RN Nursing School · Mental Health · 598 questions

Mental Health Disorders practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Mental Health Disorders, practise in the app.

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1A nurse is caring for a client who has a binge-eating disorder. Which of the following statements should the nurse expect from this client?Answer →
2A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?Answer →
3A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse expect?Answer →
4A nurse is caring for a client who has anorexia nervosa and insists on exercising three times each day. Which of the following actions should the nurse take?Answer →
5The nursing diagnosis for a client with mania is Imbalanced nutrition: less than body requirements related to insufficient caloric intake to balance with hyperactivity as evidenced by 5 lb weight loss in 4 days. Select the most appropriate short-term outcome for mentioned nursing diagnosis.Answer →
6A nurse is educating a client about panic disorder. Which statement indicates understanding?Answer →
7In an art therapy session, a client with anorexia nervosa is asked to draw a picture of herself. Which drawing would likely depict her view of herself?Answer →
8Client A: reports losing a small amount of urine whenever she sneezes or lifts her heavy grocery bags. Client B: reports a sudden, intense need to void that is so strong she cannot reach the bathroom in time, resulting in large volume leakage. Based on these clinical manifestations, which documentation by the nurse is most accurate?Answer →
9A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?Answer →
10A nurse in the emergency department is caring for a client who is exhibiting manifestations of a panic level of anxiety. Which of the following interventions should the nurse initiate?Answer →
11Drag from the choices area to specify which condition the client is most likely experiencing [blank1], two actions the nurse should take to address that condition [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
12A nurse is collecting data from a client who has histrionic personality disorder. Which of the following findings should the nurse expect?Answer →
13A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?Answer →
14A hospitalized client who is paranoid believes that all food served in the hospital is poisoned. An appropriate intervention by the nurse is which of the following?Answer →
15A nurse is caring for a client with anorexia nervosa who exhibits anxiety during mealtimes and has a history of purging behavior. Which nursing action best promotes trust and supports the client's nutritional recovery?Answer →
16A client with chronic alcohol dependence is diagnosed with Wernicke's-Korsakoff's syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?Answer →
17A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?Answer →
18A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurse's priority?Answer →
19A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse?Answer →
20A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?Answer →
21Which symptom is considered a positive* symptom of schizophrenia?Answer →
22Complete the following sentence by using the list of options. Upon assessment, the nurse should recognize that the client is at risk for developing [blank1] as evidenced by the client's [blank2].Answer →
23A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?Answer →
24A 30-year-old client presents with a body mass index (BMI) of 17 kg/m2 and fine hair growth all over her body. Which culture-bound syndrome is the most likely diagnosis?Answer →
25A nurse is assessing a client who has chronic pain. The nurse should identify that which of the following findings is associated with chronic pain?Answer →
26A nurse is caring for a client in the acute phase of mania. Which environment is most therapeutic?Answer →
27A 49-year-old female was attacked by a bear. Which defining behavior supports a diagnosis of PTSD?Answer →
28Terry consistently avoided thoughts and images related to witnessing the injuries and deaths of others during an earthquake during a recent tourist trip to Syria. After his return to USA, he began spending more time at work and filling his days with hobbies and activities. However, whenever he had free time, he would have unwanted intrusive thoughts about the earthquake. In addition, he was having increasingly distressing nightmares. If the nurse is concerned about posttraumatic stress disorder (PTSD) what will be the best therapeutic question to ask?Answer →
29Which recent social factor mentioned in class has the greatest impact on the changing nature of substance abuse and addiction treatment?Answer →
30A suicidal client with a history of manic behavior is admitted to the psych unit. The client's diagnosis is documented as Bipolar I DO: Current Episode Depressed. What is the rationale for this diagnosis instead of a diagnosis of Major Depressive Disorder?Answer →
31A nurse is teaching a client who has panic disorder about expected physiologic effects during a panic attack. Which finding should the nurse include?Answer →
32A nurse is speaking with the parent of a client who is experiencing manifestations of psychosis. The parent states, "I don't understand how a child can experience psychosis." Which of the following responses should the nurse make?Answer →
33Which question would assist the nurse in determining whether the client has been experiencing anxiety?Answer →
34The ED nurse is caring for a patient with a dissociative fugue. Which assessment finding would support this diagnosis?Answer →
35A nurse is assessing a 30-year-old client with schizophrenia on an inpatient psychiatric unit. During the conversation, the client states, "The government has installed cameras in the ceiling to watch me, and I hear the nurse's voice inside my head telling me to run away." Which of the following statements best describes the client's symptoms?Answer →
36A 78-year-old woman is admitted to the hospital with a diagnosis of pneumonia. She appears to be confused and combative at times. Her daughter is concerned because her mother was alert and oriented prior to being diagnosed with pneumonia. Is her altered mental status related to?Answer →
37A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?Answer →
38Which of the following interventions reflects the nurse's understanding of physical, safety, personal, and legal considerations during a manic phase? (Select all that apply.)Answer →
39A nurse is providing education to the family of a client who has Alzheimer's disease. Which of the following statements should the nurse make when explaining the role of acetylcholine in this disease process?Answer →
40You are helping to create a Care Plan for your client with Anorexia Nervosa. The RN has given the nursing diagnosis as: Impaired nutrition: Less than body requirements. What would be an appropriate goal for this client who is on behavior modification therapy?Answer →
41A college student observes a roommate wearing seductive clothing, returning 12-24 hours later, and at other times speaking like a young child. Which health problem should be considered?Answer →
42As we mentioned in class there are increasing concerns about fraud, over-diagnosis, and abuse when it comes to diagnoses like Attention-Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD), including in places like South Florida. From the choices below indicate some of the possible reason of previously mentioned statement. (Select all that apply)Answer →
43Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?Answer →
44A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?Answer →
45A nurse is caring for a client who was admitted for alcohol use disorder. Which of the following findings require follow-up by the nurse? Select all that apply.Answer →
46A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?Answer →
47A client with BPD has difficulty managing emotions and memory gaps related to those emotions. Neuroimaging would most likely show dysfunction in which part of the brain?Answer →
48A nurse is planning care for a client who has narcissistic personality disorder. Which of the following actions should the nurse include in the plan of care?Answer →
49A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make?Answer →
50A nurse is caring for an elderly patient two days postoperatively who begins to exhibit a sudden onset of fluctuating confusion, visual hallucinations, and restlessness. Which action should the nurse prioritize?Answer →
51A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?Answer →
52Sarah was diagnosed with a definite diagnosis of bipolar disorder and has been hospitalized for 7 days, she has taken lithium 600 mg three times daily. Staff members observe increased agitation, pressured speech, poor personal hygiene, hyperactivity, and bizarre clothing. What is the nurse's best initial intervention?Answer →
53A man seeks treatment for urges involving sexual contact with children. He has not acted on these urges and is ashamed of them. Which of the following outcomes would indicate that the client is making progress in his treatment?Answer →
54The client has been cooperative with care and is eager to learn how to manage addiction. The client has become upset in sessions as he learns to deal with his anger and emotions. Select the 3 client reports which indicate an understanding of the treatment of opioid disorders.Answer →
55The client states, "I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator." Which of the following findings is this client exhibiting?Answer →
56Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
57A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?Answer →
58A client diagnosed with schizophrenia reports hearing voices commenting on his actions. The nurse recognizes this symptom as which of the following?Answer →
59A client admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The client is anxious, agitated, and diaphoretic. Which medication would the nurse anticipate the health care provider will prescribe?Answer →
60A nurse is conducting a psychoeducation group about the etiology of eating disorders. Which of the following statements should the nurse include?Answer →
61A nurse is discussing treatment of depressive disorders with a client who has major depression. Which of the following client statements indicates an understanding of the teaching?Answer →
62The nurse is caring for the client. Which of the following actions should the nurse take? Select all that apply.Answer →
63A nurse is assessing a person diagnosed with agoraphobia. Which statement best explains the basis for assessing this client for panic attacks?Answer →
64A nurse is preparing to care for a client who is experiencing complicated grief. Which of the following actions demonstrates grief-informed care?Answer →
65A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?Answer →
66On admission to the mental health unit, a client diagnosed with schizophrenia tells the nurse, "I am the son of God." Based on this statement, which intervention should the nurse include in this client's plan of care?Answer →
67A nurse is providing care to a client with obsessive-compulsive disorder (OCD). Which statement best reflects the difference between an obsession and a compulsion?Answer →
68A nurse is providing education to a group of clients about the health effects of eating disorders. Which of the following client statements indicates an understanding of the teaching?Answer →
69A client who was in a motor vehicle collision related to alcohol intoxication is recovering in the hospital following surgery. Which statement by the client's spouse indicates codependency?Answer →
70A nurse is providing care to a client who was admitted to the emergency department with superficial lacerations on their leg. The client states, "I was feeling bored, so I used a pair of gardening scissors to cut myself." The client denies current depression and suicidal thoughts. The client is demonstrating manifestations of which of the following disorders?Answer →
71A school nurse is planning a classroom presentation about managing stress for a group of adolescents. Which of the following actions should the nurse include as an example of active stress management?Answer →
72A nurse is collecting data from a client who has a depressive disorder. The client states, "I just can't feel any happiness or joy in life." Which of the following terms should the nurse use when documenting this finding?Answer →
73The nurse is caring for a client with alcoholism who receives a prescription for disulfiram. Which instruction about the medication should the nurse provide?Answer →
74The nurse notices the change in the client's level of consciousness. With the sudden changes in the client's clinical presentation, the nurse is preparing to act. Which 4 actions should the nurse take?Answer →
75A 35-year-old female client diagnosed with major depressive disorder presents with frequent sadness and crying, increased appetite, guilt, low self-concept, anxiety, irritability, insomnia, hopelessness, and difficulty concentrating. These symptoms developed after she was fired from her job of 5 years and experienced the death of her mother 3 months ago. Which nursing response demonstrates an empathetic approach to the client who is depressed over her recent losses?Answer →
76A nurse is planning care for a client who has paranoid schizophrenia. Which of the following interventions should be included in the plan of care?Answer →
77A nurse is assessing a client who has paranoid personality disorder. Which of the following findings should the nurse expect?Answer →
78What is the distinctive differentiation between somatic symptom disorders and Malingering?Answer →
79A client with schizophrenia states, "The FBI put a chip in my tooth." Which response by the nurse is most appropriate?Answer →
80A male client presents with sudden deafness after his wife asked for a divorce. Which nursing diagnosis would be most appropriate?Answer →
81When reviewing the treatment for a client who has Parkinson disease with dementia, which medication order would the nurse question?Answer →
82A client diagnosed with schizophrenia is reporting hallucinations and delusions. The nurse knows that these symptoms are associated with an increase of which neurotransmitter?Answer →
83A nurse notes a 17-year-old patient has excessive grooming, checking in the mirror, and preoccupation with perceived small physical imperfections. What should the nurse suspect?Answer →
84Drag words from the choices below to fill in each blank in the following sentence. The nurse identifies that the treatment plan is effective as evidenced by the client's [blank1] and [blank2].Answer →
