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44. A nurse is caring for a patient who has been newly presc…

44. A nurse is caring for a patient who has been newly prescribed a monoamine oxidase inhibitor (MAOI) for depression. Which clinical sign requires immediate intervention due to a potentially life-threatening side effect of MAOIs?

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47. A school nurse observes a child frequently fidgeting, ru…

47. A school nurse observes a child frequently fidgeting, running around the classroom, and interrupting peers during lessons. The child’s teacher reports similar behaviors at home and difficulty completing homework. Based on this clinical presentation and the characteristics of ADHD, which nursing intervention should the nurse prioritize to support this child?

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51. A nurse is teaching a client who plans to take St. John’…

51. A 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?

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32. An elderly client complains of stomach pain and is now m…

32. An elderly client complains of stomach pain and is now mute and staring out of her window. The client is refusing food. Which of the following interventions are appropriate? (Select all that apply.)

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34. A client on lithium therapy presents with coarse hand tr…

34. A client on lithium therapy presents with coarse hand tremors, persistent nausea, vomiting, and mild mental confusion.  What is the nurse’s most appropriate initial action?  

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10. A 15-year-old adolescent has run away from home six time…

10. A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, “We can’t manage our teenager.” The adolescent is physically abusive to the mother and defiant with the father. The adolescent’s problem is most consistent with the criteria for which disorder?

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53. The nurse teaches a client with a diagnosis of depressio…

53. The nurse teaches a client with a diagnosis of depression about the side effects of tricyclic antidepressants. Which of the following should be included in the teaching?     weight gain, sedation, nausea,  anticholinergic symptoms, orthostatic hypotension, cardiotoxic side effects

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12. A nurse assesses a 3-year-old diagnosed with autism spec…

12. A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child’s disorder?

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14. What are the primary distinguishing factors between the…

14. What are the primary distinguishing factors between the behavior of children diagnosed with oppositional defiant disorder (ODD) and those diagnosed with conduct disorder (CD)? The child diagnosed with: (Select all that apply.)

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45. A nurse is assessing a 4-year-old child suspected of hav…

45. A nurse is assessing a 4-year-old child suspected of having autism spectrum disorder. Which behavioral finding should the nurse prioritize? 

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