Exam 3: NUR253/ NUR 253 (Latest 100% Updated 2025-26) Mental Health | Answered Graded A - Galen College of Nursing.

Exam 3: NUR253/ NUR 253 (Latest 100% Updated 2025-26) Mental Health | Answered Graded A - Galen College of Nursing. Mental exam 3 1. The nurse is educating a 20yr old client who has post traumatic stress disorder (PTSD) about the disorder. The client was sexually assaulted during a live concert. Which of the following is included in the criteria for a diagnosis of PTSD? a) looking at pictures of concerts on the internet repeatedly b) listening to the same music from the concert throughout the day c) increased attendance to live concerts with friends d) recurring dreams of the incident during the live concert. Page 599 (dsm-5). 1. The Nurse is caring for a client who was found confused and wandering around a playground. The client is unable to identify who they are and where they live. The nurse expects that the client is experiencing a) Acute stress disorder b) Dissociative fugue (pg 637) A subtype of dissociative amnesia is dissociative fugue. It is characterized by sudden unexpected travel and an inability to recall one’s identity and information about some or all of the past. c) Depersonalization disorder d) Dissociative identity disorder 2. The nurse is caring for a 6yr old child who has post-traumatic stress disorder (PTSD). The parents are concerned because the child has stopped playing with friends and continues to draw pictures of themselves as a bad guy. Which of the following responses is appropriate for the nurse to tell the parents? a) “Don’t worry. This will pass with time” b) “just let them be alone, a child this age needs to deal with these emotions internally” c) “Let's speak with a doctor, your child needs some intense therapy” d) “This is part of the grieving process and a response to the trauma” 3. The nurse is caring for a client with unexplained recurring abdominal pain. Multiple medical tests have been administred with no significant findings. After assessing the clients pain, which of the following assessment questions should the nurse ask the client? (somatic disorder 661) a) “Have you considered this is not real pain and is in your head?” b) “Have you faked pain before to get attention?” c) “Have you tried to just take more antacids?” d) Have you been seen by anyone in the past for this problem?” 4. The nurse is working on the mental health unit is caring for a newly admitted client. The client was in and argument with their spouse. The spouse asked for a devoirce andsuddenly the client could not hear anymore. Which of the following conditions should the nurse identify the client is experiencing? a) Factitious disorder b) Illness anxiety disorder c) Conversion disorder (pg 663 functional neurological disorder) d) Somatic symptom disorder 5. The nurse is caring for a 8yr old child who was brought to the emergency department by a parent. The nurse reviews the information from the chart below and recognizes that this may be an instance of ED note- 8yr old female, diagnosis: rule out back pain, VS: WNL Lab results- WBC: 10.0/mm, X-ray: no visible abnormalities History- 6th visit to the ED in 6months. Unable to verify any illness or concern during previous visits. Parent states “I have a very sickly child who needs medical attention regardless of what the tests show” a) Factitious disorder Factitious disorder imposed on others which a caregiver deliberately falsifies illness in a vulnerable dependent b) Conversion disorder c) Somatic symptom disorder d) Anxiety disorder 6. The nurse is preparing a care plan for a newly admitted 73yrold client who lost their spouse last year and is suffering from depression. After assessing for suicidal ideation, which of the following interventions is a priority for this client? a) Encourage client to attend socialization groups b) Monitor nutritional intake during admission c) Provide grief counseling services while on unit d) Engage with client each shift to develop coping skills 7. The nurse is preparing to discharge an elderly client who has multiple diagnoses including hypertension, diabetes, anxiety, and asthma. Which of the following information regarding medication management should the nurse include in clients discharge teaching? a) “Keep track of all of the medications that are in your medication cabinet, even if not prescribed to you” b) “Attend any follow-up appointments by yourself so you dont appear incompetent” c) “Go through your medications every 2yrs to dispose of any that are expired” d) “Use a calendar to help remind you to take your medications”8. The nurse is providing care to dementia residents. One client shouts at another “move along, you're blocking the road” The other client turns and shakes his fist and shouts “ you're trying to steal my cane.” Which of the following is an appropriate action by the nurse? a) Instruct the clients that the behaviors are inappropriate and unacceptable b) Request a family member to come and sit with the clients while they are in time out. c) Reinforce reality by stating to both clients that they are in a residential home d) Redirect the clients to a new activity, possibly moving them to separate areas Other question: The nurse is providing care to dementia patients. One client shouts to another move along you're blocking the road. The other client turns shakes a fist and shouts you're trying to steal my cane which of the following is inappropriate action by the nurse. -Redirect the clients to a new activity possibly moving them to separate areas. 