NUR2459 Mental Health
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 - CORRECT
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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-C. Behavior modification
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 -
CORRECT 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. - CORRECT
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 - CORRECT
ANSWER-C. I know exactly how the child feels since I went through the same thing
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 - CORRECT 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 - CORRECT 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
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 - CORRECT
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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-C. Behavior modification
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 -
CORRECT 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. - CORRECT
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 - CORRECT
ANSWER-C. I know exactly how the child feels since I went through the same thing
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 - CORRECT 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 - CORRECT 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