85An adolescent who is a heroin addict is admitted to the unit for detoxification. Which intervention is most important for the nurse to initiate during the first 24 hours after admission?Answer →
86A nurse is planning care for a client newly admitted with major depressive disorder. Which of the following actions should the nurse plan to take?Answer →
87A client was admitted to the mental health unit after arguing with co-workers and threatening to kill them. He is diagnosed with paranoid schizophrenia. On the unit he is not friendly and suspicious. He mentioned that he saw a poster in the unit's hallway of two physicians talking about securing client's private information but he is sure this means they are plotting to kill him. On the basis of data gathered at this point, what type of symptoms support the medical diagnosis of Schizophrenia and which two primary nursing diagnoses should the nurse consider?Answer →
88A nurse is providing care for a client who has generalized anxiety disorder using the SMART goal method. Which of the following goals contains all of the required elements?Answer →
89A nurse is assessing a 38-year-old client diagnosed with major depressive disorder (MDD). The client states: "I am worthless and a failure. Nothing good ever happens to me, and I will never feel better." Which concept of Beck's cognitive triad is demonstrated in this client's statements?Answer →
90A nurse is collecting data from a client who has functional neurological symptom disorder. Which of the following findings should the nurse expect?Answer →
91A client with bipolar disorder (rapid cycling) has increased creatinine. Which drug should the nurse anticipate will be prescribed first for mood stabilization?Answer →
92A client with somatic symptom disorder is struggling to discuss their psychological manifestations. What is the most appropriate nursing intervention to help the client?Answer →
93A nurse is caring for a client with antisocial personality disorder. Which behavior is most characteristic?Answer →
94A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?Answer →
95A client with borderline personality disorder tells the nurse, 'You are the best nurse on the unit! The other nurses don't care about me the way you do.' Which response should the nurse provide to this client?Answer →
96A nurse is caring for a client who has depression. Which of the following actions should the nurse take to ensure the client's involvement in their personal care plan?Answer →
97A nurse is talking with a client who has schizophrenia and experiences persecutory delusions. The client states, "I think my food is poisoned." Which of the following actions should the nurse take to assist the client with improving reality testing?Answer →
98A female high school teacher, who was a child of alcoholic parents, seeks counseling at the community health clinic because of depression over a student who was killed by a drunk driver. After several weeks of counseling, which client behavior is the best indicator that the client is coping well with the anxiety related to the student's death?Answer →
99A nurse educator is teaching a group of students about major depressive disorder (MDD). The instructor explains that, based on gender, depression is more prevalent in one gender than the other. The nurse also discusses the role of an important part of the brain that participate in mood regulation. Which statement by a student indicates a correct understanding of this information?Answer →
100A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?Answer →
101A nurse is caring for a 28-year-old client experiencing a manic episode related to bipolar disorder. The client is hyperactive, talks rapidly, displays poor judgment, and engages in risky behaviors. Which of the following interventions reflects the nurse's understanding of physical, safety, personal, and legal considerations during a manic phase? (Select all that apply.)Answer →
102What is an important statement a nurse should make to parents of a preschool-age child with ADHD?Answer →
103A nurse is caring for a client with somatic symptom disorder who frequently requests multiple diagnostic tests for new complaints. The client expresses frustration when tests are not immediately ordered. Which nursing intervention best supports the client's safety and promotes effective care management?Answer →
104A child drowned and died while swimming in a local lake 2 years ago. Which behavior indicates the child's parents are grieving in an effective way?Answer →
105Which of the following is considered "Morbidly Obese"?Answer →
106The nurse is providing discharge teaching to the client. Which of the following information should the nurse include when educating the client about relapse prevention? Select all that apply.Answer →
107The nurse is working on the initial assessment. Which items are relevant during the assessment of the client? Select all that apply.Answer →
108A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client's risk for alcohol use disorder?Answer →
109A nurse is caring for a newly admitted female client who has depression and refuses to get out of bed, dress, or participate in group therapy. Which of the following is an appropriate nursing response?Answer →
110A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?Answer →
111A client is brought to the emergency department (ED) by friends who tell the nurse that the client has ingested a large amount of phencyclidine. Which action(s) should the nurse include in the plan of care (POC)? Select all that apply.Answer →
112A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?Answer →
113A nurse is evaluating an 8-year-old child with attention deficit/hyperactivity disorder (ADHD). Which of the following findings is most consistent with the diagnostic criteria for ADHD?Answer →
114A nurse is speaking with the caregiver of a client who has dementia and is experiencing anosmia. Which of the following information should the nurse provide about strategies for managing the client's anosmia?Answer →
115A nurse is assessing a patient who presents with sudden paralysis of the right arm and leg. Neurological examination and diagnostic tests reveal no physiological cause. The patient reports experiencing significant emotional stress following a recent personal trauma. Which disorder does the nurse suspect?Answer →
116A client with alcohol use disorder is admitted for detoxification. Which assessment finding is the nurse's priority concern?Answer →
117A nurse is caring for a client who has borderline personality disorder. Which defense mechanism is common?Answer →
118A nurse is caring for a client diagnosed with paranoid personality disorder. Which nursing intervention is most appropriate?Answer →
119A nurse and nutrition team works with a client with anorexia to establish realistic and appropriate goals for treatment. What are the best goals for this client? Select all that applyAnswer →
120A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?Answer →
121A nurse is making room assignments for a group of clients. Which of the following clients should the nurse place near the nurses' station?Answer →
122A client who has just completed a residential treatment program for alcoholism receives a prescription for disulfiram. Which instruction is most important for the nurse to provide the client prior to discharge?Answer →
123A client with chronic alcohol dependence is admitted with confusion and agitation. An IV infusion with multivitamins and thiamine is prescribed. The client's spouse asks the nurse why the confusion is not going away since the last drink was two days ago. Which explanation should the nurse provide?Answer →
124A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?Answer →
125The nurse is reviewing behavioral alterations that are expected findings for clients who have schizophrenia. Which of the following should the nurses identify as alterations in behavior? (Select All that Apply.)Answer →
126A client with bipolar 1 disorder starts to sing loudly and dance around the dining area disturbing other clients. Which intervention should the nurse implement first?Answer →
127A nurse is caring for a client who is newly admitted for the treatment of anorexia nervosa. Which of the following actions should the nurse plan to take?Answer →
128A client recently diagnosed with schizophrenia receives a prescription for risperidone. When the client asks the nurse why it is necessary to take the medication, which explanation should the nurse provide?Answer →
129A nurse is caring for a client who washes her hands repeatedly and almost constantly. The nurse should recognize the client's actions as which of the following?Answer →
130A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
131A person believe he is Donald Trump and is directing the traffic on Lejeune Road on a busy time while crossing it back and forth without looking, he is shouting and making obscene gestures at passing cars. This person has not slept or eaten for 2 days. Based on this scenario what features of mania on this client requires immediate attention?Answer →
132The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the?Answer →
133A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?Answer →
134A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?Answer →
135A client was admitted to the mental health unit after arguing with co-workers and threatening to kill them. He is diagnosed with paranoid schizophrenia. On the unit he is not friendly and suspicious. He mentioned that he saw a poster in the unit's hallway of two physicians talking about securing client's private information but he is sure this means they are plotting to kill him. On the basis of data gathered at this point, what type of symptoms support the medical diagnosis of Schizophrenia and which two primary nursing diagnoses should the nurse consider?Answer →
136What is the most accurate assessment of the situation?Answer →
137The nurse is providing teaching to a client and family about schizophrenia before discharge from an inpatient facility. The nurse should instruct the family to notify the healthcare provider when which behavior is observed?Answer →
138A nurse is caring for a client who has dementia. The provider has prescribed a protease inhibitor medication for the client. The nurse should identify that this medication is given to treat which of the following types of dementia?Answer →
139A nurse on an acute care mental health unit is caring for a client who has generalized anxiety disorder. The client received an upsetting telephone call and is now rapidly pacing the corridors of the unit. Which of the following actions should the nurse take?Answer →
140A client admitted to an alcoholism rehabilitation program tells the nurse, "I'm actually a social drinker. I usually have one drink at lunch, two cocktails in the afternoon, wine with dinner, and a few drinks during the evening." Which defense mechanism is evident?Answer →
141Sarah is a 42-year-old married woman who has a long history of both depressive and hypomanic episodes. Across the years she has been variable diagnoses as having major depression, borderline personality disorder, and most recently, bipolar disorder. Review of symptoms indicates that she indeed has multiple episodes of depression beginning in her late teens, but that clear hypomanic episodes later emerged. Her elevated interpersonal conflict, hyper-sexuality and alcohol use during her hypomanic episodes led to the provisional borderline diagnosis, but in the context of her full history, bipolar disorder appears the best diagnosis. She has been taking mood stabilizers for the last year, but continues to have low level symptoms of depression. She has history of well know no compliance with treatment. In the past, she has gone off her medication multiple times. Sarah was diagnosed with a definite diagnosis of bipolar disorder and has been hospitalized for 7 days, she has taken lithium 600 mg three times daily. Staff members observe increased agitation, pressured speech, poor personal hygiene, hyperactivity, and bizarre clothing. What is the nurse's best initial intervention?Answer →
142A nurse is caring for a client being treated for alcoholism in a detoxification hospital unit. Before initiating therapy with Disulfiram, the nurse teaches the client that he must read labels carefully on which of the following products?Answer →
143A nurse is caring for a client who has dementia and has been placed on the MIND diet plan. Which of the following foods should the nurse offer the client for a snack?Answer →
144A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)Answer →
145The nurse is admitting a client diagnosed with Myasthenia Gravis. The client suddenly experiences severe generalized weakness with dyspnea, double vision, difficulty swallowing, and speaking. The nurse recognizes these are signs of which type of emergency crisis?Answer →
146A nurse is caring for a client with paranoid personality disorder. Which approach is most appropriate?Answer →
147A nurse is assisting with the admission of a client who is experiencing acute alcohol intoxication. When working with this client, which of the following approaches should the nurse take?Answer →
148A nurse is reinforcing teaching with the family of a client who has a new diagnosis of dementia. Which of the following information should the nurse include in the teaching?Answer →
149A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?Answer →
150A nurse in a rehabilitative unit is planning care for a client who is experiencing delirium. Which of the following actions should the nurse plan to take?Answer →
151A client who insists a friend who passed away has come back to life as a pet lizard. This thought process is most closely associated with which type of personality disorder?Answer →
152A nurse is attending a group therapy session and is listening to clients who have bipolar disorder discuss coping strategies. Which of the following statements by the clients indicate adaptive coping? (Select all that apply.)Answer →
153A nurse is caring for a client diagnosed with anorexia nervosa who presents with a significantly low body weight, distorted body image, and intense fear of gaining weight. Which nursing intervention should the nurse prioritize to support this client's recovery?Answer →
154A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?Answer →
155Which term is used to describe disorders that involve deviation from conventional, socially acceptable sexual behaviors?Answer →
156A client with opioid dependence makes a statement to the nurse about desiring to lead a healthier lifestyle by making changes in the next 2 weeks. How should the nurse respond?Answer →
157A nurse is assessing a 78-year-old client who was recently admitted for acute pneumonia. The client suddenly becomes confused, agitated, and reports seeing "shadows" in the room. Describe what is this client experiencing?Answer →
