A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. When a novice nurse begins work with this patient, what is the starting point for the relationship?
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Question 2 of 102
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy?
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Question 3 of 102
Which of the following describes the alternative-to-discipline program?
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Question 4 of 102
A nurse is caring for a client who was admitted to the emergency department with a blood alcohol content of 0.15 mg/dL. Which of the following conclusions should the nurse make about the client's blood alcohol content?
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Question 5 of 102
A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
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Question 6 of 102
A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?
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Question 7 of 102
Which nursing diagnosis would likely apply both to a patient diagnosed with schizophrenia as well as a patient diagnosed with amphetamine-induced psychosis?
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Question 8 of 102
A patient is hospitalized for major depressive disorder. A nurse can expect to likely provide the patient with teaching about which medication?
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Question 9 of 102
A nurse is caring for a patient diagnosed with anorexia nervosa. The patient has refused to eat during several meals. Which of the following is the most appropriate response by the nurse?
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Question 10 of 102
A nurse is caring for a school-age child who witnessed a violent crime. Each time the child recalls the event, the details differ from prior recollections. Which of the following trauma-related symptoms is the child experiencing?
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Question 11 of 102
A nurse is assessing a patient diagnosed with major depressive disorder. The patient states, 'I feel worthless, and I don't think things will ever get better.' Which nursing diagnosis is most appropriate for this patient?
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Question 12 of 102
Select the best outcome for a patient with the nursing diagnosis: Impaired social interaction related to feelings of shyness and poorly developed social skills as evidenced by stating, 'Although I'd like to, I don't participate in group activities.'
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Question 13 of 102
A nurse is working with a patient diagnosed with bipolar disorder. The patient is in the manic phase and is exhibiting impulsive behaviors. Which of the following behaviors should the nurse be most concerned about?
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Question 14 of 102
A nurse is caring for a patient diagnosed with anorexia nervosa. The patient states, 'I am not hungry and don't need to eat.' Which of the following is the most appropriate response?
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Question 15 of 102
When a patient is having difficulty making a decision, the nurse has mixed feelings about whether to provide advice. Which principle usually applies? Giving advice
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Question 16 of 102
A nurse is working with a patient diagnosed with anorexia nervosa. The patient states, 'I don't feel hungry, and I don't need to eat.' Which of the following is the most appropriate nursing intervention?
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Question 17 of 102
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The nurse notices the patient is exhibiting risky behaviors, such as driving recklessly. What is the priority nursing intervention?
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Question 18 of 102
A patient diagnosed with obsessive-compulsive disorder has this nursing diagnosis: Anxiety related to _____ as evidenced by inability to control compulsive cleaning. Which phrase correctly completes the etiological portion of the diagnosis?
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Question 19 of 102
A store clerk was killed during a robbery 2 weeks ago. His widow, who has a long history of schizoaffective disorder, cries spontaneously when talking about his death. Select the nurse's most therapeutic response.
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Question 20 of 102
A soldier returned 3 months ago from a combat zone and was diagnosed with PTSD. Which social event would be most disturbing for this soldier?
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Question 21 of 102
The nurse interviewing a patient with suspected PTSD should be alert to findings indicating the patient (Select all that apply)
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Question 22 of 102
A patient diagnosed with a somatic symptom disorder has been in treatment for 4 weeks. The patient says, "Although I'm still having pain, I notice it less and am able to perform more activities." The nurse should evaluate the treatment plan as
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Question 23 of 102
A 12-year-old has engaged in bullying for several years. The parents say, "We can't believe anything our child says." Recently this child shot a dog with a pellet gun and set fire to a neighbor's trash bin. The child's behaviors support the diagnosis of
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Question 24 of 102
Which situation demonstrates use of primary intervention related to crisis?
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Question 25 of 102
At the last contracted visit in the crisis intervention clinic, an adult says, "I've emerged from this a stronger person. You helped me get my life back in balance." The nurse responds, "I think we should have two more sessions to explore why your reactions were so intense." Which analysis applies?
