphasize for the client's recovery?
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Question 3 of 129
A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN anticipate?
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Question 4 of 129
A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time?
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Question 5 of 129
An older male client with schizophrenia is found smearing feces on the bathroom walls of the chronic mental health unit where he resides. What action should the RN implement?
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Question 6 of 129
A client is admitted to the mental health unit and sits in the corner of the dayroom. When the nurse begins the admission assessment interview, the client is guarded, suspicious, and resists talking. What action should the nurse implement?
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Question 7 of 129
A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When a PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the nurse implement first?
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Question 8 of 129
Client treated with lithium for bipolar disorder develops diarrhea, vomiting, and drowsiness. What action should the nurse take?
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Question 9 of 129
Mechanism of action of Risperidone.
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Question 10 of 129
What is the most important goal for a client with major depression who has been receiving an antidepressant medication for two weeks?
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Question 11 of 129
A highly successful businessman presents to community mental health after complaining of sleepiness and anxiety over his financial status. What should the PN do to diminish his anxiety?
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Question 12 of 129
Defense mechanism question: for projection.
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Question 13 of 129
During one-to-one session with the nurse, a female client who has been admitted for chronic depression and attempted suicide discloses her experience of sexual promiscuity and prostitution. When the nurse asks the client if she was ever sexually abused as a child, the client says, 'I don't remember, but my mother ran my father off when I was five.' The nurse should recognize that the client may be using which defense mechanism?
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Question 14 of 129
A client with bulimia and depression who is taking Phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choice should the nurse instruct the client to avoid?
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Question 15 of 129
A 14-year-old client with anorexia is allowed to select which activity?
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Question 16 of 129
A patient tells the nurse that he is going to kill his sister. What should the nurse do?
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Question 17 of 129
A female client requests that her husband be allowed to stay in the room during the admission assessment. When interviewing the client, the RN notes a discrepancy between the client's verbal and nonverbal communication. What action does the RN take?
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Question 18 of 129
What are the two things for the treatment of alcohol dependency?
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Question 19 of 129
What is impulsive behavior?
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Question 20 of 129
What is the difference between compassion and empathy?
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Question 21 of 129
What is norepinephrine?
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Question 22 of 129
What is secondary prevention?
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Question 23 of 129
What are the contraindications for alprazolam (Xanax)?
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Question 24 of 129
What is lithium used for?
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Question 25 of 129
What are the S/S of opioid overdose?
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Question 26 of 129
What are the effects of inhalant intoxication?
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Question 27 of 129
What is a situational crisis?
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Question 28 of 129
A nurse is caring for a client experiencing panic-level anxiety. The nurse understands which of the following nursing actions should be considered a priority?
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Question 29 of 129
A child diagnosed with autism spectrum disorder makes no eye contact, does not respond to verbal directions from the staff members, and constantly twists, spins, and headbangs. Which of the following would be the best nursing action?
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Question 30 of 129
A client states she is hearing voices that tell her to cut herself. She already has several superficial marks on her wrists from scratching herself with the plastic eating utensils. She will not contract for safety. What is the priority nursing intervention?
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Question 31 of 129
A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement made by the client does the nurse recognize as the bargaining stage of grief?
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Question 32 of 129
Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief?
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Question 33 of 129
Which measure would be considered a form of primary prevention for suicide?
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Question 34 of 129
Which intervention will the nurse recommend for the distressed family and friends of someone who has committed suicide?
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Question 35 of 129
An intramuscular dose of antipsychotic medication needs to be administered... The nurse should:
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Question 36 of 129
A patient with multi-infarct dementia lashes out... Intervention should begin by:
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Question 37 of 129
Family members describe the patient as a difficult person... The most likely explanation is:
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Question 38 of 129
Which central nervous system structures are most associated with anger and aggression?
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Question 39 of 129
What feelings are most commonly experienced by nurses working with abusive families?
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Question 40 of 129
A colleague who is a doctor in training has been seen taking photographs of patients' X-rays on her personal smart phone. Which is the most appropriate next step?
