NUR2459 Mental Health Module 7-10 Exam With 80

NUR2459 Mental Health Module 7-10 Exam With 80 Questions & Correct Answers

A client presents in the emergency department with complaints of suicidal ideation. The following information is collected by the nurse. Which of these assessment findings suggests that bulimia nervosa might be a health problem?(Select all that apply.)

• Parotid glands appear enlarged.
• Teeth have a "moth-eaten" pattern of tooth decay.
• Client reports that she takes laxatives daily.
• Client's weight is within the expected range. - ANSWER-a. Parotid glands

appear enlarged.

• Teeth have a "moth-eaten" pattern of tooth decay.
• Client reports that she takes laxatives daily.
• Client's weight is within the expected range.

A client diagnosed with borderline personality disorder manipulates the staff in an effort to fulfill her own desires. All of the following may be examples of

manipulative behaviors in the borderline patient except:

• Refusal to stay in a room alone, stating, "It's so lonely."
• Asking the nurse for cigarettes after 30 minutes, knowing the assigned nurse has

explained she must wait 1 hour.

• Stating to the nurse, "I really like having you for my nurse. You're the best one

around here." 1 / 4

• Cutting arms with razor blade after discussing dismissal plans with physician. -

ANSWER-a. Refusal to stay in a room alone, stating, "It's so lonely."

A client on the psychiatric unit has a diagnosis of antisocial personality disorder.Which of the following characteristics is consistent with this diagnosis?

• Lack of guilt for wrongdoing
• Insight into his own behavior
• Ability to learn from past experiences
• Compliance with authority - ANSWER-a. Lack of guilt for wrongdoing

A nurse on the psychiatric unit documents that the client was attempting to use "splitting" behaviors with staff. This should be interpreted to mean that the client

is:

• Trying to keep staff away from other patients.
• Characterizing staff members as either all good or all bad.
• Having brief psychotic episodes.
• Manifesting two or more distinct subpersonalities when communicating with

staff. - ANSWER-b. Characterizing staff members as either all good or all bad.

According to researchers, which of the following is a common theme in the health history of the client with BPD?

• Autism
• Attention deficit-hyperactivity disorder
• Positive and fulfilling interpersonal relationships 2 / 4

• Early childhood trauma - ANSWER-d. Early childhood trauma

Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder?

• Overly self-centered and exploitative of others
• Suspicious and mistrustful of others
• Rule conscious and disapproving of change
• Anxious and socially isolated - ANSWER-a. Overly self-centered and

exploitative of others

Which of the following behavioral patterns is characteristic of individuals with schizotypal personality disorder?

• Belittling themselves and their abilities
• A lifelong pattern of social withdrawal
• Suspicious and mistrustful of others
• Overreacting inappropriately to minor stimuli - ANSWER-b. A lifelong pattern

of social withdrawal

A client with a diagnosis of borderline personality disorder exhibits alternating clinging and distancing behaviors with the nurse who has been assigned to her care. The most appropriate nursing intervention for this type of behavior would be

to:

• Encourage the client to establish trust in one staff person, with whom all

therapeutic interaction should take place. 3 / 4

• Secure a verbal contract from the client that she will discontinue these

behaviors.

• Withdraw attention if these behaviors continue.
• Rotate staff members who work with the client so that she will learn to relate to

more than one person. - ANSWER-d. Rotate staff members who work with the client so that she will learn to relate to more than one person.

A patient diagnosed with antisocial personality disorder approaches the nurse and says, "You're so cute, are you married?" Which of these is the most appropriate response by the nurse?

• "I'm married, but that's none of your business."
• "Let's talk about your love life instead."
• "Thank you so much for the compliment but I'm married."
• "Our relationship is strictly professional. It is not appropriate for us to have that

kind of discussion." - ANSWER-d. "Our relationship is strictly professional. It is not appropriate for us to have that kind of discussion."

A client with BPD reports to the nurse that she is having abdominal pain and is requesting pain medication. Which action by the nurse is a priority?

• Explore alternative pain management strategies.
• Confront the client about her manipulation to try to get drugs.
• Assess her pain in more detail.
• Set limits on her attempts to cling to the nurse. - ANSWER-c. Assess her pain in

more detail.

A male client with antisocial personality disorder was found in a female patient's room on her bed. When instructed to leave the room, the client states, "I'm sick of

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