Final Exam: NUR 2459/ NUR2459 (New 2023/ 2024 Update) | Mental and Behavioral Health Nursing Exam| 100% Correct | Questions and Verified Answers| Graded A -Rasmussen
Final Exam: NUR 2459/ NUR2459 (New
2023/ 2024 Update) | Mental and Behavioral
Health Nursing Exam| 100% Correct |
Questions and Verified Answers| Graded A –
Rasmussen
QUESTION
The provider ordered lorazepam 2 mg IM stat. Available is lorazepam injection 5mg/mL. How
many mL will the nurse administer? (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.)
Answer:
0.4
QUESTION
. A client is diagnosed with terminal cancer. Which situation should the nurse asses as reflecting
Kubler-Ross’s grief stage of anger?
Answer:
The client is devoted catholic but refuses to attend church and states that his faith has failed him
QUESTION
A 7-year old male client has sever bruising on his arms and injury to his abdomen. The nurse
should consider child abuse if the parents act in what manner?
Answer:
The parent delayed seeking treatment
QUESTION
Which of the following statements best describes a goal of group therapy?
Answer:
The members can hear from others who have experienced similar experiences
QUESTION
A 79-year-old client admits that his daughter hits him while helping him dress each morning.
What is the appropriate nursing action?
Answer:
The nurse is required to make sure the proper authority is informed
QUESTION
A client states she is hearing voices that tell her to cut herself. She already has several
superficial marks on her wrists from scratching herself with the plastic eating utensils. She will
not contract for safety. What is the priority nursing intervention?
Answer:
Place on one-to-one, constant observation to ensure she does not harm self
QUESTION
A client recently lost his wife to Covid-19. Which statement by the client may alert the nurse the
client may be negatively coping with the death?
Answer:
“Avoiding contact with others is easier to deal with.”
QUESTION
A client is diagnosed with obsessive-compulsive disorder. Which action by the nurse would
increase the client’s anxiety?
Answer:
Changing the schedule throughout the day
QUESTION
A community health nurse is planning a training for post-traumatic stress disorder. Which of the
following clients would be considered the most vulnerable to post-traumatic stress disorder?
Answer:
A 20-year-old college student with diabetes mellitus who experienced date rape
QUESTION
A child Is admitted to the inpatient psychiatric unit with a diagnosis of conduct disorder. The
nurse would expect to find which of the following syndrome?
Answer:
A history of cruelty towards people and animals
QUESTION
A client with antisocial personality disorder states to the nurse, “a novice like you can’t possible
help me.” What is the best response by the nurse?
Answer:
“What needs do you thing I can’t meet?”
QUESTION
A child diagnose with oppositional defiant disorder is spiteful, vindictive and argumentative and
has a history of aggression towards others. Which of the following would be apriority nursing
concern?
Answer:
Ineffective coping in dealing with negative behaviors
QUESTION
A client diagnosed with borderline personality disorder is angry that the night shift staff would
not let her during coffee at 3 a.m. she discusses this in a community meeting and develops a
following of clients who demand access to the cafeteria at all hours. How can the nursing staff
manage this situation to prevent “splitting”?
Answer:
Staff discuss the situation and agree upon consistency
QUESTION
Which of the following statements by the nurse, who cares for children psychiatric disorders, is
a concern?
Answer:
“I know exactly how the child feel since I went through the same thing”
QUESTION
The family of a 17-year-old client diagnose with anorexia nervosa is encouraged to attend
family therapy sessions. The parents state, “we don’t have the eating disorder, why should we
attend?” what is the best response by the nurse?
Answer:
“Gaining insight about her illness and what contributes to it will be beneficial”
QUESTION
A 16-year-old is admitted to the adolescent unit with a diagnosis of conduct disorder. This
condition is often manifested by what behavior
Answer:
Physical aggression in violation of others
QUESTION
The nurse has determined systematic desensitization is the therapy being used to treat the client
with acrophobia. How is this demonstrated?
Powered by https://learnexams.com/search/study?query=
A nurse is teaching a group of students about the risk factors and complications of anorexia nervosa, which of the following complications should be stressed as the most serious?
Increased risk of mortality
The Nurse is conducting a presentation for family members on personality disorders. What would be included in this presentation (select all that apply)
Personality traits can be challenging to change
Personality traits are formed early in life
Stress has an impact on daily behaviors and attributes
A newly admitted client diagnosed with somatization disorder asked for his pain medication that is ordered on as needed basis. What is the nurses best action to this request?
Administer the medication as prescribed
What behavior by the client diagnose with bulimia nervosa indicates progress in treatment?
Verbalizing feelings
A child diagnosed with autism spectrum disorder makes no eye contact, does not respond to verbal directions from the staff members, and constantly twists, spins and head bangs. Which of the following would be the best nursing action?
Ensuring the child does not receive an injury from body movements
The parent of a child with attention deficit hyperactivity disorder (ADHD) tells the nurse that the child does not follow directions well. What strategy would be best for the nurse to recommend?