158A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?Answer →
159The parent of a 4-year-old says, 'My child moves constantly. I try to get him interested in toys, but he is easily distracted. He talks all the time and is awake every morning before I am. I enrolled him in preschool, but the teacher could not handle him.' This problem meets criteria for what mental health disorder?Answer →
160A nurse is assessing a 75-year-old client diagnosed with Alzheimer's disease. The client demonstrates memory loss, difficulty recognizing family members and familiar objects, trouble finding words, and inability to execute purposeful movements. Based on this scenario, which of the following are symptoms of cognitive impairment of Alzheimer's disease in this client? (Select all that apply.)Answer →
161A nurse is caring for a school-age child who has a history of conduct disorder. Which of the following actions should the nurse take? (Select all that apply.)Answer →
162A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?Answer →
163A client with schizophrenia is exhibiting alogia and flat affect. The nurse documents these as:Answer →
164A nurse is collecting data from a client who is experiencing alcohol withdrawal delirium. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
165A nurse is caring for two older adult clients on a medical-surgical unit: Client A is a 78-year-old admitted with pneumonia that suddenly becomes restless, disoriented, and attempts to remove their IV line. Client B is an 82-year-old with advanced Alzheimer's disease who wanders the unit and forgets to use the call light when needing assistance. Which of all the following nursing interventions organize them in order of priority?Answer →
166A soldier returned from a war zone a year ago and was diagnosed with PTSD. His wife reports he won't talk about starting a family, won't look at children, and barely leaves the room. What cardinal symptom of PTSD is this?Answer →
167A nurse is assessing a female client diagnosed with histrionic personality disorder. Which of the following characteristics should the nurse expect? (Select all that apply.)Answer →
168A nurse is teaching the family of a client who has borderline personality disorder. Which information is priority?Answer →
169Complete the following sentence by using the list of options. The child is at greatest risk of [blank1] as evidenced by the child's [blank2].Answer →
170Which comment by a person experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?Answer →
171A 30-year-old primiparous woman who has been drinking 8 to 12 ounces of alcohol daily during her pregnancy comes to the clinic for the third trimester pregnancy follow up. The nurse discover that she continues drinking on a daily bases despite many approaches for her to stop drinking, she is worried that she went to a friend's wedding recently and drank so much that she couldn't remember what had happened until the next day. She also reports occasional recreational use of cannabis. She is at the term of her pregnancy. What will be an accurate statement related to presented scenario?Answer →
172A nurse is caring for a veteran who was diagnosed with post-traumatic stress disorder (PTSD) after returning from combat deployment. Which symptom would the nurse expect the client to report?Answer →
173Mr. K was hospitalized for 6 days in his home town. At this time he is experiencing disorganized thoughts and isolation. Examples of his delusions included the following: beliefs that the television program is sending messages just for him coded inside the commercials; belief that mythological creatures are directing him to battle; belief that a celebrity on TV want to marry him; misinterpretation of numbers to indicate that he is GOD. What type of delusions are manifested in this scenario? (Select all that apply.)Answer →
174A nurse is caring for a client with schizophrenia who is socially withdrawn. Which intervention is most appropriate initially?Answer →
175A 34-year-old client with a history of schizophrenia who frequently forgets to take his medication is admitted to an inpatient unit after police find him threatening customers in Wawa. This is his third admission in 6 months. This pattern of admissions is an example of:Answer →
176A nurse is caring for a client who has schizophrenia and begins to talk about fantasy subjects. Which of the following is an appropriate intervention by the nurse?Answer →
177A nurse is assessing a patient recently diagnosed with schizophrenia who exhibits a lack of motivation to perform daily tasks, diminished emotional expression, and decreased interest in previously enjoyed activities. Based on these clinical findings, which symptoms should the nurse document as negative symptoms of schizophrenia? (Select all that apply.)Answer →
178A nurse is collecting data from a client who refuses to leave home due to fear of encountering dogs. Which of the following should the nurse identify as the primary concern?Answer →
179A nurse is caring for a client who is in the manic phase of bipolar disorder. The client is running around the unit trying to organize competitive games with the clients. Which of the following is an appropriate intervention?Answer →
180A nurse is collecting data from a newly admitted client who has major depressive disorder. Which of the following findings should the nurse expect?Answer →
181A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature?Answer →
182A nurse is caring for a client in the manic phase of bipolar disorder. Which intervention is most appropriate?Answer →
183Which assessment findings require follow up by the nurse? Select all that apply.Answer →
184The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?Answer →
185A nurse is teaching a client who plans to take St. John's wort to treat her depression. Which of the following information should the nurse include in the teaching?Answer →
186A client with borderline personality disorder says, "If you leave, I'll hurt myself." Which nursing response is most appropriate?Answer →
187A client who is admitted to the medical-surgical unit with a gunshot wound has a blood alcohol level (BAL) of 220 mg/dl (0.22%). The client is awake, alert, and oriented, and does not appear to be intoxicated. Which nursing intervention should the nurse implement?Answer →
188Click to highlight the findings that the nurse should report to the provider. To deselect a finding, click on the finding again.Answer →
189Which of the following best describes how antipsychotic medications help manage symptoms of schizophrenia?Answer →
190A nurse is caring for a client who has a personality disorder. Which of the following statements made by the client indicate they are coping with the maladaptive defense mechanism of displacement?Answer →
191During a one-to-one session with the nurse, a female client admitted for chronic depression and attempted suicide discloses experiences 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?Answer →
192A female client who is a retired school teacher, is admitted for a breast biopsy. After being told that the biopsy was positive for cancer, she becomes dependent and asks her family for help with activities of daily living that she is physically capable of performing. Which interpretation of this client's behavior by the nurse is likely to be most accurate?Answer →
193A college student who is the victim of a carjacking presents to the community health center and reports increased anxiety. During the interview, which nursing intervention should take the highest priority?Answer →
194A nurse is caring for a client who has a history of angina... The client states, "I have been skipping my insulin to help lose weight." The nurse should identify that this is an indication of which of the following conditions?Answer →
195A nurse is caring for a client who has chronic stress. The client states, "I always feel so tired, but I can't sleep unless I have a cocktail or glass of wine at bedtime." Which of the following responses should the nurse make?Answer →
196A nurse is caring for a client who has bulimia nervosa. Which of the following findings should the nurse expect?Answer →
197A nurse is caring for a female client with bulimia nervosa who vomits frequently. Which finding is expected?Answer →
198A client with chronic alcoholism receives a prescription for disulfiram. Which client statement indicates that this medication teaching has been effective?Answer →
199Complete the following sentence by using the lists of options. The nurse recognizes the client is at highest risk for developing ___ as evidenced by the client's ___.Answer →
200A nurse is assessing a client who has paranoid personality disorder. Which of the following findings should the nurse expect?Answer →
201Which of the following actions should the nurse take when caring for the client? Select all that apply.Answer →
202A nurse is educating a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity of histrionic personality disorder?Answer →
203An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds (4.1 kg) within the last month. Which client goal is most important to achieve within the first three days of treatment?Answer →
204A nurse is providing care for a client who has recently returned from active combat and experienced the loss of a close friend during combat. Which of the following client statements indicates that the client is experiencing traumatic grief?Answer →
205A nurse is providing an in-service to a group of nurses on medications used to treat the progression of Alzheimer's disease. Which of the following medications should the nurse include in the teaching?Answer →
206A nurse is assessing a client who has a generalized anxiety disorder. The client is interested in taking an herbal supplement to help them sleep. Which of the following supplements should the nurse identify is used to treat insomnia?Answer →
207A 84 years old male was stopped for going through a red light in a small town where he has lived all his life. When the police officer asked for his license he handed his glasses to the officer. He has labile mood, seeming pleasant one minute and angry the next. The officer took the man to his home to discuss his condition with the family and found that he lives with his wife, who is legally blind. She stated, 'He's my eyes, and I'm his mind.' She reluctantly agreed that he should go to the emergency department for evaluation. He was diagnosed with Alzheimer's disease. What cardinal sign of Alzheimer's disease does this client demonstrate?Answer →
208A nurse is initiating home care teaching with the mother of an infant who experienced a birth injury. The mother is unable to concentrate and recall previously discussed care instructions. She also reports having a mild headache. The nurse should identify that the client is experiencing which level of anxiety?Answer →
209Korsakoff's psychosis is a chronic memory disorder often associated with long-term alcohol abuse and may occur alongside Wernicke's encephalopathy.Answer →
210Before starting a session of hemodialysis, a nurse assesses her client's left arm AV fistula. The nurse listens to the fistula with a stethoscope and notes a swishing sound under the skin. Which action of the nurse is most appropriate?Answer →
211Which intervention should be prioritized to monitor the health status of a client newly admitted for bulimia nervosa?Answer →
212A nurse is caring for a client who states, "My mother and my mother's mother have all been in abusive relationships. We know this is because of what happened to our people 100 years ago with slavery." Which of the following responses by the nurse expresses understanding of the client's trauma?Answer →
213A client with functional neurological symptom disorder is experiencing blindness secondary to stress surrounding an upcoming deployment. Which response by the nurse supports the therapeutic relationship?Answer →
214The mental health team working with a homeless client with chronic schizophrenia establishes the treatment goal of, "Improvement in avolition prior to discharge." Which behavior demonstrates achievement of this goal to the nurse?Answer →
215A nurse is providing education to a client with functional neurological symptom disorder (conversion disorder) who experiences sudden blindness without medical cause. The client insists on repeated imaging studies. Which therapeutic approach should the nurse prioritize?Answer →
216A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care (POC)?Answer →
217A nurse is caring for a client who has schizophrenia. The client states that he hears voices telling him to do "bad things." The nurse correctly identifies this finding as which of the following?Answer →
218From the following scenarios identify the one that shows Voyeurism.Answer →
219The hospice nurse notices that, following the death of his wife of 50 years, a surviving husband's affect is anxious, and he reports a feeling of detachment from his body, stating, "I feel like I am seeing myself from outside of my body." The caregiver knows that this client is displaying the characteristics of the dissociative disorder of?Answer →
220A nurse is reviewing the medical record of a client who reports severe pain in their head and abdomen... Which of the following disorders best describes the client's condition?Answer →
221A nurse is providing information to a client about risk factors for developing an anxiety-related disorder. Which of the following clients is at greatest risk for developing an anxiety-related disorder?Answer →
222Which is an important nursing intervention when giving care to a client withdrawing from a central nervous system (CNS) stimulant?Answer →
223A nurse is caring for a client with obsessive-compulsive disorder who recently received a serious medical diagnosis. The client repeatedly states, "Everything is perfect. I'm completely fine," while organizing the bedside table and insisting that all items be arranged precisely. Which defense mechanism is the client most likely demonstrating?Answer →
224A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)Answer →
225A client reports experiencing episodes of extreme sadness, low energy, and loss of interest in activities for the past 2 weeks, accompanied by feelings of worthlessness and changes in appetite. The nurse identifies these as criteria for which disorder?Answer →
226Tardive dyskinesia is a temporary side effect of antipsychotic medications that resolves shortly after discontinuation of the drug.Answer →
227An older adult woman who lives in a long term mental health facility has a history of taking belongings from other clients' rooms when she becomes agitated. The client is found placing these items in the same closet on the unit. Which action should the nurse take?Answer →
