NUR2459 MENTAL AND BEHAVIORAL HEALTH
NURSING EXAMPREP STUDY GUIDE WITH
COMPREHENSIVE REVIEW QUESTIONS AND
FULLY SOLVED SOLUTIONS
◉While caring for a teenage client with ADHD who is at high risk for
self-harm due to poor judgment, high-risk taking behaviors, impulsivity.
Which of the following is the priority nursing intervention?
A. Develop a no harm contract with the client and encourage
participation in all unit activties
B. Schedule a regular nurse client session daily to discuss daily goals
C. Have the client sit within direct line of sight with the staff only during
mealtimes
D. Have a staff member assigned for 1:!1observation at all times. .
Answer: D. Have a staff member assigned for 1:1 observation at all
times.
◉Which of the following statements by the nurse, who cares for
children with psychiatric disorders, is a concern?
A. Since I have been caring for this child, he has become less agitated.
B. When a child becomes violent, I also need to protect the other
children
,C. I know exactly how the child feels since I went through the same
thing
D. I have to be careful not to become attached and show favoritism .
Answer: C. I know exactly how the child feels since I went through the
same thing
◉A child diagnosed with ODD begins to yell at staff members when
asked to leave group therapy because of inappropriate behaviors. Which
nursing intervention would be the most appropriate.
A. Accompany the child to a quiet area to decrease eternal stimuli
B. Institute seclusion following the facilities protocol
C. Allow the child to remain in group therapy and continue to monitor
D. Assist the child in recognizing how to separate feelings from
reactions . Answer: A. Accompany the child to a quiet area to decrease
eternal stimuli
◉A 16 year old is admitted to the adolescent unit with a diagnosis of
conduct disorder. This condition is often manifested by what behavior.
A. Physical aggression in violation of others
B. Compassion
C. Yelling and name calling . Answer: A. Physical aggression in
violation of others
, ◉The nurse is caring for a client with ADHD. The child has been
prescribed methylphenidate. Which of the following symptoms are side
effects the nurse will monitor for? SATA
A. Sedation
B. Headache
C. Decreased appetitie
D. Decreased blood pressure
E. Insomnia . Answer: B. Headache
C. Decreased appetitie
E. Insomnia
◉When planning the care of a 6 year old child diagnosed with ODD, the
nurse should include which method of therapy?
A. Mindfulness exercises
B. Cognitive Therapy
C. Behavior modification
D. Emotive Therapy . Answer: C. Behavior modification
◉A female client expresses to the nurse that she feels like she didn't do
enough to prevent the loss of her father. Which of the following
interventions should the nurse to address the clients feelings.
A. Explain that this feeling is a pathological defense that will prevent the
client from progressing through the stages of grief.
NURSING EXAMPREP STUDY GUIDE WITH
COMPREHENSIVE REVIEW QUESTIONS AND
FULLY SOLVED SOLUTIONS
◉While caring for a teenage client with ADHD who is at high risk for
self-harm due to poor judgment, high-risk taking behaviors, impulsivity.
Which of the following is the priority nursing intervention?
A. Develop a no harm contract with the client and encourage
participation in all unit activties
B. Schedule a regular nurse client session daily to discuss daily goals
C. Have the client sit within direct line of sight with the staff only during
mealtimes
D. Have a staff member assigned for 1:!1observation at all times. .
Answer: D. Have a staff member assigned for 1:1 observation at all
times.
◉Which of the following statements by the nurse, who cares for
children with psychiatric disorders, is a concern?
A. Since I have been caring for this child, he has become less agitated.
B. When a child becomes violent, I also need to protect the other
children
,C. I know exactly how the child feels since I went through the same
thing
D. I have to be careful not to become attached and show favoritism .
Answer: C. I know exactly how the child feels since I went through the
same thing
◉A child diagnosed with ODD begins to yell at staff members when
asked to leave group therapy because of inappropriate behaviors. Which
nursing intervention would be the most appropriate.
A. Accompany the child to a quiet area to decrease eternal stimuli
B. Institute seclusion following the facilities protocol
C. Allow the child to remain in group therapy and continue to monitor
D. Assist the child in recognizing how to separate feelings from
reactions . Answer: A. Accompany the child to a quiet area to decrease
eternal stimuli
◉A 16 year old is admitted to the adolescent unit with a diagnosis of
conduct disorder. This condition is often manifested by what behavior.
A. Physical aggression in violation of others
B. Compassion
C. Yelling and name calling . Answer: A. Physical aggression in
violation of others
, ◉The nurse is caring for a client with ADHD. The child has been
prescribed methylphenidate. Which of the following symptoms are side
effects the nurse will monitor for? SATA
A. Sedation
B. Headache
C. Decreased appetitie
D. Decreased blood pressure
E. Insomnia . Answer: B. Headache
C. Decreased appetitie
E. Insomnia
◉When planning the care of a 6 year old child diagnosed with ODD, the
nurse should include which method of therapy?
A. Mindfulness exercises
B. Cognitive Therapy
C. Behavior modification
D. Emotive Therapy . Answer: C. Behavior modification
◉A female client expresses to the nurse that she feels like she didn't do
enough to prevent the loss of her father. Which of the following
interventions should the nurse to address the clients feelings.
A. Explain that this feeling is a pathological defense that will prevent the
client from progressing through the stages of grief.
