NUR 2459
Rasmussen Mental
Health Exam 3
Evolve Chapter
Review 2023/24
Questions and
Answers
,Quiz
The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which intervention
would be included in the plan of care? Select all that apply.
1. Allow client to remain on current laxatives
2. Assess the client for electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
4. Do not allow client to keep a food diary during hospitalization
5. Monitor the client for 1-2 hours after each meal in a central area - (answer)2. Assess the client for
electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
5. Monitor the client for 1-2 hours after each meal in a central area
A new client at the sleep disorders clinical tells the nurse, "I have not slept well in a year, so I never feel
good. I do not expect things will ever improve or be any different." Which of the following interventions
should the nurse consider for this client?
1. Suggest the use of alcohol as a sedative to promote sleep
2. Provide instruction on relaxation techniques
3. Teach fatigue producing exercises for the client to become overtired
4. Encourage long daytime naps to compensate for the sleep deprivation - (answer)2. Provide instruction
on relaxation techniques
Which nursing action should occur first regarding a client who has a problem of sexual dysfunction or
sexual disorder?
1. The nurse should develop an understanding of human sexual response
2. The nurse should assess the client's sexual functioning and needs
3. The nurse should acquire knowledge of the client's sexual roles
4. The nurse should clarify own personal values about sexuality - (answer)4. The nurse should clarify
own personal values about sexuality
A client diagnosed with schizophrenia has been taking chlorpromazine daily for several weeks. The nurse
observes that the client's head and neck are contracted and the client's eyes are locked in an upward
position. Which of the following is the nurse's best analysis and action?
, 1. The client has tardive dyskinesia. The nurse should teach the client relaxation exercises.
2. The client is having an acute dystonic reaction. The nurse should administer benztropine IM per PRN
order.
3. The client has akathisia. The nurse should notify the psychiatrist to discuss a possible change in
medication.
4. The client is experiencing auditory hallucinations. The nurse should administer haloperidol PO per
PRN order. - (answer)2. The client is having an acute dystonic reaction. The nurse should administer
benztropine IM per PRN order.
A client diagnosed with borderline personality disorder and chronic back pain takes the maximum safe
dose of opioid analgesic medication. The client tells the nurse, "The other nurses don't care about my
pain, but you've always been so good to me. Could you give me a little extra medication? I won't tell
anyone." Which of the following is the nurse's best response?
1. "I'll check with your doctor and get back to you."
2. "I'm sorry. I wish there was something more we could do to help you."
3. "No. I think you're trying to manipulate me into giving you more medication."
4. "I understand that you are in pain, but giving you more medication would not be safe." - (answer)4. "I
understand that you are in pain, but giving you more medication would not be safe."
The nurse is caring for a client with bulimia nervosa. Which is the most important time for the nurse to
monitor the client's behavior?
1. During 1-2 hours after each meal
2. During every meal
3. During the evening meal
4. During the overnight hours - (answer)1. During 1-2 hours after each meal
A client tells the nurse, "Everyone says we should sleep 8 hours a night. I can only sleep 6 hours no
matter how hard I try. Am I doing harm to my body?" Which of the following would be the most
appropriate response by the nurse?
1. Tell me about strategies you have tried to increase your total sleep hours
2. Lack of sleep acts as a stressor on the body and can cause physical changes
3. If you have really tried to sleep more, maybe you should consult your healthcare provider
Rasmussen Mental
Health Exam 3
Evolve Chapter
Review 2023/24
Questions and
Answers
,Quiz
The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which intervention
would be included in the plan of care? Select all that apply.
1. Allow client to remain on current laxatives
2. Assess the client for electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
4. Do not allow client to keep a food diary during hospitalization
5. Monitor the client for 1-2 hours after each meal in a central area - (answer)2. Assess the client for
electrolyte imbalances
3. Be alert to hidden or discarded food wrapper
5. Monitor the client for 1-2 hours after each meal in a central area
A new client at the sleep disorders clinical tells the nurse, "I have not slept well in a year, so I never feel
good. I do not expect things will ever improve or be any different." Which of the following interventions
should the nurse consider for this client?
1. Suggest the use of alcohol as a sedative to promote sleep
2. Provide instruction on relaxation techniques
3. Teach fatigue producing exercises for the client to become overtired
4. Encourage long daytime naps to compensate for the sleep deprivation - (answer)2. Provide instruction
on relaxation techniques
Which nursing action should occur first regarding a client who has a problem of sexual dysfunction or
sexual disorder?
1. The nurse should develop an understanding of human sexual response
2. The nurse should assess the client's sexual functioning and needs
3. The nurse should acquire knowledge of the client's sexual roles
4. The nurse should clarify own personal values about sexuality - (answer)4. The nurse should clarify
own personal values about sexuality
A client diagnosed with schizophrenia has been taking chlorpromazine daily for several weeks. The nurse
observes that the client's head and neck are contracted and the client's eyes are locked in an upward
position. Which of the following is the nurse's best analysis and action?
, 1. The client has tardive dyskinesia. The nurse should teach the client relaxation exercises.
2. The client is having an acute dystonic reaction. The nurse should administer benztropine IM per PRN
order.
3. The client has akathisia. The nurse should notify the psychiatrist to discuss a possible change in
medication.
4. The client is experiencing auditory hallucinations. The nurse should administer haloperidol PO per
PRN order. - (answer)2. The client is having an acute dystonic reaction. The nurse should administer
benztropine IM per PRN order.
A client diagnosed with borderline personality disorder and chronic back pain takes the maximum safe
dose of opioid analgesic medication. The client tells the nurse, "The other nurses don't care about my
pain, but you've always been so good to me. Could you give me a little extra medication? I won't tell
anyone." Which of the following is the nurse's best response?
1. "I'll check with your doctor and get back to you."
2. "I'm sorry. I wish there was something more we could do to help you."
3. "No. I think you're trying to manipulate me into giving you more medication."
4. "I understand that you are in pain, but giving you more medication would not be safe." - (answer)4. "I
understand that you are in pain, but giving you more medication would not be safe."
The nurse is caring for a client with bulimia nervosa. Which is the most important time for the nurse to
monitor the client's behavior?
1. During 1-2 hours after each meal
2. During every meal
3. During the evening meal
4. During the overnight hours - (answer)1. During 1-2 hours after each meal
A client tells the nurse, "Everyone says we should sleep 8 hours a night. I can only sleep 6 hours no
matter how hard I try. Am I doing harm to my body?" Which of the following would be the most
appropriate response by the nurse?
1. Tell me about strategies you have tried to increase your total sleep hours
2. Lack of sleep acts as a stressor on the body and can cause physical changes
3. If you have really tried to sleep more, maybe you should consult your healthcare provider
