NU 309 Mental Health Final Exam

NU 309 Mental Health Final Exam 1 A nurse uses the SAD PERSONS scale to interview a patient. This tool provides data relevant to which of the following concepts? 2 A nurse is interacting with patients in a psychiatric unit. Which statements reflect use of therapeutic communication? Select all that apply. 3 A married couple has two biologic children who live with them as well as a child from the wife’s first marriage. What type of family is evident? 4 Which person would be most likely to experience sleep fragmentation? 5 A child diagnosed with attention deficit hyperactivity disorder will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications? 6 A child diagnosed with attention deficit hyperactivity disorder (ADHD) shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior? 7 A new psychiatric technician says, “Schizophrenia…schizotypal! What’s the difference?” The nurse’s response should include which information? 8 A nurse is caring for a patient taking a selective serotonin reuptake inhibitor (SSRI). When care planning, outcome criteria related to which goal is most appropriate? 9 A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention? 10 A patient’s relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health? 11 A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures? 12 A patient diagnosed with schizophrenia says, “It’s beat. Time to eat. No room for the cat.” What type of verbalization is evident? 13 A nurse uses Maslow’s hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority? 14 As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse’s best action? 15 A nurse interacts with a newly hospitalized patient. Which of the following comments is most demonstrative of the nurse utilizing the communication technique of “offering self"? 16 Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder? 17 A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for five minutes and later with the elevator door closed for five minutes. Which technique has the therapist used? 18 A nurse cares for a group of patients receiving various medications, including an MAO inhibitor, anti-convulsant, sedative-hypnotic, and 2nd generation anti-psychotic. The nurse will order a special diet for the patient who takes which medication? 19 A Puerto Rican American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient’s behavior? 20 A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question would be most appropriate for the nurse to ask? 21 A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members? . 22 The exact cause of bipolar disorder has not been determined; which of the following provides the most accurate description of possible etiology? 23 A Mexican American patient puts a picture of the Virgin Mary on the bedside table. What is the nurse’s best action? 24 A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address? 25 A child known as the neighborhood bully says, “Nobody can tell me what to do.” After receiving a poor grade on a science project, this child secretly loaded a virus on the teacher’s computer. Which diagnosis is best supported by this data? 26 Match the terms below with the appropriate description. 27 Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness? 28 Inpatient hospitalization for persons with mental illness is generally reserved for patients in which of the following situations? 29 A nurse in an inpatient mental health unit is planning care for a client who is in restraints. Which of the following findings should indicate to the nurse that the client is ready to reintegrate into the unit? 30 A community health nurse visits a family with four children. The father behaves angrily, finds fault with the oldest child, and asks twice, “Why are you such a stupid kid?” The wife says, “I have difficulty disciplining the children. It’s so frustrating.” Which comments by the nurse will facilitate an interview with these parents? Select all that apply. 31 A nurse is assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect? 32 Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders? 33 A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression? 34 A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions which could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions? 35 A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the highest priority? 36 A nurse asks a patient diagnosed with schizophrenia, “What is meant by the old saying ‘You can’t judge a book by looking at the cover.’?” Which response by the patient indicates concrete thinking? 37 An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion? 38 What is a nurse’s legal responsibility if child abuse or neglect is suspected? 39 A nurse is caring for a client who has bipolar disorder. The client states, “I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator.” Which of the following findings is this client exhibiting? 40 A 15-year-old ran away from home six times and was arrested for shoplifting. The parents told the court, “We can’t manage our teenager.” The adolescent is physically abusive to the mother and defiant with the father. Which diagnosis is supported by this adolescent’s behavior? .................................CONTINUED...............................