NUR 2488 Mental health nursing final exam

NUR 2488 Mental health nursing final exam Latest Update 2024-2025 Actual Exam 150 Questions and 100% Verified Correct Answers Verified by Professor Already Graded A+ A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, "No!" when given direction. The nurse's counseling with the parent should be based on the premise that the child is engaged in which of Erikson's psychosocial crises?

• trust versus mistrust
• autonomy versus shame and doubt
• initiative versus guilt

D) industry versus inferiority - CORRECT ANSWER: B) autonomy versus shame and

doubt

A 26-month-old child displays negative behaviors. The parent says, "My child refuses toilet training and shouts, 'No!' when given direction. What do you think is wrong?" Select the nurse's best reply.

• "this is normal for your child's age. the child is striving for independence."
• "some undesirable attitudes are developing. a child psychologist can help you

develop a remedial plan."

• "the child needs firmer control. punish the child for disobedience and say "no"."
• "there may be developmental problems. most children are toilet trained by age 2

years." - CORRECT ANSWER: A) "this is normal for you child's age. the child is striving for independence"

A 4-year-old child grabs toys from siblings, saying, "I want that toy now!" The siblings cry, and the child's parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child's behavior as a product of impulses originating in the:

• id
• superego
• ego 1 / 4

D) preconscious - CORRECT ANSWER: A) id

A college student reports that, "My vision is too blurry to read effectively, especially when it's time to be studying for a test." Which health problem should be considered initially?

• functional neurological disorder
• factitious disorder
• illness anxiety

D) malingering - CORRECT ANSWER: D) malingering

A critical care nurse asks a psychiatric nurse about the difference between a diagnosis in the Diagnostic and Statistical manual of Mental disorders (DSM-5) and a nursing diagnosis. What is the psychiatric nurse's best response?

• "the DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes

cultural variables"

• " the DSM-5 diagnosis influences the medical treatment, the nursing diagnosis offers

a framework to identify interventions for problems a patient may experience."

• "no functional difference exists between the two diagnoses. both serve to identify a

human deviance"

• "the DSM-5 diagnosis profiles present distress or disability, whereas a nursing

diagnosis considers past and present responses to actual mental health problems" - CORRECT ANSWER: B) "the DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for problems a patient has or may experience"

A disheveled patient with severe depression and psychomotor retardation has not bathed for several days. What action should the nurse take?

• Firmly and neutrally assisting the patient with showering.
• Calmly telling the patient, "You must bathe daily."
• Bringing up the issue at the community meeting.
• Avoid forcing the issue - CORRECT ANSWER: A) Firmly and neutrally assisting the

patient with showering.

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A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a suicide attempt. Members of the team report their assessments. What outcome can be expected from this meeting?

• the healthcare team will order neuroimaging studies
• the team will request a court appointed advocate for the patient
• assessment of the patients need for placement outside the home will be undertaken
• a treatment plan will be formulated - CORRECT ANSWER: D) a treatment plan will

be formulated

A new psychiatric nurse is providing care to a parent diagnosed with bipolar disorder.This nurse angrily recalls embarrassing events concerning the parent's behavior in the community. Select the best ways for this nurse to cope with these feelings. (Select all that apply.)

• Beginning new patient relationships by saying, "My own parent had mental illness, so

I accept it without stigma"

• Seeking ways to use the understanding gained from childhood to help patients cope

with their own illnesses

• Recognizing that the feelings may add sensitivity to the nurse's practice, but

supervision is important

• Recognizing that these feelings are unhealthy and try to suppress them when

working with patients

• Recognizing that psychiatric nursing is not an appropriate career choice and explore

other nursing specialties - CORRECT ANSWER: B) Seeking ways to use the

understanding gained from childhood to help patients cope with their own illnesses

• Recognizing that the feelings may add sensitivity to the nurse's practice, but

supervision is important

A nurse administering psychotropic medications should be prepared to intervene when giving a drug that blocks the attachment of norepinephrine to α1-receptors because the patient may experience what effect?

• severe appetite disturbance
• hypertensive crisis
• orthostatic hypotension 3 / 4

D) increased psychotic symptoms - CORRECT ANSWER: C) orthostatic hypotension

A nurse assesses a patient diagnosed with functional neurological (conversion) disorder. Which comment best supports this diagnosis?

• "Sexual intercourse is painful. I pretend as if I'm asleep so I can avoid it. I think it's

starting to cause problems with my marriage."

• "I have daily problems with nausea, vomiting, and diarrhea. My skin is very dry and I

think I'm getting seriously dehydrated."

• "I get choked very easily and have trouble swallowing when I eat. I think I might have

cancer of the esophagus."

• "Since my father died, I've been short of breath and had sharp pains that go down

my left arm, but I think it's just indigestion." - CORRECT ANSWER: D) "Since my father died, I've been short of breath and had sharp pains that go down my left arm, but I think it's just indigestion."

A nurse assesses an inpatient psychiatric unit, noting that exits are free from obstruction, no one is smoking, the janitor's closet is locked, and all sharp objects are being used under staff supervision. These observations relate to what nursing responsibility?

• management of milieu safety
• use of therapeutic intervention strategies
• management of interpersonal climate
• coordinating care of patients - CORRECT ANSWER: A) management of milieu safety

A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian theory, these traits are related to which psychosexual stage?

• anal
• oral
• genital

D) phallic - CORRECT ANSWER: B) oral

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