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Question 26 of 102
A group has two more sessions before it ends. One member was previously vocal and has shown much progress but has now grown silent. What explanation most likely underlies this behavior? The silent member
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Question 27 of 102
Which would be a reason for a student nurse to use the DSM?
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Question 28 of 102
A student appears very nervous on the first day of clinical in a psychiatric setting. The student reviews the instructor's guidelines and appropriately takes which of the following actions? Select one that does not apply.
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Question 29 of 102
Which component of treatment of mental illness is specifically recognized by Quality and Safety Education for Nurses (QSEN)?
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Question 30 of 102
The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient:
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Question 31 of 102
A Category V tornado hits a community, destroying many homes and businesses. Which nursing intervention would best demonstrate compassion and caring?
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Question 32 of 102
A Mexican American patient puts a picture of the Virgin Mary on the bedside table. What is the nurses best action?
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Question 33 of 102
Which of the following is the most important skill the nurse must bring to the therapeutic nurse-client relationship?
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Question 34 of 102
What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it secret that the client plans to kill a family member?
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Question 35 of 102
A patient states, 'Right before I got here I was doing alright. My job was going well, my wife and I were happy, and we just moved into a new apartment.' The nurse responds, 'You said you and your wife were happy. Tell me more about that.' This is an example of which therapeutic technique?
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Question 36 of 102
Which of the following personal characteristics influence a client’s response to stressors? Select one that does not apply.
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Question 37 of 102
Several family members arrive to visit an African American client. The nurse can best meet this client’s need for socialization by providing the client and family which of the following?
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Question 38 of 102
A newly admitted acutely psychotic patient is a private patient of the medical director and a private-pay patient To whom does the psychiatric nurse assigned to the patient owe the duty of care?
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Question 39 of 102
The desired outcome for a patient experiencing insomnia is, 'Patient will sleep for a minimum of hours nightly within days' At the end of days, review of sleep data shows the patient sleeps an average of hours nightly and takes a -hour afternoon nap What is the nurse’s next action?
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Question 40 of 102
A patient is known to express tangential thinking. The nurse would assess for which of the following when interacting with the patient?
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Question 41 of 102
A client was brought to the emergency department by police after neighbors complained that he was loud and disruptive. The client is paranoid and upset and states, 'No one can be trusted.' Which of the criteria for involuntary admission does this client meet?
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Question 42 of 102
A client being served in a busy inpatient psychiatric unit becomes very noisy and combative. The other clients are complaining about the noise and are afraid that they will be hurt by the client. The nurse determines that the best course of action for all involved is to seclude the client until the client is able to regain control of his behavior. On which ethical principle did the nurse base this decision?
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Question 43 of 102
A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, I really need to talk to you. The nurse should:
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Question 44 of 102
A nurse wants to enhance growth of a patient by showing positive regard. The nurse’s action most likely to achieve this goal is:
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Question 45 of 102
A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn’t rested well. Which response should the nurse use to clarify the patient’s comment?
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Question 46 of 102
A black patient says to a white nurse, There’s no sense talking. You wouldn’t understand because you live in a white world. The nurse’s best action would be to:
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Question 47 of 102
Which therapeutic communication technique is being used in this nurse-client interaction? Client: 'When I get angry, I get into a fistfight with my wife, or I take it out of the kids.' Nurse: 'I notice that you are smiling as you talk about this physical violence.'
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Question 48 of 102
In phobia individuals acquire a strong set of phobic beliefs which:
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Question 49 of 102
Which of the following physical symptoms are associated with Panic attacks:
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Question 50 of 102
In OCD one of the most important dysfunctional beliefs has been defined as inflated responsibility. This is:
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Question 51 of 102
Which question by the nurse would gain the most information from a patient experiencing a marital crisis?
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Question 52 of 102
Which of the following are characteristics of assertive communication (select all that apply)?
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Question 53 of 102
Which of the following is appropriate with a patient who is homeless?