9. The nurse is caring for a client who is found screaming in a park. While assessing the client, the client asks if the nurse can hear music playing.The nurse does not hear any music. The nurse identifies the client is having a(n) a) Illusion b) Hallucination c) Delusion d) Idea of reference 10. The nurse is caring for an elderly client on the mental health unit. The client appears to be confused and is yelling at the staff in a foriegn language. Which of the following priority actions should the nurse perform? a) Call security to help restrain the client b) Call for a professional interpreter to determine the client's state c) Call the clients family member at home to provide further details d) Call the primary health care provider for a stat medication order 11. The school nurse is providing education to teenage football players about the long term effects of head injures. Which of the following should the nurse include in the teaching? a) It is common for teens to suffer a few head injuries during adolescence b) Boxing has less head injuries than swimming c) Head injuries can lead to dementia later in life d) Teenage head injuries usually resolve quickly with no long term effects 12. A nurse receives a new client who has a diagnosis of a somatic symptom disorder. The client now complains of abdominal pain and vomits. What is the initial intervention by the nurse for this client? a) Call the primary health care provider for an anxiolytic b) Discuss the client's feelings and coping strategiesc) Sit with the client until the episode is over d) Assess the client's abdomen and Vital signs 13. The nurse is provisioning care to a client who states “ I feel sick all the time and cant work. I have been applying for disability, but no one will approve it” the nurse reviews the clients tests and the lab results and notes all tests are normal. The nurse is correct to document these symptoms as a) Depersonalization b) Malingering (688 done for secondary gain to become eligible for such things as disability compensation, committing fraud) c) Dissociative amnesia d) Body dysmorphia 14. The nurse is caring for an elderly client recovering from hip replacement surgery. The client awakens in the middle of the night and asks the nurse “ what hotel an I in?” the nurse asks the client “ Where do you think you are right now?” The client states “ At the hotel waiting for my family” Which of the following actions should the nurse take next? a) Call the family and ask them to come and see the client b) Obtain a set of vital signs and oxygen saturation level c) Help the client use the restroom to keep them from getting up on their own d) Tell the client to go back to sleep and rest to reduce fall risk 15. A nurse attends a staff development conference regarding risk factors for suicide. Which of the following statements by the nurse indicates a correct understanding of the conference? a) “People with substance abuse are more likley to consider suicide” (1027) b) “Most people who try low-lethality means to kill themselves are performing attention-seeking behaviors, not really trying to kill themselves” c) “African american suicides account for the highest percentage of completed suicides” d) “The majority of people who attempt suicide refiran from providing clues of thier intent” Other question: A nurse attends a staff development conference regarding suicide. Which of the following statements made by the nurse indicates a correct understanding of protective factors? -People with strong connections to others or less likely to commit suicide 16. The nurse has provided medication instruction to a client who was recently prescribed a cholinesterase inhibitor for Alzheimer's disease. Which of the following client statements indicates the need for additional teaching a) “ I should stop taking over the counter ibuprofen for headaches and pains” b) “I will need to monitor my pulse since an increase can occur when on this medication”c) “I may experience some nausea and diarrhea while taking this medication” d) “ this medication will provide a short lived delay in progression of my alzheimer's disease” 17. The nurse is caring for a client who has recently attacked a stranger. The client is unable to remember the events that occurred during the attack. The