Final Exam
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| show | Neuroleptic malignant syndrome
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| show | hypertensive crisis
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| show | Nausea, diarrhea, and confusion
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| Benztropine (Congentin) is frequently given concurrently with haloperidol (haldol). Congentin can | show 🗑
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| Tricylclic antidepressants canb produce anticholinergic side effects. Which of the following is a common anticholinergic side effect | show 🗑
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| show | No intervention is necessary at this time.
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| show | Extgrapyramidal symptoms
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| show | Blood work will be required regularly
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| THe nurse is working with a client who doesn' take prescribed medication once he is discharged from the hospital. The clinet states. :There's nothing wrong with me. I don't need medication." This is an example of: | show 🗑
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| When teaching a client about taking lithium, the nurse must include the necessity of maintaining an adequate diet, especially the importance of: | show 🗑
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| show | Rationalization and Projection
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| show | "I have a wonderful mother whom I love very much"
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| A client is supplsed to be ambulating ad lib, Instead, he refuses to geot out of bed, asks for a bed bath, amd makes manyh demands of the nurses. He also yells that they are lazy an incompetent. The clients'behavior is an example of whichl | show 🗑
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| show | Integrity versus despair
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| According to Maslow's hierarchy of needs, the most basic need is : | show 🗑
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| Linda frequently conducts comprehensive assessment interview with patients within the first 24 hours after admission. This in integral to what phase of the therapeutic relationshp? | show 🗑
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| Laura is a nurse on an inpatient psychiatric unit. Much of her time is spent observing patient activity, talking with patients, and intervening to maintain or restore order on the unit when patients become disruptive. This intervention step of the NP: | show 🗑
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| show | Diazepam (Valium) or
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| show | Gamma_aminobutyric acid (GABA)
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| show | The medication may cuase photosensitivity.
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| The class of antidepresasnts known as SSRI's affect the balance of which of the following neurochemicles? | show 🗑
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| Methypphenidate (ritalin) is one medicaiton presribed for Attention Deficit Hperacitvity Disorder. WHich of the followng medicaiton b elongs to the sme broad group of psychotropic medications? | show 🗑
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| show | Fluphenazine (Prolixin)
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| Placing a client in restraints before using other methods of intervetionVIOLATES the clents' right to: | show 🗑
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| show | The client is a danger to self-and/or others
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| What source states the criteria for psychotic disorders? | show 🗑
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| Mary, a nurse on the inpatient psych unit, observes taht a patient named john is sitting with his dead cocked to one side and mumbling. A therapeutic response for Mary would be to: | show 🗑
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| show | Axis II
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| show | Command hallucinations
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| show | Mary's anxiety level is Moderate
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| show | Denial
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| show | Undoing
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| show | Projection
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| show | Compensation
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| show | I'm so glas I can have pizza as long as I don't have pepperoni"
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| show | The orientation phase of the relationship
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| show | Tell me about you and Joe
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| show | Giving recognition and providing self: offering both first and last name so the client can choose a comfortalbe way to address the nurse and settting the limits of the relationship
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| show | An immediately expessed and observed emotion. A feeling state becomes an affect when it is observalbe. Common e.g. are: euphoria, anger, and sadness
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| John, a 39 yo client, is admitted with a diagnosis of schizophrenia, is experiencing derealization. John is having: | show 🗑
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| show | Generalized anxiety disorder
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| show | Panic attack
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| show | Obsessive disorder
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| show | Increase the clients anxiety
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| Alcia is 20yo student in college,m who is having problems with class presentations. Alicia is paralyzed by fear when she must stand up in front of others and do any form of public speaking. Alicia is duffering fro a | show 🗑
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| Freiga 29yo who was robbed at gunpoint, resisted and was beaten. She has recovered from physical injuries. She is hyperalert, constantly searches the environment, and aggresivve upon approach. She is aware of these problems and has isolated herself: | show 🗑
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| Lupe 30yo female , hospitalized with facial conerns since being a teen. Lupe beleived her skin is flawed/pitted not visible to others. She is spending hours in front of the mirror. Lupe is suffering from: | show 🗑
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| show | Dependency
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| Which of the following statements regarding crisis is true? | show 🗑
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| show | Diazepam (Valuim} orKlonopin
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| show | Gamma-aminobutyric acid (GABA)
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| In working with a patient experiencing a crisis, it is important to: | show 🗑
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| show | Required by law in every state
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| The nurse is caring for a 16o boy with a hx of sexual abuse. The nurse might expect this adolescent tl: | show 🗑
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| show | Trust vs Mistrust
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| Which of the following interventions is the prority for a clent with painc-level anxiety? | show 🗑
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| The clent has an order fro an anxioltyic agent. Loraxepam (Ativan). Which of the following statemnts by the client would indicate that client education about this medicaztion has been effective? | show 🗑
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| Acxiety can best be described as ? | show 🗑
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| While completing the PE of a clent being admitted for surgery, the nurse obs that the clent is experiencing a naorowed perceptual field and focuses only on immediated concerns, but can follow directions with assistance. The nurse asses level of anxiety: | show 🗑
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| show | Assist the client to practice relaxation
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| A client with panic disorder is learing to counter negative thoughts of "I'm going to die:, wiht "This is only anxiety, and it will pass. The client id using which therapeutic apprach | show 🗑
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| show | Stay with the clinet while allowing adequate personal space
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| The client asks the nurse. "What does \having psychosomatic symptoms mean? The best reply by the nurse is: | show 🗑
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| A clent with recurrent h/a has been told by the Dr. that the cuase is likely physcosomatic. The client recalls the conversation with the nurse and says. This cannot be true". My head hurts so bad sometimes it makes my stomach sick: Nsg Response | show 🗑
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| Distorted perceptions, loss of rational thinking, and failure to perceive potential harm are characteristic of which level of anxiety | show 🗑
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| Nursing interventions that are appropriate for all clients with anxiety disorders are to reduce anxiety and | show 🗑
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| Which if the following is an example of effective limit-setting for the client who performs, ritualistic complusions? | show 🗑
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| show | Give information concretely
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| show | Move the cleint to a quiet environment
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| show | Change reactions to stressors
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| show | Stand at the doorways and "You seem upset"
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| During a panic attack, the client runs tot he nurse and reports breathing difficulty, chest pains, and palitations. The client is pale and his mouth is wide ipen. What should the nurse do first? | show 🗑
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| Before eating a meal, a client with OCD must wash her hands for 14 minutes , comg her hair for 114 strokes, and switch the light off and on 44 times. What is themost important treatment goal for this client? | show 🗑
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| show | releive anxiety
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| Which of the following statements by the client indicates and understanding of somatization disorder? | show 🗑
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| In planning care for clients who somatize, an appropriate long-term outome for treatment would be the client will | show 🗑
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| Which of the follwing is an example of a factitious disorder | show 🗑
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| show | Klonipin 0.5 mg 1 tab tid
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| show | Tell me what is happening.
