WGU D449
Objective Assessment
(2 Full Exams Set)
(Psychiatric and Mental Health Nursing)
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢140 Questions with correct answers.
➢Expert Rationales included.
➢D449 OA Review
,Preview Pages Below
Get the Complete PDF
After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,Table of Contents
D449 OA EXAM SET 1 ....................................................... 2
D449 OA EXAM SET 2 ..................................................... 40
D449 OA Review .............................................................. 80
D449 OA EXAM SET 1
1. The nurse is performing the admission assessment for a client with schizophrenia in
an acute care inpatient facility. The nurse should identify which observed behavior is
characteristic of schizophrenia?
A. Responds with illogical answers to questions
B. Demonstrates goal-directed, organized speech
C. Maintains consistent eye contact throughout the interview
D. Expresses coherent, reality-based thought processes
Correc Answer:A
Rationale: Schizophrenia is characterized by disturbances in thought processes,
including disorganized thinking, loose associations, illogical responses, and thought
blocking. Illogical answers to questions reflect the formal thought disorder
(disorganized speech) that is a hallmark positive symptom of schizophrenia. Options B,
C, and D describe organized, coherent behavior that would be inconsistent with an
acute psychotic episode. Other characteristic behaviors include hallucinations, delusions,
grossly disorganized or catatonic behavior, and negative symptoms (flat affect, avolition,
alogia).
2. The mental health unit nurse completes the admission assessment for a depressed
adolescent client with suicidal ideation. The client reports becoming angry with a
, sibling, so the client took a handful of pills. Which goal is most important for the nurse
to establish with this client?
A. Identify three effective ways to cope with anger and stress
B. Apologize to the sibling for the argument
C. Agree to take medications as prescribed
D. Participate in daily group therapy sessions
Correc Answer:A
Rationale: The client's suicidal behavior was triggered by anger toward a sibling,
indicating poor impulse control and inadequate coping mechanisms. The most
important goal is to develop adaptive coping strategies to manage anger and stress,
thereby reducing future suicide risk. Teaching the client to identify emotions, use
distress tolerance skills, and employ problem-solving techniques addresses the root
cause of the suicidal behavior. While medication compliance (C) and group participation
(D) are important components of treatment, they do not directly address the
precipitating factor. Apologizing (B) is premature and does not teach coping skills.
3. A client who has agoraphobia (a fear of crowds) is beginning desensitization with the
therapist, and the nurse is reinforcing the process. Which intervention has the highest
priority for this client's plan of care?
A. Teach progressive muscle relaxation techniques
B. Establish trust by providing a calm, safe environment
C. Encourage gradual exposure to crowded shopping malls
D. Administer PRN anxiolytic medications before each session
Correc Answer:B
Rationale: The foundation of all therapeutic interventions, particularly for clients with
anxiety disorders such as agoraphobia, is the establishment of trust and a sense of
safety. Without a trusting therapeutic relationship and a calm, safe environment, the
client will be unable to engage effectively in desensitization therapy. Trust is essential
Objective Assessment
(2 Full Exams Set)
(Psychiatric and Mental Health Nursing)
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢140 Questions with correct answers.
➢Expert Rationales included.
➢D449 OA Review
,Preview Pages Below
Get the Complete PDF
After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,Table of Contents
D449 OA EXAM SET 1 ....................................................... 2
D449 OA EXAM SET 2 ..................................................... 40
D449 OA Review .............................................................. 80
D449 OA EXAM SET 1
1. The nurse is performing the admission assessment for a client with schizophrenia in
an acute care inpatient facility. The nurse should identify which observed behavior is
characteristic of schizophrenia?
A. Responds with illogical answers to questions
B. Demonstrates goal-directed, organized speech
C. Maintains consistent eye contact throughout the interview
D. Expresses coherent, reality-based thought processes
Correc Answer:A
Rationale: Schizophrenia is characterized by disturbances in thought processes,
including disorganized thinking, loose associations, illogical responses, and thought
blocking. Illogical answers to questions reflect the formal thought disorder
(disorganized speech) that is a hallmark positive symptom of schizophrenia. Options B,
C, and D describe organized, coherent behavior that would be inconsistent with an
acute psychotic episode. Other characteristic behaviors include hallucinations, delusions,
grossly disorganized or catatonic behavior, and negative symptoms (flat affect, avolition,
alogia).
2. The mental health unit nurse completes the admission assessment for a depressed
adolescent client with suicidal ideation. The client reports becoming angry with a
, sibling, so the client took a handful of pills. Which goal is most important for the nurse
to establish with this client?
A. Identify three effective ways to cope with anger and stress
B. Apologize to the sibling for the argument
C. Agree to take medications as prescribed
D. Participate in daily group therapy sessions
Correc Answer:A
Rationale: The client's suicidal behavior was triggered by anger toward a sibling,
indicating poor impulse control and inadequate coping mechanisms. The most
important goal is to develop adaptive coping strategies to manage anger and stress,
thereby reducing future suicide risk. Teaching the client to identify emotions, use
distress tolerance skills, and employ problem-solving techniques addresses the root
cause of the suicidal behavior. While medication compliance (C) and group participation
(D) are important components of treatment, they do not directly address the
precipitating factor. Apologizing (B) is premature and does not teach coping skills.
3. A client who has agoraphobia (a fear of crowds) is beginning desensitization with the
therapist, and the nurse is reinforcing the process. Which intervention has the highest
priority for this client's plan of care?
A. Teach progressive muscle relaxation techniques
B. Establish trust by providing a calm, safe environment
C. Encourage gradual exposure to crowded shopping malls
D. Administer PRN anxiolytic medications before each session
Correc Answer:B
Rationale: The foundation of all therapeutic interventions, particularly for clients with
anxiety disorders such as agoraphobia, is the establishment of trust and a sense of
safety. Without a trusting therapeutic relationship and a calm, safe environment, the
client will be unable to engage effectively in desensitization therapy. Trust is essential