nurse should expect the client to be diagnosed with a) Dissociative amnesia b) Somatic syndrome disorder c) Dissociative identity disorder d) schizophrenia 18. The nurse is teaching the family of a client who has severe alzheimer's disease about the side effects of a newly prescribed medication, donepezil. Which of the following side effects should the nurse include in the teaching a) Gastrointestinal upset (953) b) Increased appetite c) Constipation d) Insomnia 19. The nurse is preparing educational materials for families of clients who have Alzheimer's disease. Which of the following topics discussed by the nurse indicates the need for addinital teaching? a) Anticipatory grieving b) Caretaking role strain c) Decreased risk associated with genetics d) GI side effects of cholinesterase inhibitors 20. A nurse is providing care to a despondent client who states “nothing matters anymore” which of the following responses by the nurse is most important? a) “I am not sure I understand what you are saying” b) “ Are you having thoughts of suicide?” c) “ What used to matter before the depression?” d) “Lets talk about what you would like to do?” 21. The nurse is caring for the following clients who are hospitalized in an acute psychiatric health unit and have given the nurse information about current suicide plans. Which client has the most lethal plan for suicide? a. “The pain is too much to handle, when I get home I am going to get the rope in the garage and hang myself” (1031, hard method) b. “ Most days I think about killing myself, but I don't know how I would do it”c. “ I would get a prescription for narcotics and then overdose on them” d. “Everyday I wish I could just go to sleep and not wake up. Then I would be happy” Other answer: The nurse is caring for the following clients who have been hospitalized in an acute psychiatric health unit and have given the nurse information about current suicidal plans which client has the most lethal plan for suicide -When I get home I'm going to get the rope in the garage and hang myself 22. The nurse educator is teaching parents about important considerations for a child's development. A parent asks if there are early signs for autism. Which of the following responses should the nurse educator tell the parent? a) “ There are no early signs to indicate a child has autism” b) “ children who have been vaccinated should all be monitored for autism” c) “Early intervention does not help children with this diagnosis, so assessment and diagnosis are typically not completed until the child is at least 8yrs old” d) “A child who has autism lacks social interest in others” 23. A parent calls the clinic to discuss their child's attention deficit disorder (ADD) medication. The parent states “Ever since we started our child on this new amphetamine medication, they do not sleep well at all. To make sure the medication has time to work for the next school day, I am giving it daily after dinner” Which of the following responses by the nurse is appropriate? a) “Try giving the medication with food or milk as that will help reduce the side effects” b) “Let me ask the doctor about a dosage change as it sounds like your child is taking too much” c) “Inability to sleep is a common side effect that will wear off after 2 or 3 weeks of taking the medication” d) “ The medication needs to be taken first thing in the morning instead of bedtime” 24. A client calls the outpatient center and tearfully tells the nurse “I don't know if I can take it anymore. My husband is having an affair, my doctor found a lump on my breast and my daughter is quitting college to move to another state with her boyfriend” which of the following questions should the nurse ask first? a) “What do you mean by not being able to take it anymore?” b) “Has anyone in your family ever attempted suicide” c) “Which stressor is bothering you the most” d) “How have you handled stress in the past” 25. The nurse is caring for a 12yr old client who has anxiety. The client tells the nurse that some of the anxiety is due to trouble with writing papers. The nurse charts that the client should be assessed further for a) Dysphoria b) Dyscalculiac) Dysgraphia d) Dystrophy . Other question: A nurse is caring for a 12 year old client who has anxiety. The client tells the nurse that some of the anxiety is due to difficulty reading books period. the nurse chart said the client should be assessed further for -dyslexia 26. The nurse is developing a care plan for a client who is being discharged after having suicidal ideations. Which of the following interventions listed by the nurse in the care plan requires the nurse manager to intervene? a) Talk to friends or family about feelings b) Increased amount of alcohol intake when sad c) Utilize coping skills when feelings of sadness emerge d) Engage in exercise daily 27. The newly hired nurse is caring for a 14yr old client admitted to the mental