MENTAL HEALTH FINAL EXAM 2023/2024 QUESTIONS AND CORRECT
ANSWERS -RASMUSSEN
A nurse is teaching a group of students about the risk factors and complications of anorexia nervosa, which of the following complications should be stressed as the most serious? Increased risk of mortality The Nurse is conducting a presentation for family members on personality disorders. What would be included in this presentation (select all that apply) Personality traits can be challenging to change Personality traits are formed early in life, Stress has an impact on daily behaviors and attributes A newly admitted client diagnosed with somatization disorder asked for his pain medication that is ordered on as needed basis. What is the nurses best action to this request? Administer the medication as prescribed What behavior by the client diagnose with bulimia nervosa indicates progress in treatment? Verbalizing feelings A child diagnosed with autism spectrum disorder makes no eye contact, does not respond to verbal directions from the staff members, and constantly twists, spins and head bangs. Which of the following would be the best nursing action? Ensuring the child does not receive an injury from body movements The parent of a child with attention deficit hyperactivity disorder (ADHD) tells the nurse that the child does not follow directions well. What strategy would be best for the nurse to recommend? Try having the child repeat the instructions before starting the task The nurse is working with a client who is preoccupied with perfection, cannot discard anything, and has trouble relaxing. Which of the following personality disorders is being described within this example? Obsessive Compulsive A nurse working on a inpatient psychiatric unit observes a client diagnosed with obsessive compulsive disorder (OCD) rearranging the magazines in the dayroom. The nurse understands this action is primarily meant to do with of the following? Temporarily reduce the anxiety the client is feeling A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance with a shower, which comment by the nurse is the most appropriate? "I will be glad to assist, ill be right back with your supplies." A 4-year old child states to the nurse "if I can make a big enough wish, my dad wont be dead anymore." What is the conclusion made by the nurse? The child is voicing thoughts that are normal for children this age While caring for a teenage client with attention deficit hyperactivity disorder who is at high risk for self-harm due to poor judgment, high risk taking behaviors and impulsivity. Which of the following is the priority nursing intervention? Have a staff member assigned for one-on-one observation at all times The nurse is caring for a client diagnosed with somatic symptom disorder. The client continues to focus on his severe back pain. Which of the following is the most therapeutic nursing intervention? Allow the client to discuss physical concerns and then redirect to coping skills for stress A child is diagnose as being on the autistic spectrum. Which clinical manifestations should the nurse expect? (Select all that apply) Inability to maintain eye contact Inability to express themselves Repetitive body movement What factor is precipitating symptom of depression and suicidal intent in the elderly? Bereavement overload 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? The client speaks at high schools about her disorder A client has blindness related to conversion disorder. To assist the client with eating, which of the following interventions should the nurse implement? Expect the client to feed himself after explaining the arrangement of the food on the tray Which assessment data should the school nurse recognize as sign of physical neglect? The child is often absent from school, wears dirty clothes, and seems withdrawn and tired A child diagnosed on the autism spectrum may experience repetitive behaviors. Which of the following are examples of repetitive behavior which could be observed. Flapping their hands Spinning in circles A client diagnosed with dissociative disorder suddenly begins to speak with a child's vocabulary and voice. What interpretations should the nurse make of this behavior? A state of depersonalization 1 / 2
An elderly client was neglected by family in the home setting. The abuse was reported. What factor would have the client to remain home? Competent adults can decide to remain in the setting A client is diagnosed with antisocial personality disorder. She has a violent verbal, physically threatening outburst in the dayroom of the unit when the nurse explains she cannot smoke in the hospital. What is the priority action the nurse should take? Remove all other clients from the dayroom to ensure safety A terminal client expresses concern that his spouse seems distant and continues the activities always carried out with him, now without him. This situation is an example of what type of grief Anticipatory grief The nurse is caring for a client with attention deficit hyperactivity disorder. The child has been prescribed methylphenidate. Which of the following symptoms are side effects the nurse will monitor for? (Select all that apply?) insomnia, Decreased appetite, Headache
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