EXAM 2
ACTUAL Questions with Verified Answers
(Concepts of Mental Health Nursing)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers from Exam 2
of NURS 322 at the Drexel University. It covers
core topics assessed in the course and reflects the
actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,A 14-year-patient old patient was admitted to the psychiatric unit for anorexia
nervosa. She is emaciated and refuses to eat. What is the most appropriate nursing
diagnosis?
A.Complicated grieving
B.Imbalanced nutrition: less than body requirements
C.Interrupted family processes
D.Anxiety (severe)
B.Imbalanced nutrition: less than body requirements
Which of the following physical manifestations would the nurse expect to assess in a
patient diagnosed with anorexia nervosa?
A.Tachycardia, hypertension, hyperthermia
B.Bradycardia, hypertension, hyperthermia
C.Bradycardia, hypotension, hypothermia
D.Tachycardia, hypotension, hypothermia
C.Bradycardia, hypotension, hypothermia
The nurse is caring for a patient who has been hospitalized with anorexia nervosa and
is severely malnourished. The patient continues to refuse to eat. What is the most
appropriate response by the nurse?
A."You should be aware if you don't eat, you will die."
B."If you continue to refuse to take food orally, you will be fed through a feeding
tube."
C."There is no reason for you to stay in the hospital if you are not going to follow the
recommended treatment."
D "You do not have to eat. It is your choice."
B."If you continue to refuse to take food orally, you will be fed through a feeding tube."
,The most common physiological cause of obesity is most related to:
A.lack of nutritional education
B.more calories consumed than expended
C.impaired endocrine functioning
D.low basal metabolic rate
B.more calories consumed than expended
A binging episode is though to involve:
A.A release of tension, followed by feelings of depression.
B.Feelings of fear, followed by feelings of relief.
C.Unmet dependency needs and a way to gain attention.
D.Feelings of euphoria, excitement, and self-gratification
A.A release of tension, followed by feelings of depression.
Which of the following interventions is the most appropriate therapy for a patient
with agoraphobia?
A. Administer a prn antianxiety medication.
B. Group therapy with other patients that have phobias.
C. Using a gradual step progression approach to address his/her fears.
D. Hypnosis
B. Group therapy with other patients that have phobias.
An appropriate nursing intervention for a client having a panic attack is to
A. Teach the client relaxation techniques.
B. Show the client how to change his behavior.
C. Distract the client with a television show.
D. Stay with the client be direct and speak in a calm firm manner.
D. Stay with the client be direct and speak in a calm firm manner.
, Which of the following is an appropriate expected outcome when working with a
patient with DID? The patient will
A. verbalize a clear sense of personal identity.
B. express feelings verbally rather than through the development of physical
symptoms.
C. experience no symptoms as a result of psychologic distress.
D. understand the distinction between true physical pain and imagined pain.
A. verbalize a clear sense of personal identity.
Which of the following would the nurse expect to assess with a patient diagnosed with
a conversion (Functional Neurological ) Disorder? Select all that apply.
A.Deep tendon reflexes intact.
B.Muscle wasting.
C.The client is unaware of the link between anxiety and physical symptoms.
D.Physical symptoms can be explained by a physiological cause.
A and C
A patient with Bulimia Nervosa is admitted to the mental health unit. Which
symptoms would be congruent with this diagnosis?
A.Binging, purging, obesity, hyperkalemia
B.Binging, purging, normal weight, hypokalemia
C.Binging, laxative abuse, severe weight loss
D.Binging, purging, severe weight loss, hyperkalemia
B.Binging, purging, normal weight, hypokalemia
A mature, professional couple plans a large wedding in a city that is 100 miles from
their home. Which response is most likely to be associated with this experience?
a. Distress