health unit with 25 superfiial cuts on thier legs. The newly hired nurse asks the nurse preceptor why the client engages in self injury. Which of the following responses by the nurse preceptor is appropriate? a) “Most clients who engaged in self injury do so to relieve anxiety or as an act of self punishment” b) This is not considered a real disorder, so we will have to going out why the child is really being admitted” c) “clients do not usually engage in self-injury unless they are using drugs; we should run some lads to look for substance abuse” d) “It is likely the client is trying to commit suicide but keeps changing thier mind” 28. The school nurse is speaking with a concerned parent of a 6yr old child. The parent reports a few new behaviors including, the child starts new projects and does not finish them, and is unable to watch an entire movie without getting up and moving. The parent is concerned the child may have attention deficit disorder (ADD). Which of the following assessment questions should the nurse ask the parent? a) “Do you think your child needs medication?” b) “Are you giving the child too much sugar?” c) “How long has your child been displaying these behaviors?” d) “Are you letting the child pick the movies to watch?” e) Other question: The nurse is caring for a 6 year old child who has post traumatic stress disorder. The parents are concerned because a child has stopped playing with friends and continues to draw pictures of himself as a bad guy. Which of the following responses is appropriate for the nurse to tell the parents-This is part of the grieving process and a response to trauma 29. The nurse is providing an inservice to nursing staff about the differences between conduct and oppositional defiant disorder. The nurse should include one of the primary differences is that a) Clients with conduct disorder are usually just children who misbehave due to bad parenting, but clients with oppositional defiant disorder usually develop the disease because of tachycardia b) Clients are first diagnosed with oppositional defiant disorder and then if it persists for a year, it is considered conduct disorder c) Clients with oppositional defiant disorder lack empathy, whereas clients with conduct disorder are more spiteful d) Clients with oppositional defiant disorder are angry and irritable, whereas clients with conduct disorder persistently violate the rights of others (856) 30. The nurse working in the emergency department is caring for a client who was violently raped. As discharge preparation begins, the client says softly “I will never be the same again, I cannot face my friends” which of the following statements is most appropriate for the nurse to make? a) “Do you have someone who can come get you?” b) “Its ok to take some time before telling them” c) “Would you like to talk about it?” d) “Your friends will understand that this is not your fault” 31. The nurse working in the mental health unit observes a child running up and down the halls singing loudly. Which of the following interventions should the nurse perform? a) Camly ask the child to come sit in a quiet space with less stimuli to settle down b) Remind the child that a hospital is no place to run and prepare PRN medication to calm the child down c) Tell the child to stop running immediately so they do not call or security will be called d) Explain to the child that they are being disruptive and will need to calm down or go in restraints Other answer: The nurse working on a mental health unit observes a child running up and down the hall singing loudly which of the following intervention should the nurse perform -Calmly ask the child to sit in a quiet space with less stimuli to settle down and explain to the child that they are being disruptive. 32. The parents of a child diagnosed with tourett’s syndrome says to the nurse “I think my child is faking the tics because sometimes they hop and other times they squat during them.“ Which of the following responses by the nurse is appropriate? a) “Do you think you are in denial?” b) “Tics often change location over time”(367 they change in location, frequency, and severity over time) c) “Your observation indicates the medications are effective”d) “Has your child faked previous medical issues?” 