228Click to highlight the findings that the nurse should report to the provider. To deselect a finding, click on the finding again.Answer →
229In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?Answer →
230A nurse is reviewing laboratory results. Which of the following findings does the nurse associate with a complication of anorexia nervosa?Answer →
231A nurse is caring for a 24-year-old client who reports feeling "empty inside" and says, "I hate myself." The client alternates between idealizing and devaluing staff members, stating that one nurse is "the only person who understands me" and later yelling that the same nurse "doesn't care at all." The client has multiple superficial cuts on her forearm and admits to self-harm after an argument with her partner. Based on these findings, the nurse should identify that the client is demonstrating traits associated with which personality disorder?Answer →
232A nurse in an inpatient unit is caring for a group of clients who have depression. When planning care, which of the following clients should the nurse see first?Answer →
233A nurse is planning care for a client who has a gambling disorder. Which of the following actions should the nurse Include in the plan of care?Answer →
234A young adult client is admitted to the emergency department (ED) after being raped in a shopping center parking lot. The client expresses no suicidal ideation, but expresses feelings of self-blame for not taking precautions when going to the car. According to theorists, such as Maslow and Erikson, this client is struggling with which issue?Answer →
235The nurse is reviewing the client's assessment findings. Which of the following findings should the nurse identify as positive symptoms of schizophrenia? (Select All that Apply.)Answer →
236Which assessment findings require follow up by the nurse? Select all that apply.Answer →
237The nurse is assigned to a 9-year-old. The client's mother voices concern about the client's constant disobedience of rules, arguing with others, especially with teachers, basketball coach, the father and her. The mother further states that the client is doing poorly in schoolwork, and has run off from home numerous times. The nurse assesses that the client may have:Answer →
238The nurse is talking with a male client with a diagnosis of schizophrenia who often experiences auditory hallucinations. For this communication to be most effective, the nurse should:Answer →
239Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
240For each potential nursing education topic, click to specify if the education is expected or unexpected for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.Answer →
241A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?Answer →
242A client with avoidant personality disorder is most likely to demonstrate which behavior?Answer →
243A nurse is planning care for a client who demonstrates prolonged depression related to the loss of their partner 6 months ago. Which of the following actions should the nurse take?Answer →
244A nurse is assessing a client diagnosed with schizophrenia who is exhibiting unusual behaviors. Which of the following findings should the nurse identify as a positive symptom of schizophrenia that indicates active psychosis?Answer →
245A substance use disorder (SUD) and addiction is a more likely comorbid mental disorder in which clients? (Select all that apply.)Answer →
246A nurse is initiating nutritional therapy for a patient with severe anorexia nervosa who has been in a prolonged state of starvation. Which priority nursing intervention should the nurse implement to prevent life-threatening complications during the initial phase of refeeding?Answer →
247A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?Answer →
248Why does this change occur?Answer →
249A nurse is assisting with the admission of an older adult who is confused. Which of the following statements by the client's partner indicates that the client may be experiencing delirium?Answer →
250A nurse working in a detoxification unit is reviewing the process of addiction. The nurse should identify which of the following parts of the brain are implicated in the reward pathway leading to addiction?Answer →
251A newly admitted elderly client seems to become confused and agitated every evening after dinner. The client most likely is suffering from:Answer →
252A nurse is caring for two older adult clients on a medical-surgical unit: Client A is a 78-year-old admitted with pneumonia that suddenly becomes restless, disoriented, and attempts to remove their IV line. Client B is an 82-year-old with advanced Alzheimer's disease who wanders the unit and forgets to use the call light when needing assistance. Which of all the following nursing interventions organize them in order of priority? a. Place the clients in a room close to the nurses' station. b. Use bed and chair alarms as needed. c. Encourage the clients to perform all activities independently. d. Remove potentially harmful objects from the clients' environment. e. Apply restraints if needed to prevent injury. f. Orient the clients frequently to person, place, and time.Answer →
253A patient with a history of intravenous heroin use presents with pinpoint pupils, respiratory depression, and unconsciousness. Which of the following is the most immediate nursing priority?Answer →
254A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?Answer →
255A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is nurse most likely to administer to reduce the symptoms of alcohol withdrawal?Answer →
256A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?Answer →
257A nurse is collecting data from a client who is experiencing moderate anxiety. Which of the following findings should the nurse expect?Answer →
258A client with illness anxiety disorder expresses concerns about multiple physical symptoms that are causing distress. Which statement by the client indicates understanding of the treatment plan?Answer →
259A nurse is caring for a client who is experiencing manifestations of opiate withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
260The nurse is assessing a client who presents with Body Dysmorphic Disorder. The nurse knows that they will see the following upon assessment. Select all the possible answers.Answer →
261What is the most challenging nursing intervention for clients with personality disorders who use manipulation?Answer →
262Mr. Cruz visits the physician's office to seek treatment for recurring signs and symptoms for at least 2 weeks of persistent flat affect, anergia, hopelessness, poor appetite, insomnia, fatigue, low self-esteem, poor concentration, and difficulty making decisions. Pt was diagnosed by MD and started been treated with fluoxetine (Prozac). Based on previous scenario and DSM5's criteria what diagnosis was given by MD to this client and what is the most important information the nurse should include in the teaching related to new medication?Answer →
263A nurse is teaching the family of a client who has Alzheimer's disease about safety interventions for nighttime wandering. Which of the following interventions should the nurse include?Answer →
264A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?Answer →
265A client with BPD is nervous, isolates, and does not speak to peers. Her mother describes her as shy with few friends. What is the most appropriate nursing diagnosis?Answer →
266Which comment by a person experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?Answer →
267A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?Answer →
268A client with paranoid delusions and hallucinations is hospitalized. Which assessment finding should the nurse anticipate?Answer →
269A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?Answer →
270A nurse is observing a group therapy session. Which client statement indicates bulimia nervosa?Answer →
271A nurse in an acute care mental health facility is caring for a hospitalized client who has agoraphobia. The nurse observes that the client is making progress when he is able to participate in which of the following activities?Answer →
272A nurse is developing a plan of care for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?Answer →
273A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?Answer →
274A 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?Answer →
275A nurse in the clinic is assessing a postpartum client. The client states that they sleep all the time and are hearing voices telling them to harm their child. The nurse should identify that the client is likely experiencing which of the following?Answer →
276A female client engages in repeated checks of door and window locks and behavior that prevents her from arriving on time and interfering with her ability to function effectively. Which action should the nurse take?Answer →
277A nurse is assessing an older adult client for neurocognitive disorders. Which of the following actions should the nurse take to evaluate the client for agnosia?Answer →
278A nurse is caring for a client who has Alzheimer's disease and is having difficulty with multitasking. Which of the following cognitive deficits is the client experiencing?Answer →
279A client reports a recent history of recurrent, unexpected episodes of intense fear accompanied by palpitations, shortness of breath, and a feeling of impending doom. Which condition is this client most likely experiencing that can serve as a precursor to agoraphobia?Answer →
280A female client is brought to the emergency department (ED) after police officers found her disoriented, disorganized, and confused. The nurse also determines that the client is homeless and is exhibiting suspiciousness. This client's plan of care should include which priority problem?Answer →
281A trauma survivor is requesting sleep medication because of "bad dreams." If the nurse is concerned about posttraumatic stress disorder, what should the nurse ask?Answer →
282A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation?Answer →
283The nurse identifies the client's Target 1 and Target 2 can indicate a life-threatening reaction to the client's scheduled medication.Answer →
284A client tells the nurse, "I get so terrified when I have to leave my house. I'm afraid something bad will happen, and I won't be able to get help." The client now avoids going to public places and depends on family members to buy groceries and run errands. Which nursing diagnosis is most appropriate for this client?Answer →
285A nurse is reviewing the medical record of a client who is being admitted with dementia. The nurse notes that the client has worked as a pest control specialist for the last 20 years. Which of the following types of dementia should the nurse expect the client to be experiencing?Answer →
286A nurse is caring for a client who has alcohol use disorder. Which of the following statements made by the client indicates the client has a support system?Answer →
287Psychosis is a set of symptoms that affects the mind when there has been some loss of contact with reality. Psychotic disorders can lead to abnormalities in five different symptomatic domains: disorganized perceptions, disorganized thoughts, disorganized speech, disorganized motor behavior, and "negative symptoms". From the following scenarios select the best that apply for positive symptoms. (Select all that apply)Answer →
288A nurse is teaching a group of nursing students about the body's physiological response to stress. The nurse explains that activation of the HPA axis helps the body cope with stress by releasing which end product hormone that increases blood glucose and suppresses the immune system?Answer →
289A nurse is reviewing the medical record of a client who recently has been diagnosed with schizophrenia. Which of the following finding is a genetic risk factor associated with the development of schizophrenia?Answer →
290A nurse is caring for an adolescent client who was sexually assaulted and cannot remember events. What is this?Answer →
291As we mentioned in class there are increasing concerns about fraud, over-diagnosis, and abuse when it comes to diagnoses like Attention-Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD), including in places like South Florida. From the choices below indicate some of the possible reason of previously mentioned statement. (Select all that apply)Answer →
292A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?Answer →
293A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?Answer →
294Terry consistently avoided thoughts and images related to witnessing the injuries and deaths of others during an earthquake during a recent tourist trip to Syria. After his return to USA, he began spending more time at work and filling his days with hobbies and activities. However, whenever he had free time, he would have unwanted intrusive thoughts about the earthquake. In addition, he was having increasingly distressing dreams. On an interview with the nurse the client stated the following: "I saw my best friend get killed by a falling building. It should have been me instead." Identify the distinctive symptoms of PTSD in previous scenario. (Select all that apply.)Answer →
295A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?Answer →
296A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?Answer →
297A nurse is assessing a client who has posttraumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
298A 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?Answer →
299A nurse is assessing a client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse Identify as an adverse effect of the medication?Answer →
300A nurse in an acute care mental health facility is caring for a hospitalized client who has agoraphobia. The nurse observes that the client is making progress when he is able to participate in which of the following activities?Answer →
301A nurse is caring for a newly-admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take?Answer →
302All of the following would be appropriate when planning care for clients with neuromuscular disorders except:Answer →
303A nurse is speaking to a group of nurses about the difference between schizoaffective disorder and schizophrenia. Which finding is associated with the active phase of schizoaffective disorder?Answer →
304A nurse educator is discussing the prevalence of major depressive disorder (MDD) with a group of MRU nursing students. Recent studies show an increase in reported cases compared with previous decades. Which of the following statements demonstrates a correct understanding of prevalence indicators and trends?Answer →
305A nurse is contributing to the plan of care for a child who has autism spectrum disorder. Which of the following interventions should the nurse recommend for the plan of care?Answer →
