NUR 2459 FINAL EXAM (MENTAL & BEHAVIORAL HEALTH NURSING) RASMUSSEN
EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS |
PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains
Therapeutic Communication and Nurse-Client Relationship
Psychopharmacology and Medication Management
Anxiety, Somatic, and Dissociative Disorders
Mood Disorders and Suicide Risk Assessment
Schizophrenia and Psychotic Disorders
Personality and Eating Disorders
Neurocognitive and Addictive Disorders
Legal, Ethical, and Forensic Nursing Issues
Introduction
This comprehensive final assessment is designed to evaluate the student's
mastery of Mental and Behavioral Health Nursing. The purpose of this exam is to ensure
clinical competency in identifying, managing, and advocating for patients across the
lifespan experiencing psychiatric disturbances. Skills assessed include therapeutic
communication, psychiatric nursing interventions, and the application of
psychopharmacological principles. Through a combination of multiple-choice and
,scenario-based questions, candidates must demonstrate critical thinking and real-world
decision-making. The assessment emphasizes patient safety, ethical standards, and the
nurse's role in the multidisciplinary treatment team to provide holistic, evidence-based
care in various clinical settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client with schizophrenia who reports hearing voices telling
them that the food is poisoned. Which response by the nurse is therapeutic?
A. "No one here wants to poison you; we are here to help."
B. "I don’t hear the voices, but I believe that they are real to you."
C. "Why do you think the voices are saying the food is poisoned?"
D. "The nutrition team prepared this specifically for your diet."
🟢 B. "I don’t hear the voices, but I believe that they are real to you."
🔴 Explanation: This response acknowledges the client’s reality while presenting the
nurse's own perception without challenging the hallucination directly, which helps maintain
trust.
2. A client is admitted for alcohol withdrawal. Which of the following medications should
the nurse anticipate administering to prevent seizures?
,A. Lorazepam
B. Haloperidol
C. Disulfiram
D. Methadone
🟢 A. Lorazepam
🔴 Explanation: Benzodiazepines like Lorazepam are the gold standard for alcohol
withdrawal management to stabilize vital signs and prevent seizures or delirium tremens.
3. Which ethical principle is being practiced when a nurse ensures a client has been
informed of the risks and benefits of a new psychotropic medication?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
🟢 C. Autonomy
🔴 Explanation: Autonomy refers to the client’s right to make informed decisions about
their own medical care and treatment plan.
, 4. A nurse is assessing a client for lithium toxicity. Which of the following findings
should be reported immediately?
A. Fine hand tremors
B. Mild thirst
C. Blurred vision and ataxia
D. Polyuria
🟢 C. Blurred vision and ataxia
🔴 Explanation: Blurred vision and ataxia (lack of coordination) are signs of advanced
lithium toxicity, whereas fine tremors and thirst are common side effects.
5. A client with Major Depressive Disorder states, "I just can't see any reason to keep
going." What is the nurse's priority action?
A. Document the client's statement in the chart.
B. Encourage the client to attend a group therapy session.
C. Ask the client directly, "Are you thinking of killing yourself?"
D. Notify the family to provide emotional support.
🟢 C. Ask the client directly, "Are you thinking of killing yourself?"
EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS |
PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains
Therapeutic Communication and Nurse-Client Relationship
Psychopharmacology and Medication Management
Anxiety, Somatic, and Dissociative Disorders
Mood Disorders and Suicide Risk Assessment
Schizophrenia and Psychotic Disorders
Personality and Eating Disorders
Neurocognitive and Addictive Disorders
Legal, Ethical, and Forensic Nursing Issues
Introduction
This comprehensive final assessment is designed to evaluate the student's
mastery of Mental and Behavioral Health Nursing. The purpose of this exam is to ensure
clinical competency in identifying, managing, and advocating for patients across the
lifespan experiencing psychiatric disturbances. Skills assessed include therapeutic
communication, psychiatric nursing interventions, and the application of
psychopharmacological principles. Through a combination of multiple-choice and
,scenario-based questions, candidates must demonstrate critical thinking and real-world
decision-making. The assessment emphasizes patient safety, ethical standards, and the
nurse's role in the multidisciplinary treatment team to provide holistic, evidence-based
care in various clinical settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client with schizophrenia who reports hearing voices telling
them that the food is poisoned. Which response by the nurse is therapeutic?
A. "No one here wants to poison you; we are here to help."
B. "I don’t hear the voices, but I believe that they are real to you."
C. "Why do you think the voices are saying the food is poisoned?"
D. "The nutrition team prepared this specifically for your diet."
🟢 B. "I don’t hear the voices, but I believe that they are real to you."
🔴 Explanation: This response acknowledges the client’s reality while presenting the
nurse's own perception without challenging the hallucination directly, which helps maintain
trust.
2. A client is admitted for alcohol withdrawal. Which of the following medications should
the nurse anticipate administering to prevent seizures?
,A. Lorazepam
B. Haloperidol
C. Disulfiram
D. Methadone
🟢 A. Lorazepam
🔴 Explanation: Benzodiazepines like Lorazepam are the gold standard for alcohol
withdrawal management to stabilize vital signs and prevent seizures or delirium tremens.
3. Which ethical principle is being practiced when a nurse ensures a client has been
informed of the risks and benefits of a new psychotropic medication?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
🟢 C. Autonomy
🔴 Explanation: Autonomy refers to the client’s right to make informed decisions about
their own medical care and treatment plan.
, 4. A nurse is assessing a client for lithium toxicity. Which of the following findings
should be reported immediately?
A. Fine hand tremors
B. Mild thirst
C. Blurred vision and ataxia
D. Polyuria
🟢 C. Blurred vision and ataxia
🔴 Explanation: Blurred vision and ataxia (lack of coordination) are signs of advanced
lithium toxicity, whereas fine tremors and thirst are common side effects.
5. A client with Major Depressive Disorder states, "I just can't see any reason to keep
going." What is the nurse's priority action?
A. Document the client's statement in the chart.
B. Encourage the client to attend a group therapy session.
C. Ask the client directly, "Are you thinking of killing yourself?"
D. Notify the family to provide emotional support.
🟢 C. Ask the client directly, "Are you thinking of killing yourself?"