33. The nurse is speaking with a patient who called the mental health unit to report finding their 14yrold child's diary. Recent entries in the diary include poetry about death. Which of the following responses by the nurse is appropriate? a) “Its important to give your children privacy so they trust you. I would not worry about it” b) “Do you know where your child is right now?” c) “This is completely normal for children this age. Just ask your child about it” d) “Has your child written things like this in the past?” Other question: Speaking with a parent who called him mental health unit to report finding their 14 year old child diary daily entry stated “I feel trapped and have no purpose in life” which of the following responses by the nurse is most appropriate -has your child tried to commit suicide before 34. A newly hired nurse is discharging a 12yr old child who is newly diagnosed with oppositional defiant disorder. Which of the following instructions by the newly hired nurse to the parents requires the nurse preceptor to intervene? a) “There is parent training available to help of your child has this disorder” b) “COntact 911 if your child appears to behave in a manner that may put others at risk for harm” c) “Currently 1 medication is approved for this disorder by the FDA.(850 Some studies support the use of alpha-2 agonists and atomoxetine (Strattera), a nonstimulant used for attention-deficit/hyperactivity disorder as well). d) “A combination of medication and therapy have been prescribed for your child” 35. The nurse is caring for a client who has a dependent personality disorder. Which of the following interventions should the nurse include in the plan of care? a) Require the client to make food choices for group privileges b) Recommend the client remove themselves from any support system c) Assist client to decrease fear when making personal choices(980) d) Ask the client to make a list of their faults to discuss group therapy 36. The nurse is assessing a client diagnosed with narcissistic personality disorder. Which of the following assessment findings should the nurse expect? a) Need for constant admiration (978 The individual with this disorder has a need for constant admiration along with a lack of empathy for others) b) Difficulty being alone and presenting with submissiveness c) Preoccupation with minute details demonstrating perfectionism d) Wanting to be involved in others livesOther answer: The nurse is assessing a client diagnosed with narcissistic personality disorder. Which of the following assessment finding should the nurse expect? -A lack of empathy 37. The nurse is caring for a client with histrionic disorder who reports having “the worst headache of my entire life” the nurse should recognize that the client a) Needs immediate medical attention since they usually under report symptoms b) Needs to be assessed but may be exaggerating (977) c) Is just seeking attention and should be told to go rest d) Is most likely having a reaction to medication and should drink more water 38. The nurse is teaching a client about obsessive compulsive personality disorder. The nurse determines the client understands the teaching when the client states a) “My behavior is conscious attempt to punish myself” b) I am demonstrating control when I engage in my rituals” c) “I recognize my focus on perfectionism is unhealthy” d) “Inner voices tell me to perform my rituals” Other question: A nurse is teaching a client about obsessive compulsive personality disorder which manifestation from the box below should the nurse include in the teaching -Aware thoughts are unreasonable focuses on being perfect -Devotes more time to work than with friends 39. The nurse is assessing a client who has borderline personality disorder. The client states “I thought this was a great hospital. The day nurses are great but the night nurses will not take me out for a smoke. They say its against the rules” which of the following responses by the nurse is appropriate with this client? a) “You should complain to the charge nurse. I hear a lot of negativity about the night nurses” b) “We don't allow clients to go out at night, you should know the rules by now” c) “The night nurses are well trained, you need to stop trying to cause trouble” d) “The night shift nurses are coming on shift now, let's sit down and discuss your concerns together” 40. The nurse is caring for a client who has antisocial personality disorder. Which of the following clinical manifestations should the nurse identify with this disorder? a) Deceitful for personal gain (984 behaviors such as being deceitful and manipulative for personal gain) b) Emotional liability c) Splitting d) Low risk behaviors41. The nurse has attended a staff development session about how clients with different personality disorders behave. It demonstrates a correct understanding if the nurse states “If I observe a slint who is indifferent to the staff praise, disinterested in other clients in the program, and emotionally constricted then they are displaying signs of a) Schizoid personality disorder b) Histrionic personality disorder c) Paranoid personality disorder d) Narcissistic personality disorder Other question: The nurse has attended a staff development session about how clients with different personality disorders behave. Correct understanding if the nurse states “if I observe a client who is suspicious of others, hypervigilant, and tends to be controlling in relationships they are displaying signs of -Paranoid personality disorder 42. The nurse is