NUR 2459/NUR2459 MENTAL AND BEHAVIORAL
HEALTH NURSING FINAL EXAM 3 Questions And
Answers Verified 100% Correct| RASMUSSEN
COLLEGE |
NUR 2459 /NUR2459
• Question 2
An 11-year-old is absent from school to stay at home and care for siblings while the
parents work. The family cannot afford a babysitter. When asked about the parents,
the child reluctantly says, “I don’t think my parents like me very much. They call
me stupid and say I never do anything right.” Which type of abuse is most likely?
Selected Emotion
Answer:
al
Answers: Physical
Sexual
Emotion
al
Econom
ic
Response Examples of emotional abuse include having an adult demean a child’s
Feedback:
worth or frequently criticize or belittle the child. No data support
physical battering or endangerment, sexual abuse, or economic
abuse.
• Question 3
The student nurse is asked to provide a general and concise description of persons
with personality disorders. Which of the following would be the best description?
“They have difficulties in social, family and work
relationships.”
Answers: “They can tolerate high levels of stress.”
“They have difficulties in social, family and work relationships.”
“They are good at compromise and often function as
mediators.”
“They often seek instructions to learn better coping behaviors.”
, Selected Answer:
Response The defining characteristic of personality disorders is difficulty
Feedback in social relationships. Most people with personality disorders do
:
not respond well to stress and are generally inflexible and poor
compromisers. People with personality disorders tend not to seek help
on their own due to a variety of factors; for example, their adaptations
make them feel that they are functioning well, they have little desire
to change, and possess an overall distrust of others.
• Question 4
A nurse in the emergency department tells the daughter of an older adult woman,
“Your mother had a severe stroke.” The daughter tearfully says, “Who will take
care of me now? My mother always tells me what to do, what to wear, and what
to eat. I need someone to reassure me when I get anxious.” This behavior could
best be assessed as:
Selected Depende
Answer:
nt.
Answers: Histrionic
.
Depende nt.
Narcissist ic.
Borderlin e.
Response Clients with a dependent personality have an inability to
Feedback:
complete anything on their own; they are unable to make
decisions without excessive advice and reassurance as described
by the client above.
• Question 5
Which behavior best describes physical aggression?
Stomping away from the nurses’ station, going to the day room, and
grabbing a pool cue from a patient standing at the pool table
, Selected Answer:
Answers: Stompingaway from the nurses’ station, going to the day room, and
grabbing a pool cue from a patient standing at the pool table
Bursting into tears, leaving the community meeting, and sitting on a bed
hugging a pillow and sobbing
Telling the primary nurse, “When you told me that I could not have a
second helping at lunch, I felt angry.”
Telling the medication nurse, “I am not going to take that, or any other,
medication.”
Response Aggression is harsh physical or verbal action that reflects rage,
Feedback: hostility, and potential for physical or verbal destructiveness. Aggressive
behavior violates the rights of others. The remaining options do not
feature violation of another’s rights
• Question 6
Which nursing intervention(s) would be most likely included in a plan of care for
a patient with bulimia nervosa? Select all that apply.
Selected Assist the patient to identify triggers to
Answers:
binge eating .
Explore needs for health teaching.
Answers: Assist the patient to identify triggers to binge eating.
Provide remedial consequences for weight loss
Assess for signs of impulsive eating. Explore needs
for health teaching.
Response For most patients with bulimia nervosa, certain situations
Feedback trigger the urge to binge; purging then follows. Often the
:
triggers are anxiety-producing situations. Identification of triggers
makes it possible to break the binge-purge cycle. Because binge
eating and purging directly affect physical status, the need to
promote physical safety assumes highest priority.
• Question 7
An older adult patient with Alzheimer’s disease lives with family and goes to day
care on weekdays. The nurse at the center observed poor hygiene and discussed
this observation with the caregiver, the patient’s adult child. The caregiver
became defensive and said, “It takes all my time and