A patient wants to learn more about integrative therapies. Which resource should the nurse suggest for the most reliable information?
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Question 2 of 92
A patient has tried a variety of CAM approaches to manage health concerns. The nurse asks, "How is going to CAM practitioners different from seeing your medical doctors?†The patient is most likely to respond, "The CAM practitioners
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Question 3 of 92
A patient had a venous thrombosis 3 weeks ago and is now taking warfarin. When visiting the laboratory to have a prothrombin time drawn, the patient reports drinking ginseng tea to stimulate the immune system. Which nursing diagnosis applies?
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Question 4 of 92
A patient reports frequent sleep disturbances. Which interventions could be considered to help improve the patient’s sleep pattern? (Select all that apply.)
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Question 5 of 92
Which of the following is associated with motor coordination?
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Question 6 of 92
The limbic system is associated with which of the following?
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Question 7 of 92
Obtaining consent from from a the guardian of a patient who has limited cognitive capabilities or are incompetent to make decisions represents which ethical principle?
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Question 8 of 92
Which part of the Brian activates fear?
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Question 9 of 92
Psychotropic drug metabolism may be impacted by many factors except for
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Question 10 of 92
The PHMNP recognizes which of the following medication as an atypical antipsychotic?
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Question 11 of 92
Morgan is a third-year nursing student in her psychiatric clinical rotation. She is assigned to an 80-year-old widow admitted for major depressive disorder. The patient describes many losses and sadness. Morgan becomes teary and says meaningfully, 'I am so sorry for you.' Morgan's instructor overhears the conversation and says, 'I understand that getting tearful is a human response. Yet, sympathy isn't helpful in this field:' The instructor urges Morgan to focus on:
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Question 12 of 92
A nurse is assessing a patient who reports feelings of worthlessness and difficulty concentrating. The nurse recognizes that these symptoms are commonly associated with:
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Question 13 of 92
A nurse is working with a patient who has a history of substance abuse. Which goal would be most appropriate for the nurse to focus on during the initial phase of care?
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Question 14 of 92
A nurse is assessing a patient with depression. Which of the following statements would indicate that the patient is experiencing suicidal ideation?
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Question 15 of 92
A nurse is caring for a patient who has experienced a traumatic event. The patient exhibits symptoms of avoidance, hyperarousal, and intrusive thoughts. The nurse recognizes that the patient may be experiencing:
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Question 16 of 92
Which of the following is the most appropriate response when a patient expresses concern about side effects from their medications?
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Question 17 of 92
A nurse is caring for a patient who is experiencing anxiety. Which of the following is an appropriate intervention?
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Question 18 of 92
A nurse is caring for a patient with a history of depression. Which of the following interventions is most appropriate to help the patient manage their symptoms?
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Question 19 of 92
A nurse is working with a patient who has been diagnosed with depression. Which of the following is an appropriate intervention?
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Question 20 of 92
A nurse assesses a patient diagnosed with dissociative identity disorder. Which finding would likely be part of the patient’s history?
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Question 21 of 92
Which worldview would the nurse anticipate from a client who says, “It is important to save enough money to take care of yourself in your old age. We should not rely on anyone else to take care of us.â€Â
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Question 22 of 92
The nursing process organizes your approach to delivering nursing care. To provide care to your patients, you will need to incorporate nursing process and:
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Question 23 of 92
Which of the following is an example of a substance use disorder (SUD)?
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Question 24 of 92
How long does a circadian rhythm last?
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Question 25 of 92
Which is the odd one out?
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Question 26 of 92
I am watching my friend sleep. If I want them to be able to tell me about their dreams I should wake them during:
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Question 27 of 92
Drugs are brought into the country by:
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Question 28 of 92
Which state passed Proposition 36 which provided for treatment for first or second minor drug offenses that took effect in 2001?
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Question 29 of 92
The NIDA estimates that the annual cost of alcohol, tobacco, and illicit drugs is over in costs related to crime, lost work productivity, and health care.
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Question 30 of 92
A 63-year-old woman is hospitalized with herpes simplex virus encephalitis. Which of the following EEG patterns is most likely to be seen in this patient?
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Question 31 of 92
A 21-year-old man is seen in clinic for management of seizures. He has had several episodes of generalized tonic-clonic seizure activity with resultant oral trauma and incontinence. Some of his events may have started with focal shaking in the right arm, although this history is unclear. EEG reveals no epileptiform activity or asymmetry, and brain imaging is unremarkable. Of the following anticonvulsants, which would be most appropriate for this patient?