306Hospitalization of a client with a dissociative disorder is required in which situation?Answer →
307A nurse is performing a mental status examination for a client who has schizophrenia. The nurse should recognize that which of the following actions requires the client to think abstractly?Answer →
308After receiving treatment for anorexia nervosa, a student asks the school nurse for permission to work in the school cafeteria as part of the school's work study program. Which action should the nurse take?Answer →
309Detoxification is a recreational process undertaken at home to reduce the psychological dependence on illicit substances.Answer →
310A nurse is contributing to the plan of care for a client who has obsessive-compulsive disorder regarding brushing his teeth. The client brushes his tongue several times a day and has developed several ulcerations. Which of the following interventions should the nurse identify as a priority?Answer →
311A nurse is teaching a client who is experiencing stress about implementing an exercise regime. The nurse should include that endorphins produced from exercise will have which of the following effects for this client?Answer →
312A nurse is assisting in the care of a client who has bipolar disorder. The client states, "I feel like Superman. I can do anything." Which of the following findings should the nurse document the client is exhibiting?Answer →
313A nurse is assessing a 78-year-old client who was recently admitted for pneumonia. The client suddenly becomes confused, agitated, no following commands, and reports seeing "flying pumpkins" in the room. Which of the following are cardinal features to identify this client's condition? (Select all that apply.)Answer →
314Which of the following interventions is appropriate in caring for a 6-year-old child with autism spectrum disorder who becomes increasingly agitated during a hospital stay?Answer →
315The nurse is planning care for the client. For each potential nursing action, click to specify if the action is expected when caring for a client who has schizophrenia, bipolar disorder, or posttraumatic stress disorder (PTSD). Each action may be expected for more than one diagnosis. There must be at least 1 selection in every column. There does not need to be a selection in every row.Answer →
316Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
317Which of the following are considered positive symptoms in a client diagnosed with schizophrenia? Select all that apply.Answer →
318A nurse in an urgent care facility is caring for a client who has traumatic injuries following an assault. The client sits quietly and calmly tells the nurse, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions?Answer →
319A client with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which nursing intervention should receive the highest priority?Answer →
320A person who has been unable to leave home for more than a week because of severe anxiety says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which is the most possible diagnosis and what nursing intervention is more appropriate?Answer →
321A man living in Miami Downtown area confesses that he enjoys watching women when he is out in public. Further exploration reveals that he goes to public settings where he can observe women crossing their legs in hopes of "seeing something good." Which statement about this behavior is most accurate?Answer →
322A nurse is assessing a client who presents with symptoms of depression, including low mood, loss of interest in activities, fatigue, and sleep disturbances. The nurse reviews the client's history to help confirm the diagnosis. Which finding would help the nurse differentiate major depressive disorder from bipolar disorder?Answer →
323To differentiate between all somatoform disorders and conversion disorder, what is the critical defining factor associated with conversion disorder?Answer →
324Which personality disorder is characterized by pervasive distrust and suspicion that others intend harm?Answer →
325A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior (Select all that apply.)Answer →
326A nurse is covering a phone triage line for trauma and crisis support. A client on the phone asks, "Can you help me understand how trauma-related disorders develop?" Which of the following responses should the nurse provide?Answer →
327A client is experiencing high levels of stress caused by social situations that involve performance and judgment. The client receives a prescription for a short term medication. Which class of medications should the nurse expect to administer to the client?Answer →
328A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?Answer →
329A client with social anxiety disorder is treated with cognitive therapy. Which treatment should the nurse anticipate as part of this regimen?Answer →
330A client diagnosed with DID switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?Answer →
331A nurse is planning care for a client who has acute delirium. Which of the following Instructions should the nurse Include in the plan?Answer →
332A nurse is caring for a client who is taking disulfiram and is experiencing severe nausea and vomiting. The nurse should identify that which of the following is the cause for the client's nausea and vomiting?Answer →
333The nurse is caring for a client with Acute Kidney Injury (AKI) who has entered the diuretic phase. Which clinical finding should the nurse prioritize for monitoring?Answer →
334A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?Answer →
335A charge nurse is planning care for a group of clients who have personality disorders. Which of the following outcomes should be the focus for a client who has schizoid personality disorder?Answer →
336The nurse is admitting a client who has not slept in three days to the inpatient care facility. The client has pressured speech and describes an increase in sexual promiscuity. Which problem should the nurse include in the client's plan of care?Answer →
337A nurse is caring for a client who recently experienced the loss of their partner. Which of the following statements should the nurse identify as part of the expected grieving process?Answer →
338The nurse is performing a follow-up assessment on a client's anxiety level. Which finding indicates that a client with moderate-to-severe anxiety has successfully lowered the anxiety level to mild? The client:Answer →
339A client with dementia experiences hallucinations. The nurse plans to implement which strategies with the client to manage these hallucinations? Select all that apply.Answer →
340For several days, an elderly client becomes confused and agitated after supper. This is an example of which of the following?Answer →
341A woman who was sexually assaulted a month ago presents to the emergency department with complaints of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion. The nurse recognizes the signs and symptoms of which medical problem?Answer →
342A nurse is developing a care plan for a client diagnosed with illness anxiety disorder who frequently expresses fear about having a serious disease despite negative medical evaluations. Which nursing action best demonstrates application of therapeutic communication and patient-centered care to manage this client's anxiety?Answer →
343A nurse is caring for a 28-year-old client experiencing a manic episode related to bipolar disorder. The client is hyperactive, talks rapidly, displays poor judgment, and engages in risky behaviors. Which of the following interventions reflects the nurse's understanding of physical, safety, personal, and legal considerations during a manic phase?Answer →
344A nurse is assessing a client who is experiencing grief. The nurse should identify which of the following findings as an indication that the client has developed clinical depression?Answer →
345A nurse is collecting data from a group of clients who have depressive disorders. Which of the following findings should the nurse expect?Answer →
346A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?Answer →
347A client is admitted for a general psychiatric evaluation. The list of the client's assessment findings is in the electronic health record. Identify the assessment finding most consistent with obsessive-compulsive disorder. Select your answer by clicking the desired location on the information below. Nursing Notes April 19 1545 Client is preoccupied with personal body appearance. Client flaps their hands in a repetitive fashion. Demonstrates ritualized eating patterns. Reports checking the locks on her doors 30-40 times per day. Client states "I worry all the time."Answer →
348A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)Answer →
349Based on this scenario what features of mania in this client require immediate attention? (Select all that apply.)Answer →
350Acamprosate is primarily used in the management of:Answer →
351A nurse is caring for a client who has bipolar disorder and is running around the unit asking people to dance with her. Which of the following interventions should the nurse take?Answer →
352The nurse is working with the family of a patient with OCD. Which concept should the nurse incorporate in the teaching plan?Answer →
353A nurse is assessing negative symptoms of schizophrenia. Which findings are negative symptoms? (Select All That Apply)Answer →
354A nurse is assisting with the admission of an older adult who is confused. Which of the following statements by the client's partner indicates that the client may be experiencing delirium?Answer →
355For each potential provider order, click to specify if the order is anticipated or not anticipated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.Answer →
356A nurse is caring for a client being treated for alcoholism in a detoxification hospital unit. Before initiating therapy with Disulfiram, the nurse teaches the client that he must read labels carefully on which of the following products?Answer →
357A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?Answer →
358What is often revealed in the physical assessment of a client diagnosed with anorexia nervosa? (Select all that apply)Answer →
359What does the nurse teach a community pre-conception group is the leading preventable cause of birth defects and intellectual delay/disability?Answer →
360A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?Answer →
361suspecting conversion disorder?Answer →
362A nurse is caring for a client who is at risk for alcohol withdrawal. Click to highlight the manifestations of alcohol withdrawal that would require immediate follow-up by the nurse. To deselect a finding, click on the finding again.Answer →
363A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following responses should the nurse make first?Answer →
364A nurse is caring for a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders?Answer →
365A nurse in a long-term care setting is caring for a client who has Alzheimer's disease. The client states, "I just came back from a hard day's work in my office." The nurse should identify this statement as an example of which of the following coping mechanisms?Answer →
366Based on the assessment findings, which disorder does the nurse suspect?Answer →
367Which Intervention(s) is/are indicated to promote positive outcomes for the client? Select all that apply.Answer →
368From the following scenarios identify the one that shows Voyeurism.Answer →
369A nurse is caring for a client who has alcohol use disorder. Which of the following statements made by the client indicates the client has a support system?Answer →
370A 35-year-old client with a long history of schizophrenia who often forgets to take his medication is admitted to an inpatient unit after police find him threatening passengers on a bus. This is his fourth admission in 3 months. This frequent re-hospitalization is an example ofAnswer →
371Terry consistently avoided thoughts and images related to witnessing the injuries and deaths of others during an earthquake during a recent tourist trip to Syria. After his return to USA, he began spending more time at work and filling his days with hobbies and activities. However, whenever he had free time, he would have unwanted intrusive thoughts about the earthquake. In addition, he was having increasingly distressing nightmares. Which comment the client requires the nurse's immediate attention?Answer →
372A person with history of bipolar disorder is directing traffic on a busy street while crossing it back and forth without looking, he is shouting and making obscene gestures at passing cars. This person has not slept or eaten for 2 days. Based on this scenario what features of mania on this client requires immediate attention?Answer →
373A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting, and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?Answer →
374A nurse in a long-term care setting is caring for a client who has Alzheimer's disease. The client states, "I just came back from a hard day's work in my office." The nurse should identify this statement is an example of which of the following coping mechanisms?Answer →
375A nurse is assessing a client who has depression and was prescribed fluoxetine 6 months ago. The client reports that they recently stopped taking the prescription. Which of the following findings indicates the client is experiencing antidepressant discontinuation syndrome (ADDS)?Answer →
376A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?Answer →
377A nurse is collecting data from a client whose husband died during a hurricane one year ago. The client reports having nightmares about the hurricane, persistent thoughts of blaming herself for her husband's death, and has stopped participating in her usual activities. The nurse should identify that the client is experiencing which of the following disorders?Answer →
378Which of the following outcomes would indicate that the client is making progress in his treatment?Answer →
379A nurse is caring for a school-age child who has ADHD and is throwing wooden building blocks against a wall in the playroom. Which of the following actions should the nurse take?Answer →
380A nurse in an inpatient unit is creating an educational presentation on bipolar disorder. Which of the following should the nurse plan to include in the presentation?Answer →
381The nursing diagnosis for a client with mania is Imbalanced nutrition: less than body requirements related to insufficient caloric intake to balance with hyperactivity as evidenced by 5 lb weight loss in 4 days. Select the most appropriate short-term outcome for mentioned nursing diagnosis.Answer →
382A nurse Is caring for a client who has dementia and is experiencing disorientation. Which of the following actions should the nurse take?Answer →
