NUR 253\ 256 MENTAL EXAM 3 QUESTIONS AND VERIFIED
ANSWERS | LATEST UPDATE -GALEN COLLEGE OF NURSING
1. The nurse is educating a 20yr old client who has post traumatic stress
disorder (PTSD) about the disorder. The client was sexually assaulted
during a live concert. Which of the following is included in the criteria
for a diagnosis of PTSD?
a) looking at pictures of concerts on the internet repeatedly
b) listening to the same music from the concert throughout the day
c) increased attendance to live concerts with friends
d) recurring dreams of the incident during the live concert. Page 599
(dsm-5).
1. The Nurse is caring for a client who was found confused and
wandering around a playground. The client is unable to identify who
they are and where they live. The nurse expects that the client is
experiencing
a) Acute stress disorder
b) Dissociative fugue (pg 637) A subtype of dissociative amnesia is
dissociative fugue. It is characterized by sudden unexpected travel
and an inability to recall one’s identity and information about
some or all of the past.
c) Depersonalization disorder
d) Dissociative identity disorder
2. The nurse is caring for a 6yr old child who has post-traumatic stress
disorder (PTSD). The parents are concerned because the child has
stopped playing with friends and continues to draw pictures of
themselves as a bad guy. Which of the following responses is
appropriate for the nurse to tell the parents?
a) “Don’t worry. This will pass with time”
b) “just let them be alone, a child this age needs to deal with these
emotions internally”
c) “Let's speak with a doctor, your child needs some intense therapy”
d) “This is part of the grieving process and a response to the trauma”
3. The nurse is caring for a client with unexplained recurring
abdominal pain. Multiple medical tests have been administred with
no significant findings. After assessing the clients pain, which of the
, following assessment questions should the nurse ask the client?
(somatic disorder 661)
a) “Have you considered this is not real pain and is in your head?”
b) “Have you faked pain before to get attention?”
c) “Have you tried to just take more antacids?”
d) Have you been seen by anyone in the past for this problem?”
4. The nurse is working on the mental health unit is caring for a newly
admitted client. The client was in and argument with their spouse.
The spouse asked for a devoirce and
, suddenly the client could not hear anymore. Which of the following
conditions should the nurse identify the client is experiencing?
a) Factitious disorder
b) Illness anxiety disorder
c) Conversion disorder (pg 663 functional neurological disorder)
d) Somatic symptom disorder
5. The nurse is caring for a 8yr old child who was brought to the
emergency department by a parent. The nurse reviews the
information from the chart below and recognizes that this may be an
instance of
ED note- 8yr old female, diagnosis: rule out back
pain, VS: WNL Lab results- WBC: 10.0/mm, X-ray:
no visible abnormalities
History- 6th visit to the ED in 6months. Unable to verify any illness
or concern during previous visits. Parent states “I have a very
sickly child who needs medical attention regardless of what the
tests show”
a) Factitious disorder
Factitious disorder imposed on others which a caregiver
deliberately falsifies illness in a vulnerable dependent
b) Conversion disorder
c) Somatic symptom disorder
d) Anxiety disorder
6. The nurse is preparing a care plan for a newly admitted 73yrold
client who lost their spouse last year and is suffering from
depression. After assessing for suicidal ideation, which of the
following interventions is a priority for this client?
a) Encourage client to attend socialization groups
b) Monitor nutritional intake during admission
c) Provide grief counseling services while on unit
d) Engage with client each shift to develop coping skills
7. The nurse is preparing to discharge an elderly client who has
multiple diagnoses including hypertension, diabetes, anxiety,
and asthma. Which of the following information regarding
medication management should the nurse include in clients
discharge teaching?
ANSWERS | LATEST UPDATE -GALEN COLLEGE OF NURSING
1. The nurse is educating a 20yr old client who has post traumatic stress
disorder (PTSD) about the disorder. The client was sexually assaulted
during a live concert. Which of the following is included in the criteria
for a diagnosis of PTSD?
a) looking at pictures of concerts on the internet repeatedly
b) listening to the same music from the concert throughout the day
c) increased attendance to live concerts with friends
d) recurring dreams of the incident during the live concert. Page 599
(dsm-5).
1. The Nurse is caring for a client who was found confused and
wandering around a playground. The client is unable to identify who
they are and where they live. The nurse expects that the client is
experiencing
a) Acute stress disorder
b) Dissociative fugue (pg 637) A subtype of dissociative amnesia is
dissociative fugue. It is characterized by sudden unexpected travel
and an inability to recall one’s identity and information about
some or all of the past.
c) Depersonalization disorder
d) Dissociative identity disorder
2. The nurse is caring for a 6yr old child who has post-traumatic stress
disorder (PTSD). The parents are concerned because the child has
stopped playing with friends and continues to draw pictures of
themselves as a bad guy. Which of the following responses is
appropriate for the nurse to tell the parents?
a) “Don’t worry. This will pass with time”
b) “just let them be alone, a child this age needs to deal with these
emotions internally”
c) “Let's speak with a doctor, your child needs some intense therapy”
d) “This is part of the grieving process and a response to the trauma”
3. The nurse is caring for a client with unexplained recurring
abdominal pain. Multiple medical tests have been administred with
no significant findings. After assessing the clients pain, which of the
, following assessment questions should the nurse ask the client?
(somatic disorder 661)
a) “Have you considered this is not real pain and is in your head?”
b) “Have you faked pain before to get attention?”
c) “Have you tried to just take more antacids?”
d) Have you been seen by anyone in the past for this problem?”
4. The nurse is working on the mental health unit is caring for a newly
admitted client. The client was in and argument with their spouse.
The spouse asked for a devoirce and
, suddenly the client could not hear anymore. Which of the following
conditions should the nurse identify the client is experiencing?
a) Factitious disorder
b) Illness anxiety disorder
c) Conversion disorder (pg 663 functional neurological disorder)
d) Somatic symptom disorder
5. The nurse is caring for a 8yr old child who was brought to the
emergency department by a parent. The nurse reviews the
information from the chart below and recognizes that this may be an
instance of
ED note- 8yr old female, diagnosis: rule out back
pain, VS: WNL Lab results- WBC: 10.0/mm, X-ray:
no visible abnormalities
History- 6th visit to the ED in 6months. Unable to verify any illness
or concern during previous visits. Parent states “I have a very
sickly child who needs medical attention regardless of what the
tests show”
a) Factitious disorder
Factitious disorder imposed on others which a caregiver
deliberately falsifies illness in a vulnerable dependent
b) Conversion disorder
c) Somatic symptom disorder
d) Anxiety disorder
6. The nurse is preparing a care plan for a newly admitted 73yrold
client who lost their spouse last year and is suffering from
depression. After assessing for suicidal ideation, which of the
following interventions is a priority for this client?
a) Encourage client to attend socialization groups
b) Monitor nutritional intake during admission
c) Provide grief counseling services while on unit
d) Engage with client each shift to develop coping skills
7. The nurse is preparing to discharge an elderly client who has
multiple diagnoses including hypertension, diabetes, anxiety,
and asthma. Which of the following information regarding
medication management should the nurse include in clients
discharge teaching?
