NUR2459/NUR 2459 RASMUSSEN MENTAL HEALTH
EXAM 2 QUESTIONS AND ANSWERS (100% VERIFIED)
The nurse is caring for a client diagnosed with somatic symptom disorder. The client
continues to focus on his severe back pain. Which of the following is the most
therapeutic nursing intervention?
A. Explain alternative interventions are available for back pain
B. Confront the client with the negative findings that have been determined
C. Allow the client to discuss physical concerns and redirect to coping skills for stress
D. Tell the client that there is no cause for the pain except for emotional concerns -
ANSWER: C. Allow the client to discuss physical concerns and redirect to coping skills
for stress
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.
B. Encourage the client to remain strong to suppose the other family members
C. Review the circumstances of the loss and the reality that it could not be
prevented.
D. Role play the events and assist the client with understanding the decisons leading
to the loss - ANSWER: C. Review the circumstances of the loss and the reality that it
could not be prevented.
The nurse observes a client diagnosed with anorexia nervosa doing repeated,
vigorous sit ups in her room. What is the most therapeutic intervention by the
nurse?
A. Allow the client to continue to exercise
B. Interrupt the routine and offer to walk with her
C. Tell the client exercise is not allowed
D. Restrict the client from her room - ANSWER: B. Interrupt the routine and offer to
walk with her
A client is prescribed diazepam PRN for panic disorder. Which of the following facts
would cause the nurse to question the order?
A. The client has been diagnosed with IBS
B. The client states she is allergic to meperidine
C. The client has severe addiction problem in the past
D. Lithium Carbonate has also been prescibed - ANSWER: C. The client has severe
addiction problem in the past
EXAM 2 QUESTIONS AND ANSWERS (100% VERIFIED)
The nurse is caring for a client diagnosed with somatic symptom disorder. The client
continues to focus on his severe back pain. Which of the following is the most
therapeutic nursing intervention?
A. Explain alternative interventions are available for back pain
B. Confront the client with the negative findings that have been determined
C. Allow the client to discuss physical concerns and redirect to coping skills for stress
D. Tell the client that there is no cause for the pain except for emotional concerns -
ANSWER: C. Allow the client to discuss physical concerns and redirect to coping skills
for stress
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.
B. Encourage the client to remain strong to suppose the other family members
C. Review the circumstances of the loss and the reality that it could not be
prevented.
D. Role play the events and assist the client with understanding the decisons leading
to the loss - ANSWER: C. Review the circumstances of the loss and the reality that it
could not be prevented.
The nurse observes a client diagnosed with anorexia nervosa doing repeated,
vigorous sit ups in her room. What is the most therapeutic intervention by the
nurse?
A. Allow the client to continue to exercise
B. Interrupt the routine and offer to walk with her
C. Tell the client exercise is not allowed
D. Restrict the client from her room - ANSWER: B. Interrupt the routine and offer to
walk with her
A client is prescribed diazepam PRN for panic disorder. Which of the following facts
would cause the nurse to question the order?
A. The client has been diagnosed with IBS
B. The client states she is allergic to meperidine
C. The client has severe addiction problem in the past
D. Lithium Carbonate has also been prescibed - ANSWER: C. The client has severe
addiction problem in the past