383A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?Answer →
384A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)Answer →
385When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in:Answer →
386A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?Answer →
387Which of the following comorbid conditions might a nurse expect to see in a client who has ADHD?Answer →
388A nurse is assessing a client who has Alzheimer's disease. Which of the following findings should the nurse Identify as the priority?Answer →
389A nurse is caring for a client who is experiencing acute anxiety. Which of the following actions should the nurse take? (Select all that apply.)Answer →
390A nurse in an acute care mental health facility is caring for a client who begins to have a panic attack. Which of the following actions should the nurse take first?Answer →
391A nurse is caring for a client who has an anxiety disorder and who has begun to hyperventilate, wring her hands, and is pacing the floor continually. Which of the following actions should the nurse take first?Answer →
392A 30 year old primiparous woman who has been drinking 8 to 12 ounces of alcohol daily during her pregnancy comes to the clinic for the third trimester pregnancy follow up. The nurse discover that she continue drinking on a daily bases despite many approaches for her to stop drinking, she is worried that she went to a friend's wedding recently and drank so much that she couldn't remember what had happened until the next day. She also reports occasional recreational use of cannabis. She is at the term of her pregnancy. What will be an accurate statement related to presented scenario?Answer →
393A nurse is providing care to a client who is aggressive and demonstrating self-injurious behaviors. Which of the following disorders does the nurse identify as being consistent with this behavior?Answer →
394A nurse is reviewing the laboratory results of a client with chronic kidney disease. Which Glomerular Filtration Rate (GFR) finding would lead the nurse to suspect the patient has progressed to End-Stage Renal Disease (ESRD)?Answer →
395A client with anorexia nervosa presents with jaundice, lanugo, low weight, and positive urine ketones. The client states, "I won't eat until I look thin." What is the priority initial nursing diagnosis?Answer →
396A nurse is caring for an older adult client who has dementia and whose family reports he gets up and wanders around at night. Which of the following actions should the nurse take?Answer →
397A 38-year-old male client comes to the clinic for a routine sexual health assessment. During the interview, he reveals that he experiences sexual desire and arousal only when his wife wears short, red camisole-style nightgowns. He reports: "Without the red teddies, I am not interested in sex." The client appears comfortable discussing his preferences and does not report any distress or dysfunction in other areas of sexual activity. He denies difficulty achieving erection or orgasm when the conditions he describes are met. He is otherwise healthy, and laboratory work including hormone levels is within normal limits. The nurse notes that this preference is highly specific and consistently required for sexual arousal. What DSM 5 criteria on this scenario will assist to identify this client paraphilic sexual interest?Answer →
398A client expresses recurrent intrusive thoughts of contamination and performs repetitive handwashing for several hours a day. The nurse recognizes that the client is exhibiting symptoms of which mental health disorder?Answer →
399Mike is a 32-year-old flight medic who had completed two tours in Iraq. He had been discharged from the Army due to his posttraumatic stress disorder (PTSD) and was divorced with a 2-year-old son. The Army psychologist referred Mike for treatment of his PTSD. The veteran says, "If there's a loud noise at night, I get under my bed because I think we're getting bombed." What type of experience has the veteran described?Answer →
400A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school. Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?Answer →
401A nurse is caring for a client who has schizophrenia. The client states, 'The government is forcing thoughts into my brain through satellites.' The nurse should document that the client is experiencing which of the following types of delusions?Answer →
402A nurse is teaching a client about alcohol withdrawal. Which findings are associated with alcohol withdrawal? (Select All That Apply)Answer →
403A 10-year-old male client with a normal IQ has difficulty with reading at school. He performs well in all subjects except reading, for which he cannot earn above a grade of "D", no matter how much he studies. What is this client most likely suffering from?Answer →
404A client who has just completed a residential treatment program for alcoholism receives a prescription for disulfiram. Which response is best for the nurse to provide?Answer →
405A nurse is teaching about neurotransmitters. Which neurotransmitter is most associated with psychosis when increased in certain brain pathways?Answer →
406A client is being treated for delusions of persecution. The nurse provides instruction to the client. Which statements by the client indicate an accurate understanding of teaching about the effectiveness of treatment? Select all that apply.Answer →
407Which of the following CAM therapies would promote assisting a client with post traumatic stress disorder (PTSD)?Answer →
408A nurse manager is talking to a nurse who she suspects has alcohol use disorder. The nurse tells the nurse manager, "I don't have a problem. I'm just tired." The nurse manager should identify that the nurse is using which of the following defense mechanisms?Answer →
409For each client finding, click to specify if the finding is consistent with anorexia nervosa or dehydration. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.Answer →
410The client reports she is having trouble falling asleep and sometimes only gets 2 to 4 hours of sleep at night. She has 2 children in college and has recently lost her job.Answer →
411A client with dependent personality disorder has been in treatment for 6 months. Based on Erikson's Initiative vs. Guilt, what statement indicates that planned interventions require revision?Answer →
412A nurse is collecting data from a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse should realize that the client's repetitive behaviors occur due to which of the following?Answer →
413A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?Answer →
414A nurse is collecting data for a client who has schizophrenia. The client states that he hears voices telling him to do "bad things." The nurse should recognize this finding as which of the following?Answer →
415A nurse is preparing to administer medication to a client recently diagnosed with moderate Alzheimer's dementia. Which medication class should the nurse anticipate administering to help slow cognitive decline and manage symptoms?Answer →
416A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?Answer →
417The nurse is assigned to a client whose diagnosis is Anorexia Nervosa. Which nursing intervention has the highest priority as the client begins to eat and gain weight?Answer →
418Complete the following sentence by using the lists of options. The client is at highest risk for developing Select ... evidenced by Select ...Answer →
419A nurse in an outpatient mental health clinic is assessing a new client. Which of the following findings should the nurse immediately report to the provider?Answer →
420A nurse is caring for a client with moderate dementia who appears confused and agitated during the assessment. Which communication strategy should the nurse prioritize to effectively engage the client and minimize distress?Answer →
421Select the '3' findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.Answer →
422A nurse is caring for a client with schizophrenia who is unkempt. What should the nurse say?Answer →
423A client diagnosed with obsessive-compulsive disorder (OCD) tells the nurse, "Thinking these thoughts and doing all my rituals is beyond being silly. I have few friends and I know others laugh behind my back. I sometimes think I can control things, but I always find I can't control myself. I don't know if I can continue to live this way." After completing the assessment, the nurse focuses on the client's priority risk. Which statement by the client indicates the need for the nurse to assess for suicidal thoughts?Answer →
424A male client who is seen in the mental health clinic monthly reports feeling very stressed, nervous, and describes becoming angry increasingly more often during the last month. Which action should the nurse take first?Answer →
425A nurse is caring for a client who is experiencing manifestations of alcohol withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
426Affective disorders are characterized by disturbances in mood and include conditions such as depression and bipolar disorder.Answer →
427A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation?Answer →
428An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds (4.1 kg) within the last month. Which client goal is most important to achieve within the first three days of treatment?Answer →
429A man living in Miami Downtown area confesses that he enjoys watching women when he is out in public. Further exploration reveals that he goes to public settings where he can observe women crossing their legs in hopes of 'seeing something good.' Which statement about this behavior is most accurate?Answer →
430A client with schizophrenia communicates to the nurse, "I really got mad as I was waiting in line at the grocery store. I cannot stand lines, I like to line dance, the sky is blue, I want to eat apples" The nurse's best response is which of the following?Answer →
431A 45-year-old client comes to the clinic for the eighth visit in two months, reporting chest pain, stomach pain, headaches, and back pain. All laboratory tests, imaging studies, and physical exams over the past two months have been normal. The client states, "The doctors just aren't finding what's wrong with me. I know something is seriously wrong." The client's spouse reports that the client has stopped working, no longer attends family gatherings, and spends most of the day in bed. Potential Condition (Select 1)Answer →
432A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?Answer →
433A client who is admitted to the mental health unit reports shortness of breath and dizziness. The client tells the nurse, "I feel like I'm going to die." Which nursing problem should the nurse include in this client's plan of care?Answer →
434A 28-year-old client with Bipolar I Disorder is being discharged after stabilization on lithium carbonate 600 mg PO twice daily. The client's most recent mEq/L. The nurse is providing discharge teaching and reviewing self-monitoring strategies with the client and spouse. For each client statement show whether it indicates understanding or requires further teaching.Answer →
435The nurse notices the change in the client's level of consciousness. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The nurse determines the client's mental status change is because of _______ and _______ resulting in _______Answer →
436The parent of a 4-year-old says, "My child moves constantly. I try to get him interested in toys, but he is easily distracted. He talks all the time and is awake every morning before I am. I enrolled him in preschool, but the teacher could not handle him." This problem meets criteria for what mental health disorder?Answer →
437Complete the following sentence by using the lists of options. The client is at risk for developing...Answer →
438A nurse is caring for a client with avoidant personality disorder who declines invitations to group therapy due to fear of criticism. Which nursing response is most appropriate?Answer →
439A nurse is caring for two older adult clients on a medical-surgical unit: Client A is a 78-year-old admitted with pneumonia that suddenly becomes restless, disoriented, and attempts to remove their IV line. Client B is an 82-year-old with advanced Alzheimer's disease who wanders the unit and forgets to use the call light when needing assistance. Of all the following nursing interventions organize them in order of priority? a. Place the clients in a room close to the nurses' station. b. Use bed and chair alarms as needed. c. Encourage the clients to perform all activities independently. d. Remove potentially harmful objects from the clients' environment. e. Apply restraints if needed to prevent injury. f. Orient the clients frequently to person, place, and time.Answer →
440A nurse is collecting data from a client who has a phobia. Which of the following behaviors should the nurse expect when the client is exposed to the phobic stimulus?Answer →
441A client with high motor activity runs from chair to chair crying "They're coming! They're coming!" and cannot follow instructions. What level of anxiety is this?Answer →
442Jill returns to the United States from active duty in a combat zone. She consistently avoided thoughts and images related to witnessing her fellow service members being hit by an improvised explosive device. This client started with a high level of motor activity runs from chair to chair and cries, "They're coming! They're coming!" but there is nobody. Jill does not follow instructions or respond to verbal interventions from staff. What level of anxiety is this client experiencing?Answer →
443Which assessment questions are most relevant to ask a patient with possible obsessive-compulsive disorder? (Select all that apply.)Answer →
444Scenario: James Smith, a 32-year-old client diagnosed with AIDS, explains his illness as related to "substance, stealing, and all the other crazy things I did to get substance." He states a doctor told him it was related to the type of substance he was using. Based on this scenario presentation, which type of substance usage is more frequently associated with this client's disease?Answer →
445A charge nurse on a mental health unit is assisting a client who has bipolar disorder and is exhibiting mania. Which of the following tasks should the charge nurse delegate to an assistive personnel (AP)?Answer →
446A client with opioid use disorder receives naloxone. Which outcome indicates the medication is effective?Answer →
447Which statement below does not describe the person with bulimia nervosa accurately?Answer →
448A nurse is assessing a 32-year-old client recently diagnosed with bipolar disorder. The nurse considers psychological influences and cultural considerations in planning care. Which of the following statements demonstrates an appropriate understanding?Answer →
