MENTAL HEALTH NUR2459 FINAL REVIEW QUESTIONS WITH
ACTUAL QUESTIONS AND DETAILED ANSWERS LATEST 2026/2027
NEW UPDATE!!!!!!!!!!!!!!!!!!
Which of the following medications is used to treat Tourette's disorder?
a. Methylphenidate (Ritalin)
b. Haloperidol (Haldol)
c. Imipramine (Tofranil)
d. Phenytoin (Dilantin) - ANS... -b. Haloperidol (Haldol)
The child with attention deficit-hyperactivity disorder has a nursing diagnosis of
impaired social interaction. Which of the following nursing interventions are
appropriate for this child? (Select all that apply.)
a. Socially isolate the child when interactions with others are inappropriate.
b. Set limits with consequences on inappropriate behaviors.
c. Provide rewards for appropriate behaviors.
d. Provide group situations for the child. - ANS... -b. Set limits with consequences
on inappropriate behaviors.
To help the child with mild to moderate intellectual developmental disorder
develop satisfying relationships with others, which of the following nursing
interventions is most appropriate?
a. Interpret the child's behavior for others.
b. Set limits on behavior that is socially inappropriate.
c. Allow the child to behave spontaneously because he or she has no concept of
right or wrong.
d. This child is not capable of forming social relationships. - ANS... -b. Set limits
on behavior that is socially inappropriate.
The child with autism spectrum disorder has difficulty with trust. With this in
mind, which of the following nursing actions would be most appropriate?
a. Encourage all staff to hold the child as often as possible, conveying trust through
touch.
,b. Assign a different staff member each day so the child will learn that everyone
can be trusted.
c. Assign the same staff person as often as possible to promote feelings of security
and trust.
d. Avoid eye contact because it is extremely uncomfortable for the child and may
even discourage trust. - ANS... -c. Assign the same staff person as often as possible
to promote feelings of security and trust.
Which of the following nursing diagnoses would be considered the priority in
planning care for the child with severe autism spectrum disorder?
a. Risk for self-mutilation evidenced by banging head against wall
b. Impaired social interaction evidenced by unresponsiveness to people
c. Impaired verbal communication evidenced by absence of verbal expression
d. Disturbed personal identity evidenced by inability to differentiate self from
others - ANS... -a. Risk for self-mutilation evidenced by banging head against wall
Some obese individuals take amphetamines to suppress appetite and help them lose
weight. Which of the following is an adverse effect associated with the use of
amphetamines that makes this practice undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions - ANS... -c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia nervosa
advances which of the following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since
there are often control issues.
c. Adolescents need to work on developing healthy self-identities before they can
begin to gain weight.
d. Individual psychotherapy is the most effective treatment for adolescents with
anorexia nervosa. - ANS... -a. The patient's family should be actively involved in
each phase of treatment.
,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?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated
effectiveness in reducing binge eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective
for reducing binge eating." - ANS... -b. "Some medications and psychological
treatments have demonstrated effectiveness in reducing binge eating behaviors."
Which of the following physical manifestations would you expect to assess in a
client suffering from anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia - ANS... -c. Bradycardia, hypotension,
hypothermia
Which medication has been used with some success in clients with anorexia
nervosa?
a. Lorcaserin (Belviq)
b. Diazepam (Valium)
c. Fluoxetine (Prozac)
d. Carbamazepine (Tegretol) - ANS... -c. Fluoxetine (Prozac)
A client is hospitalized on the psychiatric unit with a history and current diagnosis
of bulimia nervosa. Which of the following symptoms would be congruent with
this client's diagnosis?
a. Binging, purging, obesity, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
c. Binging, laxative abuse, amenorrhea, severe weight loss
d. Binging, purging, severe weight loss, hyperkalemia - ANS... -b. Binging,
purging, normal weight, hypokalemia
, 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?
a. Complicated grieving
b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe) - ANS... -b. Imbalanced nutrition: Less than body
requirements.
The nurse is caring for a client who has been hospitalized with anorexia nervosa
and is severely malnourished. The client continues to refuse to eat. What is the
most appropriate response by the nurse?
a. "You know that if you don't eat, you will die."
b. "If you continue to refuse to take food orally, you will be fed through a
nasogastric tube."
c. "You might as well leave if you are not going to follow your therapy regimen."
d. "You don't have to eat if you don't want to. It is your choice." - ANS... -b. "If
you continue to refuse to take food orally, you will be fed through a nasogastric
tube."
A hospitalized client with bulimia nervosa has stopped vomiting in the hospital and
tells the nurse she is afraid she is going to gain weight. Which is the most
appropriate response by the nurse?
a. "Don't worry. The dietitian will ensure you don't get too many calories in your
diet."
b. "Don't worry about your weight. We are going to work on other problems while
you are in the hospital."
c. "I understand that you are concerned about your weight, and we will talk about
the importance of good nutrition, but for now I want you to tell me about your
recent invitation to join the National Honor Society. That's quite an
accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you
are in the hospital, because we know that is important to you." - ANS... -c. "I
understand that you are concerned about your weight, and we will talk about the
importance of good nutrition, but for now I want you to tell me about your recent
invitation to join the National Honor Society. That's quite an accomplishment."
