NUR 2488 Mental Health nursing final exam Rasmussen Latest Update 2024-2025 Actual Exam 180 Questions and 100% Verified Correct Answers Verified by Professor Already Graded A+
A 12 year old child does not follow rules and has trouble with authority figures. The child awakens before the parents every morning. The child attends kindergarten, but the teacher reports child being unruly and intrusive. What is this child's most likely problem? -
CORRECT ANSWER: ODD (opposition defiant disorder)
A 15 year old patient place on restraints how often do you have to renew order? -
CORRECT ANSWER: every 2 hours
A 15-year-old ran away from home six times and was arrested for prostitution. The parents told the Court, "We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father. The adolescents problem is most
consistent with what criteria for which disorder? - CORRECT ANSWER: Conduct
disorder
A 20 yr old female college student comes to ED crying uncontrollably and states I woke up this morning and I don't remember what happened. I know I wasn't supposed to drink and I should not have gone to that party. She states she is unable to remember cuz she was intoxicated. What would the nurse's response be? - CORRECT ANSWER: it is not your fault. there is no reason you should have been taken advantage of.
A 79-year-old white man tells a visiting nurse, "I've been feeling down lately. My family and friends are all dead. My money is running out, and my health is failing." The nurse
should analyze this comment as - CORRECT ANSWER: evidence of suicide risk
A child diagnose with ADHD about to start medication therapy, what is the education to give? - CORRECT ANSWER: tell the difference between stimulant and non-stimulant 1 / 4
A child diagnosed with ADHD is going to begin med therapy. The nurse should plan to teach the family about which classification of medications? - CORRECT ANSWER: CNS stimulates and non stimulants
A client arrives for her mental health appointment wearing a cocktail dress and theatrical makeup. she announces loudly dramatically and flirtatious manner that she needs to be seen immediately because she is experiencing overwhelming psychologic distress. the nurse should recognize behaviors suggestive of which personality disorder? -
CORRECT ANSWER: Histrionic
A client diagnosed with antisocial personality disorder tells nurse A, you are much better nurse than nurse B said you were. :the client then tells nurse B, "nurse A is upset with you for some reason" the nurse C, the client states, "I think you're great, but nurse A said she saw you make 3 mistakes this morning" the nurse should conclude that these
behaviors are intended to have which effect? - CORRECT ANSWER: manipulate the
staff
A client experiencing delirium most likely have? - CORRECT ANSWER: an acute
medical condition
a client is exhibiting schizophrenia and has mania and major depressive disorder. what
is the clients diagnosis? - CORRECT ANSWER: Schizoaffective disorder
A client is exhibiting symptoms that are characteristics of schizophrenia and has had several episodes of manic and major depression. what is the clients diagnosis? -
CORRECT ANSWER: schizoaffective (schizoaffective marked by a combination of
schizophrenia symptoms such as hallucinations, delusions, and mood disorders such as depression or mania.
A client is prescribed lamatrogine for treatment of bipolar disorder which of the following
is most concerning? - CORRECT ANSWER: SJS skin rash (stevens johnson syndrome)
A client with depression mentions to the nurse, "my mother says depression is a chemical disorder. what does she mean?" the nurse's response is based on the theory 2 / 4
that depression primarily involves which of thee following neurotransmitters? -
CORRECT ANSWER: Serotonin and Norepinephrine
A healthcare provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social functioning. This patient is also overweight. Which drug should the nurse advocate.Which of the following medications has a low side effect profile? - CORRECT ANSWER: Apiprazole (abilify)
A healthcare provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has negative symptoms such as apathy,
avolution, anadonia, and flat affect? - CORRECT ANSWER: Vraylar
A hospitalized patient experiencing delirium misinterprets reality, while a patient diagnosed with dementia wanders around the home. Which outcome is the priority in
both scenarios? The patients will - CORRECT ANSWER: remain safe in the
environment
A male client with a diagnosis of schizophrenia tells you that people are able to read his
mind. What is this called? - CORRECT ANSWER: Thought broadcasting
A newly admitted patient diagnosed with major depression has gained 20 pounds over a few months and has suicidal ideation. the patient has taken an antidepressant medication for 1 week without remission of symptoms. select the priority nursing
diagnosis - CORRECT ANSWER: Risk for suicide.
A newly admitted patient diagnosed with schizophrenia is restless and constantly scans the environments. The patient states, "Someone is whispering in my ears. The voices are telling me to escape from this hospital." the nurse may correctly assess this as what
classic symptom? - CORRECT ANSWER: Auditory hallucination
A newly admitted patient states the voices are bothering me, they tell and tell me i'm bad and i have to get away from them. what should the nurse do? - CORRECT ANSWER: I will stay with you, focus on what you are talking about, not the voices.
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A newly admitted patient with schizophrenia says, "The voices are bothering me. They yell and tell me I'm bad. I have to get away from them." What is the best reply from the
nurse? - CORRECT ANSWER: What are the voices telling you
A nurse administers a hypnotic medication that potentiates the action of GABA? -
CORRECT ANSWER: Reduces anxiety
A nurse assess a child the child is happy to see the nurse and says you are just like my
mom and I like you. - CORRECT ANSWER: Transference
A nurse assesses a confused older adult. the nurse experiences sadness and reflects, "the patient is like one of my grandparents.... so helpless." what feelings does the nurse
describe? - CORRECT ANSWER: Countertransference.
A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patients insurance form. which resource should the nurse consult to discern the criteria
used to establish this diagnoses? - CORRECT ANSWER: DSM-V diagnostic and
Statistical Manual of Mental Disorders
A nurse cares for an older adult patient admitted for treatment of depression. the health care provider prescribes an antidepressant medication, but the dose is more than the
usual adult dose. the nurse should? - CORRECT ANSWER: hold the medication and
consult the health care provider.
A nurse documents patient appears to be restless and unable to sit still. he is unable to hold productive conversation and tremulous during interview, what is the nursing dx? -
CORRECT ANSWER: Anxiety
A nurse instructs a patient taking a drug that inhibits the action of monoamine oxidase
(MAO) to avoid certain foods and drugs because of what risk? - CORRECT ANSWER:
hypertensive crisis. (patients taking MAOIs must be on a tyramine-free diet to prevent hypertensive crisis.
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