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| show | assessing fluid intake and output
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| The nurse is working with a client w/schizophrenia, disorganize type. It is time for the client to get up and eat breakfast. WHich of the following statemnts by the nurse would be th most effective in helping her prepare for breakfast | show 🗑
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| show | "You don not need to talk right now. I'll just sit here for a few minutes"
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| One evening, a client w/schizophrenia leaves his room and begins marching in the hall. When approached by the nurse, the client syas, "God syas I'm supposed to guard the area." The best response woiuld be | show 🗑
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| A client w/schizophrenia paranoid type, yells at the nurse. "They're all trying to destroy me. You're all par tof it, aren't you? The best response form the nurse would be | show 🗑
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| A cline w/ schizophrenia is having difficulty maintaining personal hygiene. The nurse should plan to | show 🗑
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| show | Spend time with him at regular intervals
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| A client w/mania is demonstrating hypersexual behavior. blowing kisses to other clients, amking suggetive remarks, and removing some articles of clothing. The intervention would be | show 🗑
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| show | Ativan
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| In the event the mania patient was prescribed Haldol, an antipsychotic, and started ecperiencing stiff neck and posturing, the nurse would inform the doctor that the patient is experiencing | show 🗑
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| The manic client refuses to eat, stating, "I have to much to do." The best response is | show 🗑
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| show | "Do no swing at me again. If you cannot control yourself, we will help you.
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| show | "I cannot call the psy. Now, but you and I can talk about your request for a pass"
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| show | Peanut butter sandwich and milk`
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| A client w/amia is in the dining room at lunch time and is observed taking food from other client's tryas. The nurses intervetion should be based on which rationale | show 🗑
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| Which of the following activites would th enurse select to provide distraciton for a client w/ maic behavior. | show 🗑
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| show | You and I can woak down to the dining room for dinner now.
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| show | Move to a chair a little furhter away and say, "We can just sit together quielty"
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| show | Decrease the client's environmental stimuli
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| show | Eat at least 50% of meals and snacks in two days
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| show | Walk with the client as he paces in the hallway.
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| A dpressed client states "I'm such a burden toeveryone. I'm not worth all the trouble." The best response by the nurse would be | show 🗑
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| j, 20yo economics major became severly depressed after failing to exams. J cried x 2hours, then called her parents who live in a neighboring state, planning to ask if she could return home. J gave her roommate expensive sweaters . Later J unconscous/pi | show 🗑
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| show | Make a no suicide contract with the nurse covering the next 24 hours.
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| A cleint is admitted to the psychiatric unit after an overdose of antidepresasnts. The client was treates with gastric lavage in the emergency room. The client states, I'm sorry I didn't succedd this time." The priority for this client is: | show 🗑
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| E is a manic client who became hyperactive after d/c her lithium. SHe has not eaten or slept in three day.s If E attempts to hit anouther client or a staff member. Which is the best response? | show 🗑
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| show | There will probably be loss of memory for recent events`
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| Which of the followng statements to a family member of an elderly man receiving ECT on an outpatient basis is accurate? | show 🗑
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| In response to a client's manipulative behavior, the nurse should provide | show 🗑
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| show | Grandiose and superior self-concept
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| The nuse workes the B. paranoid schizophrenia, and his family to help understand importance of reg. meds. Be contiues to say he doesn't like taking pills. Family is helpless in compliance. Tx strategy? | show 🗑
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| N. court after jail, and battery of wife. At arraignment, he told the judge how sorry he was and wanted psych help. His hx reveals adolescent and adult arrest. What statements would be antisocial behavior | show 🗑
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| show | Splitting
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| When planning care for a client with passive aggressive PD, the nurse will need to include interventions for which of the following behaviors? | show 🗑
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| Which of the follwing would the nurse expect to administer for the tx of Wernicke-Korsakoff Syndrome? | show 🗑
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| Symptoms of alcohol withdrawel include which of the following | show 🗑
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| show | read labels of all liquid medication for ones that contain alcohol
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| show | Librium
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