NURS 3132- Mental Health Midterm/ Final
Questions With Complete Solutions
10-year-old who is frequently disruptive in the
classroom begins to fidget while siting and then
moves on to disruptive behaviour. Which of the
following is a possible technique for managing this
sort of disruptive behaviour? Correct Answers
Touch control
The appropriate adult can move closer to the child
and place a hand on her arm or an arm around her
shoulder for a calming effect when the fidgeting is
first noted.
The closeness signals the child to use self-control.
It is the least restrictive treatment approach and
should be tried initially.
7 Stages of Alzheimer's Disease Correct Answers
1. Normal adult
2. Age-associated: the patient is willing to respond
to questions, aware of memory impairment and
may attempt to disguise it or cover it by being
charming or joking. No serious impairment is
notable by family or friends at this stage.
3. Mild cognitive
4. Mild dementia
5. Moderate dementia
,6. Moderately severe: more forgetful, even
forgetting very close caregivers, and has difficulty
performing familiar tasks like bathing and dressing.
7. Severe dementia
A 7-year-old female student is referred to the
school nurse. The child shows the nurse a picture
she drew in art. When asked to tell the nurse what
the picture is about the child says, "This is a boy,
and this is a girl and they are doing it. This means
that the girl is very special." What is the nurse's
priority in this situation? Correct Answers Ensure
that the child is safe.
Difficulties at school are the most common
symptom for children who have been sexually
abused. Younger children may draw sexually
explicit images, demonstrate sexual aggression, or
act out sexual interactions in play, for example,
with dolls. In this situation the nurse's priority is to
ensure that the child is safe. This may include
informing the principal and parents, but the nurse
would need to ensure that the child is safe, and
that further assessment is completed by
professionals with expertise in this area.
A child diagnosed with autism will demonstrate
impaired development in? Correct Answers
Playing with other children Correct
,Autism affects the normal development of the
brain in social interaction and communication
skills.
Symptoms associated with autism spectrum
disorders include significant deficits in social
relatedness, including communication, nonverbal
behaviour, and age-appropriate interaction.
A generalist psychiatric forensic nurse Correct
Answers - be nonjudgemental
-highly skilled in interpersonal communications and
able to develop collegial relationships with those in
other disciplines.
- ability to balance competing philosophies of
caring and containment, inciting contradictory
emotions in response to possibly heinous
behaviours and trauma
A nontolerant drinker Correct Answers would
evidence staggering, ataxia, confusion, and stupor
at this blood alcohol level.
A nursing diagnosis appropriate for a patient with
Alzheimer's disease, regardless of the stage, would
be which of the following? Correct Answers Risk
for injury
, - Memory loss, agnosia, poor judgement, and the
other symptoms of Alzheimer's disease contribute
to placing the patient at risk for injuries such as
burns and falling down stairs.
A nursing diagnosis that should be considered for a
child diagnosed with conduct disorder who shows
no capacity for empathy? Correct Answers The
tendency to lack empathy for others is reflected
best in the nursing diagnosis of Impaired social
interaction.
A patient admitted with bipolar disorder has been
pacing the halls and repeatedly banging her fists
on the walls for the last few hours. The patient now
begins yell, "It's not fair! You all hate me! I hate
this place!" What is the best therapeutic response
to the patient's concerns? Correct Answers " I will
help you calm down. Where would you like to go
and talk?"
Approaching the patient in a calm manner and
giving choices may de-escalate the situation and
gives the patient some control.
The patient would not be allowed to yell or possibly
hurt herself alone in her room.
Commands such as "Stop that right now!" could
further escalate the situation.
Questions With Complete Solutions
10-year-old who is frequently disruptive in the
classroom begins to fidget while siting and then
moves on to disruptive behaviour. Which of the
following is a possible technique for managing this
sort of disruptive behaviour? Correct Answers
Touch control
The appropriate adult can move closer to the child
and place a hand on her arm or an arm around her
shoulder for a calming effect when the fidgeting is
first noted.
The closeness signals the child to use self-control.
It is the least restrictive treatment approach and
should be tried initially.
7 Stages of Alzheimer's Disease Correct Answers
1. Normal adult
2. Age-associated: the patient is willing to respond
to questions, aware of memory impairment and
may attempt to disguise it or cover it by being
charming or joking. No serious impairment is
notable by family or friends at this stage.
3. Mild cognitive
4. Mild dementia
5. Moderate dementia
,6. Moderately severe: more forgetful, even
forgetting very close caregivers, and has difficulty
performing familiar tasks like bathing and dressing.
7. Severe dementia
A 7-year-old female student is referred to the
school nurse. The child shows the nurse a picture
she drew in art. When asked to tell the nurse what
the picture is about the child says, "This is a boy,
and this is a girl and they are doing it. This means
that the girl is very special." What is the nurse's
priority in this situation? Correct Answers Ensure
that the child is safe.
Difficulties at school are the most common
symptom for children who have been sexually
abused. Younger children may draw sexually
explicit images, demonstrate sexual aggression, or
act out sexual interactions in play, for example,
with dolls. In this situation the nurse's priority is to
ensure that the child is safe. This may include
informing the principal and parents, but the nurse
would need to ensure that the child is safe, and
that further assessment is completed by
professionals with expertise in this area.
A child diagnosed with autism will demonstrate
impaired development in? Correct Answers
Playing with other children Correct
,Autism affects the normal development of the
brain in social interaction and communication
skills.
Symptoms associated with autism spectrum
disorders include significant deficits in social
relatedness, including communication, nonverbal
behaviour, and age-appropriate interaction.
A generalist psychiatric forensic nurse Correct
Answers - be nonjudgemental
-highly skilled in interpersonal communications and
able to develop collegial relationships with those in
other disciplines.
- ability to balance competing philosophies of
caring and containment, inciting contradictory
emotions in response to possibly heinous
behaviours and trauma
A nontolerant drinker Correct Answers would
evidence staggering, ataxia, confusion, and stupor
at this blood alcohol level.
A nursing diagnosis appropriate for a patient with
Alzheimer's disease, regardless of the stage, would
be which of the following? Correct Answers Risk
for injury
, - Memory loss, agnosia, poor judgement, and the
other symptoms of Alzheimer's disease contribute
to placing the patient at risk for injuries such as
burns and falling down stairs.
A nursing diagnosis that should be considered for a
child diagnosed with conduct disorder who shows
no capacity for empathy? Correct Answers The
tendency to lack empathy for others is reflected
best in the nursing diagnosis of Impaired social
interaction.
A patient admitted with bipolar disorder has been
pacing the halls and repeatedly banging her fists
on the walls for the last few hours. The patient now
begins yell, "It's not fair! You all hate me! I hate
this place!" What is the best therapeutic response
to the patient's concerns? Correct Answers " I will
help you calm down. Where would you like to go
and talk?"
Approaching the patient in a calm manner and
giving choices may de-escalate the situation and
gives the patient some control.
The patient would not be allowed to yell or possibly
hurt herself alone in her room.
Commands such as "Stop that right now!" could
further escalate the situation.
