Mental health NUR2459 final review questions

Mental health NUR2459 final review questions Latest Update 2024-2025 Actual Exam 80 Questions and 100% Verified Correct Answers Guaranteed A+

A 10-year-old child returns to school after the death of his mother. The school nurse becomes aware that this child is frequently talking in the classroom about fears that he will die, too. The classroom teacher is asking for recommendations about how to handle this situation. Which of these actions by the nurse is most appropriate?

• Instruct the teacher to refer the child for psychological evaluation because this is a

warning sign of depression and possible suicide.

• Encourage the teacher to redirect the child to activities that are focused on school

performance.

• Educate the teacher that this a common reaction in children of this age and it is best

for the teacher to offer reassurance that he is safe.

• Instruct the teacher to prohibit discussion of this topic in class because children in this

age-group cannot understand the finality of death. - CORRECT ANSWER: c. Educate

the teacher that this a common reaction in children of this age and it is best for the teacher to offer reassurance that he is safe.

A 14-year-old client has just been admitted to the psychiatric unit for anorexia nervosa.She is emaciated and refuses to eat. What is the priority nursing diagnosis for this client?

• Complicated grieving

b. Imbalanced nutrition: Less than body requirements.

• Interrupted family processes
• Anxiety (severe) - CORRECT ANSWER: b. Imbalanced nutrition: Less than body

requirements.

A battered woman presents to the emergency department with multiple cuts and abrasions. Her right eye is swollen shut. She says that her husband did this to her.What is the priority nursing intervention?

• Tending to the immediate care of her wounds
• Providing her with information about a safe place to stay
• Administering the prn tranquilizer ordered by the physician
• Explaining how she may go about bringing charges against her husband - CORRECT

ANSWER: a. Tending to the immediate care of her wounds

A child with ADHD is admitted to a residential treatment program. Which of the following group activities would be most appropriate for the nurse to recommend?

• / 3

• Monopoly
• Volleyball
• Pool

d. Checkers - CORRECT ANSWER: b. Volleyball

A child, age 5, is sent to the school nurse's office with an upset stomach. She has vomited and soiled her blouse. When the nurse removes her blouse, she notices that the child has numerous bruises on her arms and torso in various stages of healing. She also notices some small scars, and her abdomen protrudes on her small, thin frame.

From the objective physical assessment, the nurse should screen further for:

• Physical and sexual abuse.
• Physical abuse and neglect.
• Emotional neglect.

d. Sexual and emotional abuse. - CORRECT ANSWER: b. Physical abuse and neglect.

A client arrives at the emergency department and tells the nurse her husband inflicted the cuts to her face that required sutures. She says, "I didn't want to come. I'm really okay. He only does this when he has too much to drink. I just shouldn't have yelled at

him." The best response by the nurse is:

• "How often does he drink too much?"
• "It is not your fault. You did the right thing by coming here."
• "How many times has he done this to you?"
• "He is not a good husband. You have to leave him before he kills you." - CORRECT

ANSWER: b. "It is not your fault. You did the right thing by coming here."

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."

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

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

A client diagnosed with generalized anxiety disorder has been prescribed buspirone 15 mg daily. He says to the nurse, "Why do I have to take this every day? My friend's doctor ordered Xanax for him, and he only takes it when he is feeling anxious." Which of the following would be an appropriate response by the nurse?

• "Xanax is not effective for generalized anxiety disorder."
• "Buspirone must be taken daily in order to be effective." 2 / 3

• "I will ask the doctor if he will change your dose of buspirone to prn so that you don't

have to take it every day."

• "Your friend really should be taking the Xanax every day." - CORRECT ANSWER: b.

"Buspirone must be taken daily in order to be effective."

A client diagnosed with somatic symptom disorder states, "My doctor thinks I should see a psychiatrist. I can't imagine why he would make such a suggestion." What is the most common basis for the client's statement?

• Lack of trust in the physician.
• Lack of understanding about the correlation of symptoms and stress.
• Lack of understanding about the role of a psychiatrist.
• Lack of financial resources. - CORRECT ANSWER: b. Lack of understanding about

the correlation of symptoms and stress.

A client diagnosed with somatic symptom disorder tells the nurse about a pain in her side. She says she has not experienced it before. Which is the most appropriate response by the nurse?

• "I don't want to hear about another physical complaint. You know they are all in your

head. It's time for group therapy now."

• "Let's sit down here together and you can tell me about this new pain you are

experiencing. You'll just have to miss group therapy today."

• "I will report this pain to your physician. In the meantime, group therapy starts in 5

minutes."

• "I will call your physician and see if he will order a new pain medication for your side.

The one you have now doesn't seem to provide relief. Why don't you get some rest for now?" - CORRECT ANSWER: c. "I will report this pain to your physician. In the meantime, group therapy starts in 5 minutes."

A client experiences a nightmare during his first night in the hospital. He explains to the nurse that he was dreaming about gunfire all around and people being killed. The

nurse's most appropriate initial intervention is to:

• Administer alprazolam as ordered prn for anxiety.
• Call the physician and report the incident.
• Stay with the client and reassure him of his safety.
• Have the client listen to a tape of relaxation exercises. - CORRECT ANSWER: c.

Stay with the client and reassure him of his safety.

A client has sought help for his concern that he is binge eating and feels like it has "gotten out of control." He asks the nurse what can be done to help him. Which of the following is the most accurate response?

• "Nothing can be done."
• / 3