NR 326 MENTAL HEALTH FINAL EXAM 2024ACTUAL

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NR 326 MENTAL HEALTH FINAL EXAM 2024/ACTUAL

EXAM WITH 100 QUESTIONS AND CORRECT VERIFIED

ANSWERS/NR326 MENTAL HEALTH FINAL EXAM 2024 -

2025/NEWEST VERSION!

A 6-year-old patient is prescribed methylphenidate (Ritalin) for a diagnosis of attention deficit-hyperactivity disorder (ADHD). When teaching the parents about this medication, which nursing statement explains how Ritalin works?

• Ritalins sedation side effect assists children by decreasing their energy level.
• How Ritalin works is unknown. Although it is a stimulant, it does combat the

symptoms of ADHD.

• Ritalin helps the child focus by decreasing the amount of dopamine in the basal

ganglia and neuron synapse.

• Ritalin decreases hyperactivity by increasing serotonin levels.

RIGHT ANSWER:->>> B

A child diagnosed with ADHD had this nursing diagnosis: Impaired social interaction related to excessive neuronal activity as evidence by aggression and demanding behavior with peers. Which finding indicates the plan for care was effective?

• The child has improved ability to identity anxiety inducing situations
• The child has increases expressiveness in communication with others.
• The child shows increased responsiveness to authority figures.

D.The child engages in cooperative play with other children

RIGHT ANSWER:->>> D

A child diagnosed with attention deficit-hyperactivity disorder (ADHD) is having difficulty 1 / 4

completing homework assignments. What information should the nursing attendant include when teaching the parents about task performance improvement?

• The parents should isolate the child when completing homework to improve focus.
• The parents should withhold privileges if homework is not completed within a 2-hour

period.

• The parents should divide the homework task into smaller steps and provide

an activity break.

• The parents should administer an extra dose of methylphenidate (Ritalin) prior to

homework.

RIGHT ANSWER:->>> C

A child diagnosed with autism spectrum disorder has the nursing diagnosis of disturbed personal identity. Which outcome would best address this patients diagnosis?

• The patient will name own body parts as separate from others by day 5.
• The patient will establish a means of communicating personal needs by

discharge.

• The patient will initiate social interactions with caregivers by day 4.

D.The patient will not harm self or others by discharge.

RIGHT ANSWER:->>> A

A child has been diagnosed with autism spectrum disorder. The distraught mother cries out, Im such a terrible mother. What did I do to cause this? Which nursing reply is most appropriate?

• Researchers really dont know what causes autistic disorder, but the relationship

between autistic disorder and fetal alcohol syndrome is being explored. 2 / 4

• Poor parenting doesnt cause autism. Research has shown that abnormalities

in brain structure and/or function are to blame. This is beyond your control.

• Research has shown that the mother appears to play a greater role in the

development of this disorder than the father.

• Lack of early infant bonding with the mother has shown to be a cause of autistic

disorder. Did you breastfeed or bottle-feed? RIGHT ANSWER:->>> B

A patient at the mental health clinic tells the case manager, "I can't think about living another day, but don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality." Which case manager response is most appropriate?

• "The treatment team is composed of many specialists who are working to

improve your ability to function. Sharing this information with the team is critical to your care."

• "Let's discuss steps that will resolve negative lifestyle choices that may have

increased your suicidal risk."

• "You seem to be preoccupied with self. You should concentrate on hope for the

future."

• "This information is secure with me because of patient confidentiality."

RIGHT ANSWER:->>> A

A patient diagnosed with schizophrenia is hospitalized owing to an exacerbation of psychosis related to non-adherence with antipsychotic medications. Which level of care does the patient's hospitalization reflect?

• Primary prevention level of care
• Secondary prevention level of 3 / 4

care

• Tertiary prevention level of care
• Case management level of care

RIGHT ANSWER:->>> B

A patient who has been raped is crying, pacing, and cursing her attacker in an emergency department. Which behavioral defense should a nursing attendant recognize?

• Controlled response pattern.
• Compounded rape reaction.
• Expressed response

pattern.

• Silent rape reaction.

RIGHT ANSWER:->>> C

A patient who is in a severely abusive relationship is admitted to a psychiatric inpatient unit. The patient fears for her life. A staff nursing attendant asks, Why doesn't she just leave him? Which is the nursing supervisors most appropriate reply?

• These patients don't know life any other way, and change is not an option until

they have improved insight.

• These patients have limited skills and few vocational abilities to be able to make it

on their own.

• These patients often have a lack of financial independence to support themselves

and their children, and most have religious beliefs prohibiting divorce and separation.

• These patients are paralyzed into inaction by a combination of physical

threats and a sense of powerlessness. RIGHT ANSWER:->>> D

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