caring for a client who has an avoidant personality disorder. Which of the following situations is most likely to occur with this disorder? a) Recurring illusions b) Social isolation c) Egocentric d) Manipulative 43. A client with antisocial personality disorder lies to the staff and other clients, swears loudly at the staff, verbally abuses a client with Alzheimer's disease and is detached and superficial during the counseling session. Which of these behaviors should the nurse set limits to first? a) Manipulating staff for extra privileges b) Lying to the staff and other clients c) Verbally abusing another clint d) Superficiality during counseling 44. The nurse preceptor is observing a newly hired nurse perform an admission on a client with borderline personality disorder. The newly hired nurse asks the client to review and sign the admission forms and then leaves the room. Which of the following interventions is the priority for the nurse preceptor to perform? a) Tell the client that they are now safe, and no one will try to harm them anymore b) Remove the pen left by the newly hired nurse in the clients room c) Ask the client if they remember the nurse from the last admission d) Sit with the client and apologize that the new nurse left the room 45. The nurse is caring for a client diagnosed with schizoid personality disorder. The nurse understands it is important to a) Have a friendly and compassionate approach with the clintb) Protect the client against ridicule from others c) Provide opportunities for the client to receive peer approval d) Encourage the client to attend social groups for wellbeing 46. The nurse has attended an education conference on research that supports multiple treatments for borderline personality disorder. Which of the following therapies identified by the nurse as an appropriate treatment requires a follow up? a) Schema-focused therapy b) Dialectical behavioral therapy c) Cognitive-behavioral therapy d) Immersion therapy 47. The inpatient treatment team is discussing the plan of care for a client diagnosed with antisocial personality disorder who is angry, manipulative, and aggressive. Which of the following interventions is a priority for the team to plan for the client in order to promote safety? All the team members must a) Allow the client to identify the courses of the inappropriate behavior b) Consistently and immediately address and reinforce rules for inappropriate behavior c) Identify what purpose the inappropriate behavior has for the client d) Redirect the inappropriate behavior to another activity 48. The nurse is caring for a 32yr old client who is newly admitted with dependent personality disorder. Which information from the box below should the nurse expect with this disorder? 1. Aggressive attitude 2. Afraid to be separated 3. Likes to take care of others 4. Prefers others take care of finances 5. Psychotherapy is the treatment of choice a) 2,3,4 b) 1,2,4 c) 2,4,5 d) 3,4,5 49. A nurse is attending a conference about schizoid personality disorder. Which of the following information indicates a correct understanding by the nurse? a) Clients have delusions b) Clients are entitled c) Clients are paranoidd) Clients are eccentric (974) Other questions: 1. A client who is admi2ed with borderline personality disorder would display which behavior -Afraid to be separated -emo;onal liability -impulsive 2. The nurse receives a new client who has a diagnosis of soma;c symptom disorder. The client now complains of abdominal pain and vomits. Which of the following interven;on should the nurse perform @rst? -Discuss the clients feelings and coping strategies 3. The community nurse is providing educa;on to a group of senior ci;zens about Alzheimer's disease. The nurse gives examples of science of Alzheimer's disease and normal age related changes. Which of the following should the nurse include as a normal age related change? -ForgeHng a family member's birthday un;l later in the day 4. The nurse is preparing to discharge an older adult client who has mul;ple diagnosis including hypertension, diabetes, anxiety, and asthma. Which of the following informa;on regarding medica;on management should the nurse include in the client's discharge teaching? - Use a calendar to help remind you to take your medica;ons 5. The nurse is caring for a female client; later in the day the nurse sees the client and calls them by their name. Client states you must be confused that's not my name, but I have a female name when I'm obviously a male. The nurse asks the client if they know who they are and the client gives a diQerent name the nurse expects that the client is experiencing. -Dissocia;ve iden;ty disorder 6. The nurse is teaching the parents of a child who has a2en;on de@cit disorder about a newly prescribed amphetamine medica;on which of the following side eQects should the nurse include in the teaching about this medica;on -Insomnia