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Question 41 of 129
A 44 year old woman has dry, itchy eyes for 6 months and a dry mouth. Which is the most appropriate treatment for her dry eyes?
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Question 42 of 129
A 65 year old man has worsening localised lumbar back pain and difficulty passing urine. He has multiple myeloma. Which is the most appropriate investigation?
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Question 43 of 129
A 12 year old boy has painful blisters which burst leaving shallow lesions. He has eczema. Which is the most likely diagnosis?
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Question 44 of 129
All of the following are good prognostic factors in schizophrenia except
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Question 45 of 129
A woman, who is 4 days postpartum, presented with tearfulness, mood swings, and occasional insomnia. What is the likely diagnosis?
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Question 46 of 129
A 25-year-old woman complains of a creepy crawling sensation in her legs. It is more at night and prevents her from sleeping. She is relieved of these symptoms by either walking or moving her legs. Which of the following drugs is used in treating the condition?
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Question 47 of 129
Which of the following is a formal thought disorder?
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Question 48 of 129
Following involvement in a MVC, a middle-aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)?
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Question 49 of 129
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
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Question 50 of 129
A nurse provided medication education for a patient diagnosed with major depressive disorder who began a new prescription for phenelzine (Nardil). Which behavior indicates effective learning? The patient
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Question 51 of 129
Which documentation for a patient diagnosed with major depressive disorder indicates the treatment plan was effective?
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Question 52 of 129
During a psychiatric assessment, the nurse observes a patient's facial expression is without emotion. The patient says, 'Life feels so hopeless to me. I've been feeling sad for several months.' How will the nurse document the patient's affect and mood?
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Question 53 of 129
A patient diagnosed with major depressive disorder received six ECT sessions and aggressive doses of antidepressant medication. The patient owns a small business and was counseled not to make major decisions for a month. Select the correct rationale for this counseling.
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Question 54 of 129
Which goal for treatment of alcohol use disorder should the nurse address first?
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Question 55 of 129
A patient has smoked two packs of cigarettes daily for many years. When the patient tries to reduce smoking, anxiety, craving, poor concentration, and headache occur. This scenario describes
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Question 56 of 129
A patient is thin, tense, jittery, and has dilated pupils. The patient says, 'My heart is pounding in my chest. I need help.' The patient allows vital signs to be taken but then becomes suspicious and says, 'You could be trying to kill me.' The patient refuses further examination. Abuse of which substance is most likely?
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Question 57 of 129
A patient with fluctuating levels of awareness, confusion, and disturbed orientation shouts, 'Bugs are crawling on my legs.' Which problem is the patient experiencing?
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Question 58 of 129
A patient previously hospitalized for 2 weeks committed suicide the day after discharge. Which initial nursing measure will be most important regarding this event?
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Question 59 of 129
Which clinical scenario predicts the highest risk for directing violent behavior toward others?
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Question 60 of 129
A patient who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shouts, 'Back off!' and then goes to the dayroom. While following the patient into the dayroom, the nurse should
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Question 61 of 129
A bystander was killed during a robbery 2 weeks ago. His widow, who is diagnosed with schizoaffective disorder, cries spontaneously when talking about his death. Select the nurse's most therapeutic response.
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Question 62 of 129
Which finding indicates successful completion of an individual's grief and mourning?
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Question 63 of 129
A hospice patient tells the nurse, 'Life has been good. I am proud of being self-educated. I overcame adversity and always gave my best. I intend to die as I lived.' The nurse planning care for this patient would recognize the importance of
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Question 64 of 129
A patient tells members of a therapy group, 'I hear voices saying my doctor is poisoning me.' Another patient replies, 'I once heard voices too. They sounded real, but I found out later they were not. The voices you hear are not real either.' Which therapeutic factor is exemplified in this interchange?
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Question 65 of 129
During a group therapy session, a newly admitted patient suddenly says to the nurse, 'How old are you? You seem too young to be leading a group.' Select the nurse's most appropriate response.