449A nurse is providing care to a client who was admitted to the emergency department with superficial lacerations... The client is demonstrating manifestations of which of the following disorders?Answer →
450A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
451The client states, "I was feeling bored, so I used a pair of gardening scissors to cut myself." The client denies current depression and suicidal thoughts. The client is demonstrating manifestations of which of the following disorders?Answer →
452A nurse is caring for a young adult client who has acute schizophrenic disorder and tells the nurse, "Yesterday noon the sun moon went over the rover to see the lawnmower." Which of the following manifestations is the client exhibiting?Answer →
453A nursing diagnosis for a client with BPD and bulimia is: Ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. What will be the best outcome?Answer →
454A nurse is reinforcing teaching about donepezil with the family of a client who has Alzheimer's disease. Which of the following information should the nurse include in the teaching?Answer →
455A client is admitted to the hospital with a diagnosis of schizophrenia. Friends reported that the client had been in her room for 2 days in a trance-like state, not eating nor speaking to anyone. Which of the following is the highest priority for this client?Answer →
456A client diagnosed with schizophrenia tells the nurse, "I want some ice-cream. Her skin is soft and creamy. I had cheesecake at the restaurant. Get it?" How should the nurse document this interaction in client's chart and what will be the nurse's best response to the client?Answer →
457The psychosis seen in Schizophrenia is a set of symptoms that affects the mind when there has been some loss of contact with reality. This psychotic disorders can lead to abnormalities in five different symptomatic domains: Positive symptoms (disorganized perceptions, disorganized thoughts, disorganized speech, disorganized motor behavior), and negative symptoms (disorganized emotions). From the following scenarios select the best apply for disorganized motor behavior.Answer →
458An alcoholic client admitted for minor injuries sustained while intoxicated with alcohol has been hospitalized for 3 days. The client is now shaky, irritable, anxious, diaphoretic, with tremors, and reports nightmares. The pulse rate is 130 beats/min. The client shouts, "Bugs are crawling on my bed. I've got to get out of here." Select the most accurate assessment of this situation.Answer →
459A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?Answer →
460A young adult female visits the mental health clinic troubled by diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?Answer →
461A nurse is assisting in the care of a client who exhibits manifestations of a major depressive episode. The provider wants to rule out medical conditions that also cause these manifestations. Which of the following medical conditions should the nurse anticipate the provider testing for?Answer →
462A client who was savagely attacked by a bear while eating on a family picnic is been hospitalized to take care of the injuries. Select all that apply assessment finding exhibited by a client being assessed for posttraumatic stress disorder (PTSD) that would not be considered a defining behaviors and supports such a diagnosis?Answer →
463A nurse is collecting data from a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
464A client informs the nurse of the desire to try disulfiram to help reduce alcohol consumption. How should the nurse respond to the client's statement?Answer →
465A nurse is assessing a 38-year-old client diagnosed with major depressive disorder (MDD). The client states: "I am worthless and a failure. Nothing good ever happens to me, and I will never feel better." Which concept of Beck's cognitive triad is demonstrated in this client's statements?Answer →
466The nurse documents that a client with schizophrenia is delusional. Which statement by the client confirms this assessment?Answer →
467The nurse is preparing to complete a physical assessment of a client diagnosed with bulimia nervosa. Which of the following will the nurse expect to see?Answer →
468A nurse is contributing to the plan of care for a newly-admitted client who has severe depressive disorder. Which of the following interventions should the nurse include in the plan?Answer →
469A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?Answer →
470Sarah, a patient with borderline personality disorder and bipolar disorder, has been on Lithium 600 mg TID for 7 days but presents with increased agitation, pressured speech, and poor hygiene. She states she is "tired of being in trouble... and that is not worth it to be like this anymore." What are the nurse's best initial interventions? (Select all that apply)Answer →
471A nurse is developing a plan of care for a school-age child who has ADHD. Which of the following interventions should the nurse include in the plan?Answer →
472A nurse is caring for a client who has major depressive disorder and has been taking fluoxetine. Which of the following client statements should the nurse address first?Answer →
473A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?Answer →
474Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
475A client with schizophrenia has been stable on an antipsychotic but stops taking it. Which outcome is most likely?Answer →
476A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?Answer →
477A client diagnosed with schizophrenia tells the nurse, "I want some ice-cream. Her skin is soft and creamy. I had cheesecake at the restaurant. Get it?" How should the nurse document this interaction in client's chart and what will be the nurse's best response to the client?Answer →
478A client with a mass in the left upper lobe of the lung is scheduled for a biopsy. The client has difficulty understanding the nurse's comments and asks, "What are they going to do?" Assessment findings include a tremulous voice, respirations 28 breaths per minute, and pulse rate 110 beats per minute. The nurse will assess the client's level of anxiety as:Answer →
479When planning care for a client with antisocial personality disorder, which consideration has greatest importance?Answer →
480A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?Answer →
481A nurse is planning care for a school-aged child who has autism spectrum disorder and is nonverbal. Which of the following interventions should the nurse include in the plan of care?Answer →
482A client with somatic symptom disorder says, "I have pain... I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much." What aspect of the assessment should the nurse keep in mind?Answer →
483Select the 4 findings or statements that indicate an improvement in the client's condition.Answer →
484A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?Answer →
485When developing a support group for rape victims, which topic(s) should the nurse plan to include in the discussion? Select all that apply.Answer →
486A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?Answer →
487A nurse is caring for a client who is grieving and has experienced sleep disturbances, weight loss, and often feels angry and irritable. The client also states that they feel depressed. Which of the following assessments is the nurse's priority?Answer →
488A 5-year-old boy is brought to the pediatric clinic by his parents because they are concerned about his social and communication behaviors. What might be some indicative that this child has an Autism Spectrum Disorder? (Select all that apply)Answer →
489Mike is a 32-year-old flight medic who had completed two tours in Iraq. He had been discharged from the Army due to his posttraumatic stress disorder (PTSD) and was divorced with a 2-year-old son. The Army psychologist referred Mike for treatment of his PTSD. The veteran says, "If there's a loud noise at night, I get under my bed because I think we're getting bombed." What type of experience has the veteran described?Answer →
490The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore in-depth with the client based on this screening tool?Answer →
491A client is admitted for alcohol detoxification and reports feeling anxious, tremulous, and nauseated. Vital signs include BP 150/90 mmHg, pulse 120 bpm, and diaphoresis. The client is alert but irritable. Which nursing intervention should be implemented first?Answer →
492A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply:)Answer →
493A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?Answer →
494An 84 years old male was stopped for going through a red light in a small town where he has lived all his life. When the police's officer asked for his license he handle his glasses to the officer. He has labile mood, seeming pleasant one minute and angry the next. The officer took the man his home to discuss his condition with the family and found that he lives with his wife, who is legally blind. She stated, 'He's my eyes, and I'm his mind.' She reluctantly agreed that he should go to the emergency department for evaluation. He was diagnosed with Alzheimer's disease. What cardinal sign of Alzheimer's disease does this client demonstrate?Answer →
495A nurse is assessing a client who reports increased use of alcohol over the past several months. Which of the following client statements would MOST likely indicate that the client is experiencing substance addiction rather than merely substance abuse?Answer →
496A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?Answer →
497A nurse is caring for a client diagnosed with antisocial personality disorder who frequently tests limits and manipulates others on the psychiatric unit. Which nursing approach best promotes safety and therapeutic progress for this client?Answer →
498A client with a history of substance use disorder visits the clinic reporting anxiety and concern about a possible relapse. Which action should the nurse take first?Answer →
499The nurse is discussing the assessment findings on day 3 of admission during the 1900 change-of-shift report. For each finding, click to specify whether the finding indicates potential improvement in or worsening of the client's condition. There must be at least 1 selection in every row. There does not need to be a selection in every column.Answer →
500The nurse assesses a client who recently began experiencing violent nightmares. Which factor in the client's history should the nurse further explore?Answer →
501Complete the following sentence by using the lists of options. The nurse suspects that the client is likely experiencing [blank1] as evidenced by their [blank2].Answer →
502A nurse is assessing the sleep pattern of a client who has major depressive disorder. The client asks the nurse, "What should I do when I have trouble falling asleep?" Which of the following recommendations should the nurse make?Answer →
503Delirium and dementia are both Neurocognitive Disorders (NCD). What is the best applicable statement for Delirium and Dementia?Answer →
504Mr. Cruz visits the physician's office to seek treatment for recurring signs and symptoms for at least 2 weeks of persistent flat affect, anergia, hopelessness, poor appetite, insomnia, fatigue, low self-esteem, poor concentration, and difficulty making decisions. Pt was diagnosed by MD and started been treated with fluoxetine (Prozac). Based on previous scenario and DSM5's criteria what diagnosis was given by MD to this client and what is the most important information the nurse should include in the teaching related to new medication?Answer →
505A woman is brought to the psychiatric clinic by her husband. He reports that his wife is reluctant to leave home because of what she describes as a fear of open places and crowds. Which nursing problem applies to this client's behavior?Answer →
506Which environmental adjustment should the nurse make for a client experiencing delirium with perceptual alterations?Answer →
507A 5-year-old boy is brought to the pediatric clinic by his parents because they are concerned about his social and communication behaviors. What might be some indicative that this child has an Autism Spectrum Disorder? (Select all that apply)Answer →
508The nurse is monitoring a patient who is experiencing severe ethanol withdrawal. Which are signs and symptoms of severe ethanol withdrawal? (Select all that apply.)Answer →
509A person has minor physical injuries after an automobile accident. The person is unable to focus despite many interventions by the nurse and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is this person's level of anxiety?Answer →
510A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?Answer →
511A nurse is reinforcing teaching with a client about Alcoholics Anonymous (AA). Which of the following statements by the client indicates an understanding of the program's basic concepts?Answer →
512A nurse on an inpatient unit is caring for a newly-admitted client who has anorexia nervosa. Which of the following actions should the nurse take? (Select all that apply.)Answer →
513A nurse is providing education to a group of clients about the health effects of eating disorders. Which of the following client statements indicates an understanding of the teaching?Answer →
514A client tells the nurse, "I get so terrified when I have to leave my house. I'm afraid something bad will happen, and I won't be able to get help." The client now avoids going to public places and depends on family members to buy groceries and run errands. Which nursing diagnosis is most appropriate for this client?Answer →
515The mother of an adolescent with schizophrenia asks the nurse, "Is it true what I read on the Internet-that a brain chemical causes schizophrenia?" Which information should the nurse provide?Answer →
516A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?Answer →
517The nurse is caring for a client who arrives at the emergency department unresponsive with a respiratory rate of 6 breaths per minute and pinpoint pupils. Which medication should the nurse anticipate administering?Answer →
518Terry consistently avoided thoughts and images related to witnessing the injuries and deaths of others during an earthquake during a recent tourist trip to Syria. After his return to USA, he began spending more time at work and filling his days with hobbies and activities. However, whenever he had free time, he would have unwanted intrusive thoughts about the earthquake. In addition, he was having increasingly distressing nightmares. On an interview with the nurse the client stated the following: "I saw my best friend get killed by a falling building. It should have been me instead." Identify the distinctive symptoms of PTSD in previous scenarioAnswer →