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Question 32 of 92
Psychogenic nonepileptic events occurring in which of the following populations are most likely to be misdiagnosed as epileptic seizures?
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Question 33 of 92
A 30-year-old man who has had focal epilepsy for 15 years still experiences four to five episodes per month despite medication. He takes two anticonvulsants; his current medications are the ninth and tenth drugs he has tried. Repeated EEGs have shown a right temporal focus. He is on disability and lives with his parents. What is the next best step in management of this patient?
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Question 34 of 92
A 33-year-old man with epilepsy presents to the ED after a seizure with an associated fall. He is initially at his baseline neurologic status but then develops a generalized seizure lasting 5 minutes. What is the most appropriate next step in management?
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Question 35 of 92
Your new patient is admitted to the ER after a car accident. She is extremely anxious. Which intervention is most helpful?
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Question 36 of 92
Helenann, a long-term care nurse educator, noted that one of the staff members was complaining of stress and anxiety. A common physiological response to stress and anxiety is:
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Question 37 of 92
Patients with major depression commonly display signs of:
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Question 38 of 92
Which activity would be best for a depressed patient?
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Question 39 of 92
Your 28-year-old patient was admitted to the psychiatric unit with a diagnosis of major depression with symptoms of withdrawal and extreme sadness. After 2 weeks on the unit, the patient suddenly becomes more talkative, sleeps only 2 hours a night, and acts seductively with the male patients. What is the most likely explanation for this change?
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Question 40 of 92
As you perform a suicide assessment on your patient, you learn that the patient has only one person to call in times of need, has been thinking about suicide frequently in past weeks, and has attempted suicide once before. Given this information you believe this patient's suicide risk is:
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Question 41 of 92
Nurses understand that a major cause of personality disorders is:
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Question 42 of 92
Patients taking MAOIs have a tendency to experience hypertensive crisis, especially when interacting with other drugs like epinephrine. Which of the following is a sign of hypertensive crisis?
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Question 43 of 92
A person newly begun on desipramine reports experiencing dry mouth, constipation, and a feeling of lightheadedness when standing. Which is most true?
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Question 44 of 92
When reviewing the musculoskeletal system, the nurse recalls that hematopoiesis takes place in the:
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Question 45 of 92
A woman who is 8 months pregnant comments that she has noticed a change in her posture and is having lower back pain. The nurse tells her that during pregnancy, women have a posture shift to compensate for the enlarging fetus. This shift in posture is known as:
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Question 46 of 92
A professional tennis player comes into the clinic complaining of a sore elbow. The nurse will assess for tenderness at the:
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Question 47 of 92
A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The nurse notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would suggest:
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Question 48 of 92
The nurse is examining a 6-month-old infant and places the infant's feet flat on the table and flexes his knees up. The nurse notes that the right knee is significantly lower than the left. Which of these statements is true of this finding?
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Question 49 of 92
The two parts of the nervous system are the:
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Question 50 of 92
Which of these statements about the peripheral nervous system is correct?
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Question 51 of 92
While obtaining a health history of a 3-month-old infant from the mother, the nurse asks about the infant's ability to suck and grasp the mother's finger. What is the nurse assessing?
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Question 52 of 92
During the taking of the health history of a 78-year-old man, his wife states that he occasionally has problems with short-term memory loss and confusion: 'He can't even remember how to button his shirt.' When assessing his sensory system, which action by the nurse is most appropriate?
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Question 53 of 92
Which of these tests would the nurse use to check the motor coordination of an 11-month-old infant?
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Question 54 of 92
A 32-year-old woman tells the nurse that she has noticed 'very sudden, jerky movements' mainly in her hands and arms. She says, 'They seem to come and go, primarily when I am trying to do something. I haven't noticed them when I'm sleeping.' This description suggests:
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Question 55 of 92
During an examination, the nurse notices severe nystagmus in both eyes of a patient.. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:
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Question 56 of 92
The nurse is performing a neurological assessment on a 40-year-old male patient who was recently diagnosed with multiple sclerosis (MS). Which of the following symptoms would be expected for a patient with MS?