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Question 66 of 129
A patient asks, “What is the major difference between conventional health care and complementary and alternative medicine (CAM)?†The nurse's best reply is that conventional health care
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Question 67 of 129
A patient tells the nurse, “I prefer to treat my physical problems with herbs and vitamins. They are natural substances, and natural products are safe.†Which response by the nurse would be most appropriate?
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Question 68 of 129
A patient report, “Last night I had several mixed drinks at a party. When I got home, I had difficulty falling sleep. I made two cups of herbal tea with lavender. This morning, I feel very groggy and have a headache.†The nurse should explain that
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Question 69 of 129
During an assessment interview, a patient diagnosed with inflammatory bowel disease accompanied by frequent episodes of diarrhea says, “I've been using probiotics in small doses for about a week.†When the nurse assesses mental status, expected findings would be
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Question 70 of 129
Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most applicable to this diagnosis?
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Question 71 of 129
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 72 of 129
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 73 of 129
John is on the Alcohol Treatment Unit. He walks into the dayroom where other clients are watching a program on TV. He picks up the remote and changes the channel and says, 'That's a stupid program! I want to watch something else!' In what stage of development is John fixed according to Sullivan's interpersonal theory?
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Question 74 of 129
The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, 'Please tell me what it was like when you were growing up.' Which nursing role described by Peplau is the nurse fulfilling in this instance?
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Question 75 of 129
What is autonomy?
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Question 76 of 129
What are the SE of atypical antipsychotics?
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Question 77 of 129
What are adventitious crises?
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Question 78 of 129
What is suppression?
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Question 79 of 129
What is passive aggression?
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Question 80 of 129
What does the MMSE focus on?
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Question 81 of 129
With what diseases does dopamine decrease?
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Question 82 of 129
With what diseases does GABA increase?
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Question 83 of 129
What is an example of tertiary prevention?
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Question 84 of 129
What are the indications for benzodiazepines?
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Question 85 of 129
What is chlorpromazine (Thorazine)?
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Question 86 of 129
What is nortriptyline (Pamelor)?
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Question 87 of 129
What are guidelines for colleagues demonstrating impairment in the workplace?
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Question 88 of 129
What are nursing interventions for dementia related to dressing and bathing?
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Question 89 of 129
What medications are used for Alzheimer's disease?
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Question 90 of 129
A nurse is developing a care plan for a client with post-traumatic stress disorder. Which of the following should be completed first?
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Question 91 of 129
A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance with a shower. Which comment by the nurse is the most appropriate?
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Question 92 of 129
Which assessment data should the school nurse recognize as signs of physical neglect?
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Question 93 of 129
A client is diagnosed with terminal cancer. Which situation should the nurse assess as reflecting Kubler-Ross's grief state of anger?
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Question 94 of 129
A client who is being treated for chronic kidney disease complains to the health-care provider that he does not like the food available to him while hospitalized. The health-care provider insists that the client strictly adhere to the diet plan. What action can be expected if the client uses the defense mechanism of displacement?
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Question 95 of 129
Which psychotherapeutic technique is commonly used in interpersonal psychotherapy (IPT)?
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Question 96 of 129
A person intentionally overdosed on antidepressants. Which nursing diagnosis has the highest priority?
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Question 97 of 129
It has been 5 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.
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Question 98 of 129
A patient was arrested for breaking windows... Which nursing diagnosis has priority?
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Question 99 of 129
Which is an effective nursing intervention to assist an angry patient... without violence?
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Question 100 of 129
A patient with severe injuries is irritable... Which intervention uses a cognitive technique?
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Question 101 of 129
Several children are seen in the emergency department... Which finding would create the most suspicion...?
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Question 102 of 129
A patient tells the nurse, “My husband lost his job...†What risk factor was most predictive...?
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Question 103 of 129
An older adult with Lewy body dementia... What type of abuse might be occurring?