Try having the child repeat the instructions before starting the task
A client is prescribed lorazepam 0.5 mg PO four times a day (QID) and 1 mg PT every 8 hours PRN. The maximum daily does of lorazepam should not exceed 4 mg daily. This client would be able to receive __ PRN doses as the maximum number of PRN lorazepam doses (round as a whole number. Do not use trailing zero, type the number only, do not include the label)
2
The nurse is working with a client who is preoccupied with perfection, cannot discard anything, and has trouble relaxing. Which of the following personality disorders is being described within this example?
Obsessive Compulsive
A nurse working on a inpatient psychiatric unit observes a client diagnosed with obsessive compulsive disorder (OCD) rearranging the magazines in the dayroom. The nurse understands this action is primarily meant to do with of the following?
Temporarily reduce the anxiety the client is feeling
A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance
with a shower, which comment by the nurse is the most appropriate?
“I will be glad to assist, ill be right back with your supplies.”
A 4-year old child states to the nurse “if I can make a big enough wish, my dad wont be dead anymore.” What is the conclusion made by the nurse?
The child is voicing thoughts that are normal for children this age
While caring for a teenage client with attention deficit hyperactivity disorder who is at high risk for self-harm due to poor judgment, high risk taking behaviors and impulsivity. Which of the following is the priority nursing intervention?
Have a staff member assigned for one-on-one observation at all times
The nurse is caring for a client diagnosed with somatic symptom disorder. The client continues to focus on his severe back pain. Which of the following is the most therapeutic nursing intervention?
Allow the client to discuss physical concerns and then redirect to coping skills for stress
A child is diagnose as being on the autistic spectrum. Which clinical manifestations should the nurse expect? (Select all that apply)
Inability to maintain eye contact Inability to express themselves Repetitive body movement
What factor is precipitating symptom of depression and suicidal intent in the elderly?
Bereavement overload
A client with past experiences of eating disorder symptoms uses the ego defense mechanism of sublimation in dealing with this disorder. How is this expressed?
The client speaks at high schools about her disorder
A client has blindness related to conversion disorder. To assist the client with eating, which of the following interventions should the nurse implement?
Expect the client to feed himself after explaining the arrangement of the food on the tray
Which assessment data should the school nurse recognize as sign of physical neglect?
The child is often absent from school, wears dirty clothes, and seems withdrawn and tired
A child diagnosed on the autism spectrum may experience repetitive behaviors. Which of the following are examples of repetitive behavior which could be observed.
Flapping their hands
Spinning in circles
A client diagnosed with dissociative disorder suddenly begins to speak with a child’s vocabulary and voice. What interpretations should the nurse make of this behavior?
A state of depersonalization
A nurse is preparing to administer buspirone 7.5mg PO every 12 hr to a client. The amount available is buspirone 15 mg/tablet. How many tablet(s) should the nurse administer per 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.)
0.5
An elderly client was neglected by family in the home setting. The abuse was reported. What factor would have the client to remain home?
Competent adults can decide to remain in the setting
A client is diagnosed with antisocial personality disorder. She has a violent verbal, physically threatening outburst in the dayroom of the unit when the nurse explains she cannot smoke in the hospital. What is the priority action the nurse should take?
Remove all other clients from the dayroom to ensure safety
The client is ordered venlafaxine 225mg PO daily. Available on the unit is venlafaxine 75mg tablets. How many tablets will the nurse administer for the daily 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.)
3
A terminal client expresses concern that his spouse seems distant and continues the activities always carried out with him, now without him. This situation is an example of what type of grief
Anticipatory grief
The nurse is caring for the client who is prescribed haloperidol 4mg orally on admission. An oral suspension of haloperidol 2mg/mL is received from the pharmacy. What amount of mL of the suspension should the nurse administer to the client? (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.)
2
The nurse is caring for a client with attention deficit hyperactivity disorder. The child has been prescribed methylphenidate. Which of the following symptoms are side effects the nurse will monitor for? (Select all that apply?)
Insomnia
Decreased appetite
Headache
A nurse is preparing to administer haloperidol 75 mg IM per week. Available is haloperidol decanoate 100 mg/mL for injection. How many mL should the nurse administer per 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.)
0.75
The nurse is caring for a client who has just been injured by her male partner. The client states that for the first time he has been physical abusive, but her apologized and has since sent her flowers. What is the intervention by the nurse?
Teach the client the cycle of battering
What behavior best describes physical aggression
Stomping away from the nurse’s station, going to the day room, and grabbing a pool cue from a client standing at the pool table
A client has been prescribed buspirone for a new diagnosis of generalized anxiety disorder (GAD). Which statement by the client indicates an understanding of the medication?
“I should begin to feel better in a few days”
The provider ordered lorazepam 2 mg IM stat. Available is lorazepam injection 5mg/mL. How many mL will the nurse administer? (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.)
0.4
. A client is diagnosed with terminal cancer. Which situation should the nurse asses as reflecting Kubler-Ross’s grief stage of anger?
The client is devoted catholic but refuses to attend church and states that his faith has failed him
A 7-year old male client has sever bruising on his arms and injury to his abdomen. The nurse should consider child abuse if the parents act in what manner?
The parent delayed seeking treatment
Which of the following statements best describes a goal of group therapy?
