NUR 2459 Mental and Behavioral Health Nursing
NUR 2459 Final Exam
What is the priority nursing intervention when providing care to the client who was brought to the emergency department after sexual assault?
Correct Answer:
Ensure safety of the client in a private room
A female client expresses to the nurse that she feels like she didn't do enough o prevent the loss of her father. Which of the following intervention should the nurse use to address the clients' feelings?
Correct Answer:
Review the circumstances of the loss and the reality that it could not be prevented
A child drowned while swimming in a local lake 2 years ago. Which behavior best indicates the child's parents are mourning in an effective way?
Correct Answer:
They throw flowers on the lake at each anniversary date of the accident.
A client is diagnosed with agoraphobia. Which question indicates the nurse understands the etiology related to this disorder?
Correct Answer: 1 / 3
Can you share the places that cause you fear?
A client is prescribed diazepam as needed (PRN) for panic disorder. Which of the following facts would cause the nurse to question the order?
Correct Answer:
The client had a sever addiction problem in the past
A client has an order for triazolam 0.625 mg PO at bedtime for insomnia. On hand is triazolam 0.25 mg tablets. How many tablets will the nurse administer with each dose? (Record answer to the tenth, or one decimal place. Use leading zero if it applies. Do not use a trailing zero. Type the number only. Do not include the label.)
Correct Answer:
2.5
A nurse is caring for a client experiencing panic level anxiety The nurse understands which of the following nursing actions should be considered a priority?
Correct Answer:
Stay with the client and reduce the stimuli in the room
A client weighs 190 lb. what is the clients wight in kg? (Round answer to the nearest tenth, or one decimal place)
Correct Answer:
86.4
- / 3
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 were tasks unmet?
Correct Answer:
Trust vs. mistrust
The nurse observes a client diagnosed with anorexia nervosa doing repeated, vigorous sit-ups in her room. What is the most therapeutic intervention by the nurse?
Correct Answer:
Interrupt the routine and offer to walk with her
A client states "I was diagnosed with panic attacks. I have heard of dissociative disorders. What is the difference?" what is the nurses best response
Correct Answer:
In dissociative disorders, the person experiences an involuntary escape from reality characterized by a disconnection between thoughts, identity, consciousness, and/or memory."
A client is admitted with a diagnosis of dependent personality disorder.Which question by the nurse indicates an understanding of the essential features of the disorder?
Correct Answer:
"Are you afraid of being alone?"
- / 3