ACTUAL QUESTIONS AND DETAILED ANSWERS LATEST 2026/2027
NEW UPDATE!!!!!!!!!!!!!!!!!!
Which of the following medications is used to treat Tourette's disorder?
a. Methylphenidate (Ritalin)
b. Haloperidol (Haldol)
c. Imipramine (Tofranil)
d. Phenytoin (Dilantin) - ANS... -b. Haloperidol (Haldol)
The child with attention deficit-hyperactivity disorder has a nursing diagnosis of
impaired social interaction. Which of the following nursing interventions are
appropriate for this child? (Select all that apply.)
a. Socially isolate the child when interactions with others are inappropriate.
b. Set limits with consequences on inappropriate behaviors.
c. Provide rewards for appropriate behaviors.
d. Provide group situations for the child. - ANS... -b. Set limits with consequences
on inappropriate behaviors.
To help the child with mild to moderate intellectual developmental disorder
develop satisfying relationships with others, which of the following nursing
interventions is most appropriate?
a. Interpret the child's behavior for others.
b. Set limits on behavior that is socially inappropriate.
c. Allow the child to behave spontaneously because he or she has no concept of
right or wrong.
d. This child is not capable of forming social relationships. - ANS... -b. Set limits
on behavior that is socially inappropriate.
The child with autism spectrum disorder has difficulty with trust. With this in
mind, which of the following nursing actions would be most appropriate?
a. Encourage all staff to hold the child as often as possible, conveying trust through
touch.
,b. Assign a different staff member each day so the child will learn that everyone
can be trusted.
c. Assign the same staff person as often as possible to promote feelings of security
and trust.
d. Avoid eye contact because it is extremely uncomfortable for the child and may
even discourage trust. - ANS... -c. Assign the same staff person as often as possible
to promote feelings of security and trust.
Which of the following nursing diagnoses would be considered the priority in
planning care for the child with severe autism spectrum disorder?
a. Risk for self-mutilation evidenced by banging head against wall
b. Impaired social interaction evidenced by unresponsiveness to people
c. Impaired verbal communication evidenced by absence of verbal expression
d. Disturbed personal identity evidenced by inability to differentiate self from
others - ANS... -a. Risk for self-mutilation evidenced by banging head against wall
Some obese individuals take amphetamines to suppress appetite and help them lose
weight. Which of the following is an adverse effect associated with the use of
amphetamines that makes this practice undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions - ANS... -c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia nervosa
advances which of the following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since
there are often control issues.
c. Adolescents need to work on developing healthy self-identities before they can
begin to gain weight.
d. Individual psychotherapy is the most effective treatment for adolescents with
anorexia nervosa. - ANS... -a. The patient's family should be actively involved in
each phase of treatment.
,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?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated
effectiveness in reducing binge eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective
for reducing binge eating." - ANS... -b. "Some medications and psychological
treatments have demonstrated effectiveness in reducing binge eating behaviors."
Which of the following physical manifestations would you expect to assess in a
client suffering from anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia - ANS... -c. Bradycardia, hypotension,
hypothermia
Which medication has been used with some success in clients with anorexia
nervosa?
a. Lorcaserin (Belviq)
b. Diazepam (Valium)
c. Fluoxetine (Prozac)
d. Carbamazepine (Tegretol) - ANS... -c. Fluoxetine (Prozac)
A client is hospitalized on the psychiatric unit with a history and current diagnosis
of bulimia nervosa. Which of the following symptoms would be congruent with
this client's diagnosis?
a. Binging, purging, obesity, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
c. Binging, laxative abuse, amenorrhea, severe weight loss
d. Binging, purging, severe weight loss, hyperkalemia - ANS... -b. Binging,
purging, normal weight, hypokalemia
, 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?
a. Complicated grieving
b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe) - ANS... -b. Imbalanced nutrition: Less than body
requirements.
The nurse is caring for a client who has been hospitalized with anorexia nervosa
and is severely malnourished. The client continues to refuse to eat. What is the
most appropriate response by the nurse?
a. "You know that if you don't eat, you will die."
b. "If you continue to refuse to take food orally, you will be fed through a
nasogastric tube."
c. "You might as well leave if you are not going to follow your therapy regimen."
d. "You don't have to eat if you don't want to. It is your choice." - ANS... -b. "If
you continue to refuse to take food orally, you will be fed through a nasogastric
tube."
A hospitalized client with bulimia nervosa has stopped vomiting in the hospital and
tells the nurse she is afraid she is going to gain weight. Which is the most
appropriate response by the nurse?
a. "Don't worry. The dietitian will ensure you don't get too many calories in your
diet."
b. "Don't worry about your weight. We are going to work on other problems while
you are in the hospital."
c. "I understand that you are concerned about your weight, and we will talk about
the importance of good nutrition, but for now I want you to tell me about your
recent invitation to join the National Honor Society. That's quite an
accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you
are in the hospital, because we know that is important to you." - ANS... -c. "I
understand that you are concerned about your weight, and we will talk about the
importance of good nutrition, but for now I want you to tell me about your recent
invitation to join the National Honor Society. That's quite an accomplishment."