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Question 54 of 102
The nurse is caring for a first-day postoperative surgical client. Prioritize the patient's desired dietary progression. Arrange in sequence the dietary progression from 1 to 4: 1. Full liquid; 2. NPO; 3. Clear liquid; 4. Soft
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Question 55 of 102
A student transferred from a hometown community college to a university 100 miles from home. She was slow to make new friends at the university. The history shows a close relationship with her mother and sister and that she broke up with her boyfriend of 2 years. She began to eat large quantities when she felt sad, and then induce vomiting. These cycles continued until they interfered with her schoolwork. She sought help from the university health clinic. During the initial interview, what other priority issue should a nurse address?
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Question 56 of 102
An infant is hospitalized for dehydration and now needs to receive his fluid maintenance requirements in 24 hours. The infant weighs 9 kg and will receive 900 mL of fluids. What will be the rate you will set his IV pump per ml/hour? (Round to whole number)
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Question 57 of 102
As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, "Thank you for helping mend my broken heart." Which is the nurse's best response?
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Question 58 of 102
Which statement about mental illness is true?
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Question 59 of 102
An adolescent female is readmitted for inpatient care after a suicide attempt. What is the most important nursing intervention to accomplish upon admission?
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Question 60 of 102
A nurse should identify that which of the following factors is a protective factor that prevents adults from developing addictions?
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Question 61 of 102
A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?
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Question 62 of 102
A nurse is responding to a parent of an adolescent who was recently diagnosed with post-traumatic stress disorder following a sexual assault. The parent states, 'My child ignores curfew, is hanging out with a rough crowd, and has been experimenting with drugs. Why would they be doing this?' Which of the following responses should the nurse make?
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Question 63 of 102
A patient diagnosed with major depressive disorder was hospitalized for 8 days. Treatment included six electroconvulsive therapy sessions and aggressive dose adjustments of antidepressant medications. 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 64 of 102
A patient diagnosed with bulimia nervosa is admitted for treatment. The patient is assessed to have a BMI of 17.5. What is the priority nursing intervention for this patient?
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Question 65 of 102
A nurse is caring for a client who is experiencing mild depression and asks about herbal treatments. The nurse should identify that which of the following herbal treatments is used for depression?
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Question 66 of 102
A nurse is assessing a patient diagnosed with schizophrenia. The patient says, 'The government is monitoring my thoughts.' Which of the following is the most appropriate response?
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Question 67 of 102
A nurse is working with a patient diagnosed with bipolar disorder during the depressive phase. Which of the following behaviors should the nurse expect to observe in this patient?
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Question 68 of 102
A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, 'I really need to talk to you.' The nurse should
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Question 69 of 102
A patient tells the nurse, 'I don't think I'll ever get out of here.' Select the nurse's most therapeutic response.
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Question 70 of 102
A nurse is caring for a patient diagnosed with major depressive disorder. The patient states, 'I don't feel anything anymore. Nothing matters.' What is the priority nursing intervention?
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Question 71 of 102
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
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Question 72 of 102
A patient diagnosed with emphysema has severe shortness of breath and needs portable oxygen when leaving home. Recently the patient has reduced activity because of fear that breathing difficulty will occur. A nurse suggests using guided imagery. Which image should the patient be encouraged to visualize?
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Question 73 of 102
A patient who had been experiencing significant stress learned to use progressive muscle relaxation and deep breathing exercises. When the patient returns to the clinic 2 weeks later, which finding most clearly shows the patient is coping more effectively with stress?
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Question 74 of 102
A patient undergoing diagnostic tests says, 'Nothing is wrong with me except a stubborn chest cold.' The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?
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Question 75 of 102
A person who feels unattractive repeatedly says, 'Although I'm not beautiful, I am smart.' This is an example of
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Question 76 of 102
To plan effective care for patients diagnosed with somatic symptom disorders, the nurse should understand that patients have difficulty giving up the symptoms because the symptoms
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Question 77 of 102
A patient comes to the crisis center saying, "I'm in a terrible situation. I don't know what to do." The triage nurse can initially assume that the patient is
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Question 78 of 102
Which outcome would be most appropriate for a symptom-management group for persons diagnosed with schizophrenia? Group members will
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Question 79 of 102
What social issue is frequently connected to uncontrolled anger and abuse?
