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Question 1 of 50
1. Question
1 point(s)Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language?
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Question 2 of 50
2. Question
1 point(s)The nurse explains to a mental health care technician that a client’s obsessive-compulsive behaviors are related to an unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement?
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Question 3 of 50
3. Question
1 point(s)The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety?
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Question 4 of 50
4. Question
1 point(s)A client with obsessive-compulsive disorder is hospitalized in an inpatient unit. Which nursing response is most therapeutic?
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Question 5 of 50
5. Question
1 point(s)A 45-year-old woman with a history of depression tells a nurse in her doctor’s office that she has difficulty with sexual arousal and is fearful that her husband will have an affair. Which of the following factors would the nurse identify as least significant in contributing to the client’s sexual difficulty?
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Question 6 of 50
6. Question
1 point(s)Which nursing intervention is most appropriate for a client with anorexia nervosa during initial hospitalization on a behavioral therapy unit?
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Question 7 of 50
7. Question
1 point(s)A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the following would indicate that the therapy was successful?
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Question 8 of 50
8. Question
1 point(s)The nurse is working with a client with a somatoform disorder. Which client outcome goal would the nurse most likely establish in this situation?
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Question 9 of 50
9. Question
1 point(s)Which method would a nurse use to determine a client’s potential risk for suicide?
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Question 10 of 50
10. Question
1 point(s)A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client?
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Question 11 of 50
11. Question
1 point(s)A client tells a nurse. “Everyone would be better off if I wasn’t alive.” Which nursing diagnosis would be made based on this statement?
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Question 12 of 50
12. Question
1 point(s)Which information is the most essential in the initial teaching session for the family of a young adult recently diagnosed with schizophrenia?
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Question 13 of 50
13. Question
1 point(s)A nurse is working with a client who has schizophrenia, paranoid type. Which of the following outcomes related to the client’s delusional perceptions would the nurse establish?
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Question 14 of 50
14. Question
1 point(s)A client with bipolar disorder, manic type, exhibits extreme excitement, delusional thinking, and command hallucinations. Which of the following is the priority nursing diagnosis?
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Question 15 of 50
15. Question
1 point(s)A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using?
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Question 16 of 50
16. Question
1 point(s)An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?
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Question 17 of 50
17. Question
1 point(s)The nurse understands that if a client continues to be dependent on heroin throughout her pregnancy, her baby will be at high risk for:A. Mental retardation
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Question 18 of 50
18. Question
1 point(s)The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important?
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Question 19 of 50
19. Question
1 point(s)Which factor is least important in the decision regarding whether a victim of family violence can safely remain in the home?
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Question 20 of 50
20. Question
1 point(s)The nurse would expect a client with early Alzheimer’s disease to have problems with:
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Question 21 of 50
21. Question
1 point(s)Which nursing intervention is most appropriate for a client with Alzheimer’s disease who has frequent episodes of emotional lability?
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Question 22 of 50
22. Question
1 point(s)Which neurotransmitter has been implicated in the development of Alzheimer’s disease?
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Question 23 of 50
23. Question
1 point(s)Which factors are the most essential for the nurse to assess when providing crisis intervention for a client?
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Question 24 of 50
24. Question
1 point(s)The nurse considers a client’s response to crisis intervention successful if the client:
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Question 25 of 50
25. Question
1 point(s)Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in?
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Question 26 of 50
26. Question
1 point(s)Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members:
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Question 27 of 50
27. Question
1 point(s)The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity?
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Question 28 of 50
28. Question
1 point(s)When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system?
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Question 29 of 50
29. Question
1 point(s)A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages?
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Question 30 of 50
30. Question
1 point(s)Prior to administering chlorpromazine (Thorazine) to an agitated client, the nurse should:
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Question 31 of 50
31. Question
1 point(s)The nurse understands that electroconvulsive therapy is primarily used in psychiatric care for the treatment of:
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Question 32 of 50
32. Question
1 point(s)A client taking the MAOI phenelzine (Nardil) tells the nurse that he routinely takes all of the medications listed below. Which medication would cause the nurse to express concern and therefore initiate further teaching?
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Question 33 of 50
33. Question
1 point(s)The nurse is administering a psychotropic drug to an elderly client who has a history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to:
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Question 34 of 50
34. Question
1 point(s)The nurse correctly teaches a client taking the Benzodiazepine Oxazepam (Serax) to avoid excessive intake of:
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Question 35 of 50
35. Question
1 point(s)The nurse provides a referral to Alcoholics Anonymous to a client who describes a 20-year history of alcohol abuse. The primary function of this group is to:
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Question 36 of 50
36. Question
1 point(s)Which client outcome is most appropriately achieved in a community approach setting in psychiatric nursing?
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Question 37 of 50
37. Question
1 point(s)A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority.
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Remain with the client
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Reduce external stimuli
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Teach coping measures
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Encourage low, deep breathing
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Encourage physical activity
View Answers:
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Question 38 of 50
38. Question
1 point(s)The doctor has prescribed haloperidol (Haldol) 2.5 mg. I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe?
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Question 39 of 50
39. Question
1 point(s)The nurse enters the room of a client with a cognitive impairment disorder and asks what day of the week it is: what the date, month, and year are; and where the client is. The nurse is attempting to assess:
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Question 40 of 50
40. Question
1 point(s)Which of the following will the nurse use when communicating with a client who has a cognitive impairment?
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Question 41 of 50
41. Question
1 point(s)A 75-year-old client has dementia of the Alzheimer’s type and confabulates. The nurse understands that this client:
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Question 42 of 50
42. Question
1 point(s)An elderly client with Alzheimer’s disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to:
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Question 43 of 50
43. Question
1 point(s)In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called:
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Question 44 of 50
44. Question
1 point(s)Which of the following outcome criteria is appropriate for the client with dementia?
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Question 45 of 50
45. Question
1 point(s)The school guidance counselor refers a family with an 8-year-old child to the mental health clinic because of the child’s frequent fighting in school and truancy. Which of the following data would be a priority to the nurse doing the initial family assessment?
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Question 46 of 50
46. Question
1 point(s)The parents of a young man with schizophrenia express feelings of responsibility and guilt for their son’s problems. How can the nurse best educate the family?
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Question 47 of 50
47. Question
1 point(s)The nurse collecting family assessment data asks. “Who is in your family and where do they live?” Which of the following is the nurse attempting to identify?
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Question 48 of 50
48. Question
1 point(s)According to the family systems theory, which of the following best describes the process of differentiation?
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Question 49 of 50
49. Question
1 point(s)The nurse is interacting with a family consisting of a mother, a father, and a hospitalized adolescent who has a diagnosis of alcohol abuse. The nurse analyzes the situation and agrees with the adolescent’s view about family rules. Which intervention is most appropriate?
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Question 50 of 50
50. Question
1 point(s)A 16-year-old girl has returned home following hospitalization for treatment of anorexia nervosa. The parents tell the family nurse performing a home visit that their child has always done everything to please them and they cannot understand her current stubbornness about eating. The nurse analyzes the family situation and determines it is characteristic of which relationship style?
CorrectIncorrect