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Question 104 of 129
An adult has a history of physical violence... Which finding indicates a successful plan?
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Question 105 of 129
A community health nurse visits a family... Which comments will facilitate an interview...?
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Question 106 of 129
A nurse interviews a patient abducted and raped... The patient says, “I can’t talk about it...†What is the coping strategy?
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Question 107 of 129
A rape victim tells the nurse, “I should not have been out on the street alone...†Most therapeutic response:
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Question 108 of 129
A nurse works a rape telephone hotline... Communication should focus on:
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Question 109 of 129
A victim sits in the emergency department rocking back and forth... Which stage of rape-trauma syndrome?
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Question 110 of 129
When an emergency department nurse teaches a victim... Which symptoms should be included...?
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Question 111 of 129
A rape victim tells the emergency nurse, “I feel so dirty...†The nurse should:
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Question 112 of 129
A 26 year old woman has taken an overdose of paracetamol and is seen in the Emergency Department. She says the overdose was impulsive and now regrets taking the tablets. Investigations: Paracetamol level below treatment line for N-acetylcysteine. Which is the most appropriate course of action?
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Question 113 of 129
A 78 year old man has low back pain for 6 weeks and is seen in his GP surgery. There is no radiation of pain. He has no history of trauma. Investigations: Haemoglobin 78 g/L, ESR 98 mm/hr. Which is the most likely diagnosis?
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Question 114 of 129
A 30 year old man took an overdose of 45 paracetamol 500 mg tablets 10 hours ago and is seen in the Emergency Department. Which is the most appropriate initial management?
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Question 115 of 129
A 40 year old woman is found at home in a drowsy state and taken to the Emergency Department. She has dilated pupils, dry mucous membranes and a palpable bladder. Which medication is most likely responsible?
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Question 116 of 129
A 54 year old man is unable to grip effectively with his right hand following recovery from a general anaesthetic for bowel surgery. Which is the most likely affected nerve?
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Question 117 of 129
A 65 year old woman has low mood, hopelessness, anhedonia, poor concentration, low energy, insomnia, lack of appetite and suicidal ideation for 8 weeks. Which is the most appropriate management?
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Question 118 of 129
A 64 year old man has retrosternal chest pain for 1 hour and is seen in the Emergency Department. Which is the most appropriate immediate test?
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Question 119 of 129
A 75 year old man has attended the Emergency Department with bruising to his forearms and face. Which is the most likely explanation for his bruising?
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Question 120 of 129
A 34 year old woman has had secondary amenorrhoea for 8 months. She has lost 6 kg despite good appetite. Which is the most likely diagnosis?
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Question 121 of 129
A 38 year old woman has red sore eyes with crusting in the morning for 9 days. Which is the most appropriate topical treatment?
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Question 122 of 129
A 32 year old woman has intermittent palpitations, paraesthesia, breathlessness and dizziness for 6 months. Which is the most appropriate long-term treatment?
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Question 123 of 129
A 28 year old woman attends her GP as she has been trying to conceive for 12 months. Which day of her menstrual cycle should be used to take her serum progesterone level?
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Question 124 of 129
A 36 year old woman has left-sided chest pain on inspiration whilst on the acute medical ward. Which is the most appropriate investigation at this stage?
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Question 125 of 129
A 10 month old boy has vomiting and fever for 3 days and is seen in the Emergency Department. Which is the correct fluid bolus to give?
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Question 126 of 129
A 73 year old woman has blood taken for her INR and is seen in the GP Surgery. She is taking clarithromycin. Which medication is most likely to have interacted with warfarin?
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Question 127 of 129
A 72 year old man has worsening breathlessness and ankle swelling for 2 months. Which is the most appropriate monitoring test after starting ramipril?
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Question 128 of 129
A 76 year old woman has severe dementia and her son locks her doors to prevent wandering. Which is the most appropriate course of action?
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Question 129 of 129
Which of the following differentiated pseudo-hallucinations from hallucinations?
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