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Question 80 of 102
Which of the following is the priority of the Healthy People 2020 objectives for mental health?
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Question 81 of 102
Complete this analogy. NANDA: clinical judgment: NIC: ______
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Question 82 of 102
Which level of prevention activities would a nurse in an emergency department employ most often?
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Question 83 of 102
A psychiatric nurse leads a medication education group for Hispanic patients. This nurse holds a Western worldview and uses pamphlets as teaching tools. Groups are short and concise. After the group the patients are most likely to believe:
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Question 84 of 102
Which intervention best demonstrates that a nurse correctly understands the cultural needs of a hospitalized Asian American patient diagnosed with a mental illness?
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Question 85 of 102
A nurse is assigned to care for a client whose sexual orientation differs from the nurse's sexual orientation. When should the nurse seek clinical supervision?
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Question 86 of 102
Which of the following statements is true of empathy? Select one that does not apply.
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Question 87 of 102
Which of the following statements about verbal and nonverbal communication skills is accurate?
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Question 88 of 102
A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?
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Question 89 of 102
How might the nurse best provide culturally competent care?
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Question 90 of 102
A person in the community asks, 'Why aren’t people with mental illness kept in state institutions anymore?' Select the nurse’s best response
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Question 91 of 102
An adolescent asks a nurse conducting an assessment interview, Why should I tell you anything? Youll just tell my parents whatever you find out. Which response by the nurse is appropriate?
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Question 92 of 102
When assessing a patient's mental health status, which of the following describe the purpose of the psychosocial assessment? Select one that does not apply.
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Question 93 of 102
A nurse suspects that a patient is abusing alcohol while taking prescribed medications. The nurse plans to educate the patient on the dangers of mixing medicine with alcohol. Which of the following would be the most effective way for the nurse to approach this subject with the patient?
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Question 94 of 102
Which of the following would be circumstances when a client could be subjected to involuntary hospitalization?Select one that does not apply.
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Question 95 of 102
A patient is admitted into a mental health unit screaming and kicking. Although this patient is acting out, she also is verbalizing that her leg is hurting. What type of planning would benefit this patient the most?
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Question 96 of 102
The LPN/LVN, assisting in the preparation of the care plan of the elderly patient with moderate cognitive impairment, should plan the goals to be (Select one that does not apply):
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HESI LPN · HESI Psychiatric Nurse Certification
Question 97 of 102
Karen Ann, a patient on the mental health unit, is in the bathroom with the door locked. She was admitted to the unit as a result of her psychotic behavior. The mental health nurse is asking her to come out and take her medication. The patient responds by stating, There is nothing wrong with my behavior. I dont need any medication. I dont know why everyone is so upset. Her response indicates that the defense mechanism being used is:
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HESI LPN · HESI Psychiatric Nurse Certification
Question 98 of 102
A patient who has survived a motor vehicle accident has just learned that the passenger in the car has died. The survivor is unable to recall being in the car. The nurse on duty realizes that this is:
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HESI LPN · HESI Psychiatric Nurse Certification
Question 99 of 102
Prompt sheets may be used in palliative care with patients who are
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HESI LPN · HESI Psychiatric Nurse Certification
Question 100 of 102
The patient had undergone spinal anesthesia for appendectomy. To prevent spinal headaches, the nurse should place the patient in which of the following positions?
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HESI LPN · HESI Psychiatric Nurse Certification
Question 101 of 102
The usual amount of current passed in an ECT session is-
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HESI LPN · HESI Psychiatric Nurse Certification
Question 102 of 102
A victim of physical abuse by the domestic partner is treated for a broken wrist. The patient has considered going to a safe house, but cites being brought up to believe 'you stay together, no matter what happens.' The patient says the partner is always apologetic and remorseful after an incident. Which outcome should be met before the patient leaves the emergency department? The patient will:
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