The members can hear from others who have experienced similar experiences
A 79-year-old client admits that his daughter hits him while helping him dress each morning. What is the appropriate nursing action?
The nurse is required to make sure the proper authority is informed
A client states she is hearing voices that tell her to cut herself. She already has several superficial marks on her wrists from scratching herself with the plastic eating utensils. She will not contract for safety. What is the priority nursing intervention?
Place on one-to-one, constant observation to ensure she does not harm self
A client recently lost his wife to Covid-19. Which statement by the client may alert the nurse the client may be negatively coping with the death?
“Avoiding contact with others is easier to deal with.”
A client is diagnosed with obsessive-compulsive disorder. Which action by the nurse would increase the client’s anxiety?
Changing the schedule throughout the day
A community health nurse is planning a training for post-traumatic stress disorder. Which of the following clients would be considered the most vulnerable to post-traumatic stress disorder?
A 20-year-old college student with diabetes mellitus who experienced date rape
A child Is admitted to the inpatient psychiatric unit with a diagnosis of conduct disorder. The nurse would expect to find which of the following syndrome?
A history of cruelty towards people and animals
A client with antisocial personality disorder states to the nurse, “a novice like you can’t possible help me.” What is the best response by the nurse?
“What needs do you thing I can’t meet?”
A child diagnose with oppositional defiant disorder is spiteful, vindictive and argumentative and has a history of aggression towards others. Which of the following would be apriority nursing concern?
Ineffective coping in dealing with negative behaviors
A client diagnosed with borderline personality disorder is angry that the night shift staff would not let her during coffee at 3 a.m. she discusses this in a community meeting and develops a following of clients who demand access to the cafeteria at all hours. How can the nursing staff manage this situation to prevent “splitting”?
Staff discuss the situation and agree upon consistency
Which of the following statements by the nurse, who cares for children psychiatric disorders, is a concern?
“I know exactly how the child feel since I went through the same thing”
The family of a 17-year-old client diagnose with anorexia nervosa is encouraged to attend family therapy sessions. The parents state, “we don’t have the eating disorder, why should we attend?” what is the best response by the nurse?
“Gaining insight about her illness and what contributes to it will be beneficial”
A 16-year-old is admitted to the adolescent unit with a diagnosis of conduct disorder. This condition is often manifested by what behavior
Physical aggression in violation of others
The nurse has determined systematic desensitization is the therapy being used to treat the client with acrophobia. How is this demonstrated?
Gradual exposure to higher area
A nurse is developing a care plan for a client with post-traumatic stress disorder. Which of the following should be completed first?
Encourage the client to verbalize thoughts and feelings about the trauma
The nurse is assessing the client in a fugue state. What assessment findings would the nurse recognize as most significant to experiencing a fugue state?
History of severe trauma
What is the priority nursing intervention when providing care to the client who was brought to the emergency department after sexual assault?
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?
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?
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?
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?
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.)
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?
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)
86.4
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?
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?
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
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?
“Are you afraid of being alone?”
What are the effective intervention to facilitate autonomy for a client diagnosed with an eating disorder?
Have the client give input when establishing the expected outcomes
Which statement by an elderly client might suggest financial abuse is occurring?
“After I gave my son access to my bank account, I noticed he has a brand-new car”
A nurse is caring for a client with factitious disorder imposed on another, which of the following statement by the client would the nurse expect?
“I made my daughter sick because no one was paying us any attention”
Which of the following is a therapeutic approach to setting limits with clients diagnosed with antisocial personality disorder?
Clarify the rules for all and make expectations clear
A school-age child is talking with her grandmother, who is dying. What should the nurse say to the child?
“Even though she may not answer you, she can hear you”
A 7-year-old male without any other diagnosed problem engages in jaw clenching, rocking back and forth, and unable to engage in physical contact. The nurse recognizes these symptoms of which of the following conditions?
Autism spectrum disorder
The nurse is caring for a 12-year-old client diagnosed with oppositional defiant disorder. The client’s mother asks what type of medication is usually prescribed for this diagnosis. Which of the following is the most appropriate response by the nurse?
“Though medications may be used to treat symptoms, the focus will be on behavioral therapy”
Which statement by the nurse in the emergency department indicates a firm knowledge base regarding intimate partner violence?
“Power and control are the central dynamics of abuse”
A child diagnose with oppositional defiant disorder begins to yell at staff members when asked to leave group therapy because of inappropriate behaviors. Which nursing intervention would be most appropriate?
Accompany the child to a quiet area to decrease external stimuli
A nurse is working with a client with a histrionic personality disorder. Which of the following nursing interventions must be implemented throughout the inpatient stay?
Setting appropriate limits on maladaptive behaviors
What is the difference between post-traumatic stress disorder (PTSD) and Acute stress disorder?
in ASD the symptoms start and end with in 1 month
We have an expert-written solution to this problem!
When planning the care of a 6-year-old child diagnosed with oppositional defiant disorder, the nurse should include which method of therapy?
Cognitive therapy
A female adolescent client says to the nurse, “Hey, you stupid blonde, what are you looking at?” Which of the following responses would be inappropriate for the nurse make?
“Don’t you ever talk to me like that again”