NUR 2459 Mental & Behavioral Health Nursing
Mental Health Final Exam
A 28-year-old male client has poor relationships and is suspicious of others.According to Erikson's theory of psychological adjustment, at what stage or tasks unmet?
Correct Answer:
Trust vs. mistrust
A client with past experiences of eating disorder symptoms uses the ego defense mechanism of sublimation in dealing with this disorder. How is this expressed?
Correct Answer:
The client speaks at high schools about her disorder
A client states that she is hearing voices that tell her to cut herself. She already has several superficial marks on her wrists from scratching herself with the plastic eating utensils. She will not contract for safety what is the priority nursing intervention?
Correct Answer:
Place one to one, constant observation to ensure she does not harm herself
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A nurse is developing a care plan for a client with post-traumatic stress disorder. Which of the following should be completed first?
Correct Answer:
Encourage the client to verbalize thoughts and feelings about the trauma
A client is prescribed lorazepam 0.5mg four times a day(QID) and 1mg PO every 8 hours PRN. the maximum daily dose of lorazepam should not exceed 4mg daily. this client would be able to receive ___ PRN doses as the maximum number of PRN lorazepam doses. (record as a whole number. Do not use a trailing zero)
Correct Answer:
2
Which of the following is a therapeutic approach to setting limits with clients diagnosed with antisocial personality disorder?
Correct Answer:
Clarify the rules for all and make expectations clear
What factor is a precipitating symptom of depression and suicidal intent in the elderly?
Correct Answer:
Bereavement overload
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A nurse is working with a client with a histrionic personality disorder. Which of the following nursing interventions must be implemented throughout the inpatient stay?
Correct Answer:
Setting appropriate limits on maladaptive behaviors
A client is diagnosed with obsessive compulsive disorder. Which action by the nurse would increase the client's anxiety?
Correct Answer:
Changing the schedule throughout the day
The family of a 17-year-old client diagnosed with anorexia nervosa is encouraged to attend family therapy sessions. The parents state, "we don't have the eating disorder. Why should we attend?". What is the best response by the nurse?
Correct Answer:
Gaining insight about her illness and what contributes to it will be beneficial
The client is ordered venlafaxine 225 mg PO daily. Available on the unit is venlafaxine 75mg tablets. how many tablets will the nurse administer for the daily dose? Record the answer as a whole number.
Correct Answer:
3
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