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NUR2459 Exam 4 V1 | NUR 2459 Mental and Behavioral Health Nursing Exam Q&A | Rasmussen University

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NUR2459 Exam 4 V1 | NUR 2459 Mental and Behavioral Health Nursing Exam Q&A | Rasmussen University

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NUR2459 Exam 4 V1 | NUR 2459 Mental and
Behavioral Health Nursing Exam Q&A |
Rasmussen University
────────────────────────────────────

This exam preparation resource focuses on advanced concepts related to child and adolescent
mental health, geriatric psychiatric nursing, and community-based behavioral healthcare.
The material is designed to strengthen understanding of specialized psychiatric nursing
interventions and interdisciplinary behavioral health management.

The questions included in this version closely mirror the style and complexity of actual mental
health nursing exams. Detailed expert explanations are included to improve analytical
reasoning, patient advocacy, and psychiatric nursing care planning.

════════════════════════════════════


The Exam Covers:
• Child and adolescent psychiatric disorders
• ADHD and autism spectrum disorders
• Geriatric mental health nursing
• Dementia and cognitive disorders
• Family-centered psychiatric care
• Community behavioral health services
• Psychiatric legal and ethical issues
• Cultural competence in mental healthcare

════════════════════════════════════

1. A nurse is assessing a 10-year-old child for Attention-Deficit/Hyperactivity Disorder

(ADHD). Which of the following findings should the nurse expect?

A. Excessive attachment to a primary caregiver


B. Strict adherence to repetitive rituals

,C. Difficulty remaining seated during class


D. Delayed language development


Correct Answer: C


Expert Explanation: Children with ADHD typically exhibit impulsivity, hyperactivity, and

inattention. Difficulty remaining seated in a classroom setting is a classic sign of the

hyperactivity-impulsivity component. These symptoms must be present in at least two

settings, such as home and school, to meet diagnostic criteria.


2. A child is diagnosed with Autism Spectrum Disorder (ASD). Which behavior should the

nurse identify as a common characteristic of this disorder?

A. Hyper-verbal communication style


B. Failure to use eye contact in social interactions


C. Impulsive risk-taking behaviors


D. Lack of interest in repetitive patterns


Correct Answer: B


Expert Explanation: Autism Spectrum Disorder is characterized by deficits in social

communication and social interaction. A lack of eye contact is a hallmark sign of social

impairment in children with ASD. Early intervention focuses on improving these social

skills and addressing repetitive behaviors.

, 3. An elderly patient is admitted with sudden confusion and fluctuating levels of

consciousness. Which condition should the nurse suspect first?

A. Delirium


B. Vascular Dementia


C. Alzheimer’s Disease


D. Major Depressive Disorder


Correct Answer: A


Expert Explanation: Delirium is characterized by an acute, sudden onset of confusion and

fluctuations in consciousness. Unlike dementia, which is progressive and chronic, delirium

is often reversible and caused by an underlying physiological issue such as infection or

medication toxicity. The nurse must prioritize identifying the underlying cause to ensure

patient safety.


4. Which medication is commonly prescribed to slow the progression of cognitive decline in

patients with mild to moderate Alzheimer’s disease?

A. Donepezil (Aricept)


B. Haloperidol (Haldol)


C. Lithium Carbonate


D. Methylphenidate (Ritalin)


E.

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