519A nurse is caring for a client who reports acute anxiety. Which of the following actions should the nurse take first?Answer →
520A nurse should identify which of the following factors is a protective factor that prevents adults from developing addictions?Answer →
521An alcoholic client admitted for minor injuries sustained while intoxicated with alcohol has been hospitalized for 3 days. The client is now shaky, irritable, anxious, diaphoretic, with tremors, and reports nightmares. The pulse rate is 130 beats/min. The client shouts, "Bugs are crawling on my bed. I've got to get out of here." Select the most accurate assessment of this situation.Answer →
522A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?Answer →
523A nurse is evaluating the client's response to treatment. Select the 4 findings that indicate the client is progressing with their plan of care.Answer →
524A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating, 'The flakalas are here. The flakalas are here.' The nurse correctly recognizes the client's use of the word flakala as an example of which of the following alterations in speech?Answer →
525During a home visit, the client tells the nurse that she feels that her medication is no longer helping her dissociative diagnosis of depersonalization disorder because she has noticed that she is not thinking clearly, is having difficulty with her memory and judgment, and is often disoriented to the time. The nurse knows that the doctor must be contacted and that this client most likely will be?Answer →
526A 22-year-old male presents with sudden intense fear, racing heart, and hyperventilation during an exam. The nurse should anticipate administering what medication?Answer →
527Which intervention should a nurse prioritize when working with a client actively recovering from substance abuse disorder?Answer →
528A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?Answer →
529The nurse is assessing a client who is unable to frown, smile or shut their left eye. The client reports having a viral infection and ear pain a week ago. The nurse would assess which cranial nerve?Answer →
530rms that the client's symptoms developed over a 2-day period. Based on this scenario, what nursing diagnosis is the most definitory and directly associated with the medical diagnosis of a neurocognitive disorder?Answer →
531A nurse educator is teaching a group of students about major depressive disorder (MDD). The instructor explains that, based on gender, depression is more prevalent in one gender than the other. The nurse also discusses the role of an important part of the brain that participate in mood regulation. Which statement by a student indicates a correct understanding of this information?Answer →
532A nurse is caring for a client who has schizophrenia. Which of the following behaviors should the nurse anticipate?Answer →
533A client diagnosed with a personality disorder is cold, aloof, and avoids others on the unit. The nurse recognizes that this behavior is symptomatic of which personality disorder?Answer →
534A client with a history of schizophrenia is admitted to the psychiatric care unit for aggressive behavior, auditory hallucinations, and potential for self-harm. The client has not been taking medications as prescribed and insists that the food has been poisoned and refuses to eat. Which intervention should the nurse implement?Answer →
535A nurse is assessing a 75-year-old client diagnosed with Alzheimer's disease. The client demonstrates memory loss, difficulty recognizing family members and familiar objects, trouble finding words, and inability to execute purposeful movements. Based on this scenario which of the following are symptoms of cognitive impairment of Alzheimer's disease in this client? (Select all that apply.)Answer →
536A nurse is caring for a client diagnosed with obsessive-compulsive personality disorder (OCPD) who insists that all supplies in the room must be arranged in a specific order and becomes upset when staff move them. Which nursing response is most appropriate?Answer →
537A nurse is providing care to a client who is recovering from an episode of dissociative amnesia. The nurse should expect the client to exhibit which of the following manifestations?Answer →
538A client with schizophrenia is experiencing command hallucinations telling them to harm others. Which nursing response is most appropriate?Answer →
539A nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?Answer →
540A female client who has had bipolar disorder for several years decides to stop all of her medications because she is tired of the side effects. She also cancels all appointments with her therapist, stating that it is just too difficult to plan the visits in her hectic schedule. This client is considered:Answer →
541A nurse on an inpatient unit is caring for a group of clients who have depression. When planning care, which of the following clients should the nurse see first?Answer →
542Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?Answer →
543A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?Answer →
544A nurse is assessing a 10-year-old child who has an autism spectrum disorder. Which of the following findings are expected?Answer →
545A nurse is caring for a client who is seeking treatment for opioid use disorder. Which of the following actions should the nurse take?Answer →
546The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?Answer →
547A nurse is caring for a client who is recovering from a femur fracture sustained in a motor-vehicle crash. Their partner died in the collision. Which of the following client statements would indicate that the client is experiencing avoidance symptoms?Answer →
548A nurse is teaching a group of nursing students about the body's physiological response to stress. The nurse explains that activation of the HPA axis helps the body cope with stress by releasing which end product hormone that increases blood glucose and suppresses the immune system?Answer →
549A nurse is contributing to the plan of care for a client who has dementia. Which of the following interventions is appropriate to include in the plan of care?Answer →
550A 49-year-old woman attacked by a bear has no memory of the event. Which statement best explains her inability to remember the attack?Answer →
551A client with borderline personality disorder has been hospitalized several times after self-injurious behavior and suicide attempts. The client has entered cognitive behavior therapy on an outpatient basis. During therapy, the nurse has been counseling her regarding self-harm behavior management. Today the client called the nurse and reported "feeling empty and anxious". Which response by the nurse would best help in this situation?Answer →
552A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?Answer →
553When monitoring the client's response to interventions, which of the following findings should the nurse report to the provider? Select the 3 findings that apply.Answer →
554A nurse is collecting data from a client who has schizophrenia. The client states, "I feel like I am watching myself in a movie." The nurse should interpret this statement as which of the following alterations?Answer →
555A client admitted to an alcoholism rehabilitation program tells the nurse, "I'm actually a social drinker. I usually have one drink at lunch, two cocktails in the afternoon, wine with dinner, and a few drinks during the evening." Which defense mechanism is evident?Answer →
556A nurse on an inpatient mental health unit is caring for a client who is experiencing panic-level anxiety. Which of the following findings should the nurse expect?Answer →
557A 42-year-old client tells the nurse that he has been feeling anxious and overwhelmed for the past 2 weeks after receiving a poor performance evaluation at work. The client reports difficulty sleeping, irritability, and feeling tense most of the day. There is no history of trauma, loss, or prior psychiatric conditions. Vital signs and lab work are normal. The nurse identifies that the client's symptoms are most likely related to which type of stress response?Answer →
558A nurse is contributing to the plan of care for a client who has dementia. Which of the following interventions is appropriate to include in the plan of care?Answer →
559Which of the following is a physical clinical finding of depression in older adults?Answer →
560Which assessment findings are commonly associated with anorexia nervosa? (Select all that apply.)Answer →
561A client says to the nurse, "My life does not have any happiness in it anymore. I once enjoyed holidays, but now they're just another day." What term would the nurse use to document the chief complaint?Answer →
562When analyzing the behaviors of a 23-year-old who meets the criteria for antisocial personality disorder, which nursing diagnosis would be pertinent?Answer →
563A nurse is caring for a client diagnosed with delirium who is becoming increasingly agitated and confused during the night shift. Which intervention should the nurse prioritize to promote the client's safety?Answer →
564The nurse evaluates the client's presentation and considers the assessment findings. Click to indicate whether the assessment finding is associated with neuroleptic malignant syndrome, serotonin syndrome, or both. Each row must have only one response option selected.Answer →
565A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?Answer →
566A woman is being treated for a urinary tract infection (UTI). How will the nurse educate the client?Answer →
567A client who is an alcoholic receives a prescription for disulfiram 500 mg PO daily. Which instruction should the nurse provide to this client?Answer →
568The nurse admits the client. Drag one condition and one client finding to complete the sentence. Currently, the client's highest risk is for developing --------- due to ---------Answer →
569A nurse is collecting data from a client who has generalized anxiety disorders. Which of the following findings should the nurse expect in this client?Answer →
570A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?Answer →
571Jill returns to the United States from active duty in a combat zone. She consistently avoided thoughts and images related to witnessing her fellow service members being hit by an improvised explosive device. This client started with a high level of motor activity runs from chair to chair and cries, "They're coming! They're coming!" but there is nobody. Jill does not follow instructions or respond to verbal interventions from staff. What level of anxiety is this client experiencing?Answer →
572A client with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which nursing intervention should receive the highest priority?Answer →
573A client with a history of opioid dependence presents to the emergency department (ED) unresponsive with bradypnea and pinpoint pupils. Which intervention should the nurse implement first?Answer →
574A person with history of bipolar disorder is directing traffic on a busy street while crossing it back and forth without looking, he is shouting and making obscene gestures at passing cars. This person has not slept or eaten for 2 days. Based on this scenario what features of mania on this client requires immediate attention?Answer →
575A nurse is assessing a 78-year-old client who was recently admitted for an acute pneumonia. The client suddenly becomes confused, agitated, and reports seeing "shadows" in the room. Described what is this client experiencing?Answer →
576A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal?Answer →
577A nurse is caring for a client who is experiencing acute mania. Which of the following actions should the nurse take?Answer →
578A nurse is caring for a client who has depression and states, "A government agency is attempting to capture me." The nurse should identify that the client is experiencing which of the following?Answer →
579A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply)Answer →
580A 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?Answer →
581A nurse is caring for a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders?Answer →
582A nurse is caring for a client who has dementia and observes that the client becomes stressed and requires assistance and monitoring when their family visits. When the family leaves the room, the client returns to baseline and the deficits are gone. Using the Functional Assessment Stage Tool, the nurse should identify that the client is in which of the following stages of Alzheimer's disease?Answer →
583Which statement made by a patient with BPD indicates Dialectical Behavior Therapy (DBT) is effective?Answer →
584Which assessment finding indicates delirium?Answer →
585A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?Answer →
586Match each eating disorder with its typical assessment findings.Answer →
587A nurse is reinforcing teaching with the family of a client who has a new diagnosis of dementia. Which of the following information should the nurse include in the teaching?Answer →
588A nurse is caring for a client who has Alzheimer's disease and is having difficulty with multitasking. Which of the following cognitive deficits is the client experiencing?Answer →
589A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?Answer →
590A young adult female visits the mental health clinic troubled by diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?Answer →
591A nurse is conducting an assessment on a client diagnosed with gender dysphoria. What criteria would differentiate this disorder from a transvestic disorder?Answer →
592A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?Answer →
593Which of the following is used as an antidote for opioid overdose?Answer →
594Based on this scenario, what nursing diagnosis is the most definitory and directly associated with the medical diagnosis of a neurocognitive disorder?Answer →
595A nurse is caring for an older adult client who has dementia and is agitated. The client says, "I have to go home and see my mother." The nurse replies, "You miss your mother." Which of the following therapeutic techniques is the nurse using?Answer →
596A client with obsessive-compulsive disorder (OCD) who receives a new prescription for venlafaxine. Which finding indicates to the nurse that the client is experiencing a therapeutic response to the medication?Answer →
597A nurse is assessing an adult's ability to adhere to their treatment plan during a routine medical appointment. Which of the following assessment findings should the nurse identify as a manifestation of dementia?Answer →
598A client with PTSD is suddenly triggered during a group therapy session and appears to be having a flashback. The client is breathing rapidly, trembling, and states, "They're coming for me, I have to hide!" Which nursing action is the priority?Answer →