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Question 57 of 92
On the basis of current knowledge of neurotransmitter effects, a nurse anticipates that the treatment plan for a patient with memory difficulties may include medications designed to:
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Question 58 of 92
A patient hospitalized with a mood disorder has aggression, agitation, talkativeness, and irritability. A nurse begins the care plan based on the expectation that the health care provider is most likely to prescribe a medication classified as a(n):
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Question 59 of 92
A patient has taken many conventional antipsychotic drugs over years. The health care provider, who is concerned about early signs of tardive dyskinesia, prescribes risperidone (Risperdal). A nurse planning care for this patient understands that atypical antipsychotics:
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Question 60 of 92
Your patient has met the goals set for improvement of ambulatory status. You would now:
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Question 61 of 92
Epidemiological studies contribute to improvements in care for individuals with mental disorders by:
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Question 62 of 92
Which question should the nurse ask when assessing for what Sullivan's Interpersonal Theory identifies as the most painful human condition?
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Question 63 of 92
A patient is telling a tearful story. The nurse listens empathically and responds therapeutically with:
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Question 64 of 92
The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
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Question 65 of 92
After a suicide attempt, Edgar tells the nurse, 'I need my belt to keep my pants up. They keep falling down.' Which response should the nurse provide?
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Question 66 of 92
A nurse identified a nursing diagnosis of self-mutilation for a female diagnosed with borderline personality disorder. The patient has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis?
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Question 67 of 92
Which nursing statement is an example of reflection?
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Question 68 of 92
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don't need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?
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Question 69 of 92
Which question is focused on the assessment of an individual's personal ability to manage stress? Select all that apply.
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Question 70 of 92
In GAS, which stage occurs first?
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Question 71 of 92
An incest survivor undergoing treatment at the mental health clinic is relieved when she learns that her anxiety and depression are:
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Question 72 of 92
Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes that her husband, sister, and son cause her problems. Listening to Mary describe the problems the nurse displays therapeutic communication in which response?
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Question 73 of 92
When considering culturally competent care for a Muslim patient diagnosed with cardiac problems, which intervention is particularly important to implement initially when a low-fat diet is prescribed?
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Question 74 of 92
Which nursing intervention demonstrates the ethical principle of beneficence?
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Question 75 of 92
Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include: Select all that apply.
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Question 76 of 92
A young patient comes with progressive cognitive decline, a personality disorder, and chorea. He gets diagnosed with a neurodegenerative disorder. A CT scan showed atrophy of the head of the caudate nucleus. Which neurotransmitter is involved in the disorder?
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Question 77 of 92
A patient asks, 'What are neurotransmitters? The doctor said mine are imbalanced.' Select the nurse's best response.
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Question 78 of 92
The nurse should assess a patient taking a drug with anticholinergic properties for inhibited function of the:
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Question 79 of 92
A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?
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Question 80 of 92
The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm³. Select the nurse's best action.
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Question 81 of 92
Which of the following is derived from the hemp plant 'cannabis sativa'?
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Question 82 of 92
In substance abuse, the term self-medication refers to?
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Question 83 of 92
In cognitive behavioral therapy for substance abuse, individuals may hold dysfunctional beliefs such as 'If I lapse then my treatment will have failed' or 'I have had one drink so I may as well get drunk.' These are known as:
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Question 84 of 92
You are doing patient teaching for Margaret, who has been prescribed amitriptyline (Elavil) for treatment of depression. Which of the following statements suggests that Margaret needs further instruction?
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Question 85 of 92
Which of the following is an important intervention for a patient taking nortriptyline?
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Question 86 of 92
Toni, diagnosed with bipolar disorder, is currently in the mania stage. The staff noted that Toni has placed her lipstick on in an exaggerated way. She is currently pacing the floor and is easily angered. The duty nurse approaches in an attempt to ease some of Toni's behaviors. The most therapeutic response by the nurse would be:
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Question 87 of 92
Your 15-year-old neighbor, who knows you are a mental health nurse, informs you that he has a friend who is talking about suicide. Your best initial response to the young neighbor is:
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Question 88 of 92
You know your patient has a personality disorder. He tells you, 'You are the best nurse. I am so glad you are here today and not that mean nurse who was here yesterday.' Which personality disorder would be most associated with this statement?
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Question 89 of 92
A nurse provides instructions to a client taking fluoxetine (Prozac), an SSRI antidepressant. The nurse tells the client to take the medication:
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Question 90 of 92
Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment of ADHD. The nurse will most likely monitor which of the following during the medication therapy?
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Question 91 of 92
A client with schizophrenia is receiving antipsychotic medication. Which nursing diagnosis may be appropriate for this client?
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Question 92 of 92
The client diagnosed with insomnia is scheduled for sleep studies. Which medication should the nurse instruct the client not to take?
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