NUR 253 Exam 3 | Actual test Questions and Answers |
2025 Update | 100% Correct-Galen.
Question 1
The nurse is caring for a 20-year-old client who is a survivor of a gang-
related shooting. The client suffers from post-traumatic stress disorder
(PTSD) and requires education about the condition. Which of the following
information should the nurse provide to the client?
A) A thankful attitude for being alive is common with this condition.
B) This condition occurs when directly experiencing a traumatic event
rather than witnessing the event.
C) Clients who have this condition will revisit the physical place where the
trauma occurred.
D) Marked physiological reactions to things that remind the client of the
event.
Correct Answer: D
Rationale: PTSD is characterized by marked physiological reactions to
internal or external cues that symbolize or resemble an aspect of the
traumatic event. These reactions can include increased heart rate,
sweating, and hypervigilance when exposed to reminders of the trauma.
Question 2
,The nurse is preparing a care plan for a newly admitted 73-year-old 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) Teach the client new coping skills.
B) Monitor the client's nutritional intake during admission.
C) Encourage the client to attend socialization groups.
D) Offer grief counseling services to the client while on unit.
Correct Answer: D
Rationale: The priority intervention for a client experiencing depression
related to the loss of a spouse is to offer grief counseling services. Grief
counseling addresses the underlying cause of the depression and helps
the client process their loss in a therapeutic environment.
Question 3
The nurse is caring for a 6-year-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) "Let's speak with the doctor, your child needs some intense therapy."
B) "Don't worry. This will pass within several months."
C) "This is part of the grieving process and a response to the trauma."
,D) "Just sit with them quietly; a child this age needs to deal with these
emotions internally."
Correct Answer: C
Rationale: The child's behavior of drawing themselves as a bad guy and
withdrawing from play is a manifestation of the grieving process and a
response to trauma. It is important for the nurse to educate the parents
that this is a common response and to provide supportive care.
Question 4
The nurse working on the mental health unit is caring for a newly admitted
client. The client was in an argument with their spouse. The spouse asked
for a divorce and suddenly the client could not hear anymore. Which of
the following conditions should the nurse identify the client is
experiencing?
A) Somatic symptom disorder
B) Conversion disorder
C) Factitious disorder
D) Illness anxiety disorder
Correct Answer: B
Rationale: Conversion disorder is characterized by the presence of
neurological symptoms (such as loss of hearing, vision, or paralysis) that
cannot be explained by a medical condition. These symptoms are often
, triggered by psychological stress or conflict, such as the argument with
the spouse.
Question 5
The nurse is caring for a client who was admitted with somatization. The
nurse is identifying potential secondary gains the client may be
experiencing. Which of the following should the nurse consider a
secondary gain?
A) Decreased income
B) Increased attention
C) Increased pain
D) Decreased mobility
Correct Answer: B
Rationale: Secondary gain refers to the external benefits or advantages
that a client receives as a result of their illness. For a client with
somatization, increased attention from family, friends, and healthcare
providers is a common secondary gain.
Question 6
A nurse is assessing a client with generalized anxiety disorder (GAD).
Which of the following symptoms would the nurse expect to find?
2025 Update | 100% Correct-Galen.
Question 1
The nurse is caring for a 20-year-old client who is a survivor of a gang-
related shooting. The client suffers from post-traumatic stress disorder
(PTSD) and requires education about the condition. Which of the following
information should the nurse provide to the client?
A) A thankful attitude for being alive is common with this condition.
B) This condition occurs when directly experiencing a traumatic event
rather than witnessing the event.
C) Clients who have this condition will revisit the physical place where the
trauma occurred.
D) Marked physiological reactions to things that remind the client of the
event.
Correct Answer: D
Rationale: PTSD is characterized by marked physiological reactions to
internal or external cues that symbolize or resemble an aspect of the
traumatic event. These reactions can include increased heart rate,
sweating, and hypervigilance when exposed to reminders of the trauma.
Question 2
,The nurse is preparing a care plan for a newly admitted 73-year-old 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) Teach the client new coping skills.
B) Monitor the client's nutritional intake during admission.
C) Encourage the client to attend socialization groups.
D) Offer grief counseling services to the client while on unit.
Correct Answer: D
Rationale: The priority intervention for a client experiencing depression
related to the loss of a spouse is to offer grief counseling services. Grief
counseling addresses the underlying cause of the depression and helps
the client process their loss in a therapeutic environment.
Question 3
The nurse is caring for a 6-year-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) "Let's speak with the doctor, your child needs some intense therapy."
B) "Don't worry. This will pass within several months."
C) "This is part of the grieving process and a response to the trauma."
,D) "Just sit with them quietly; a child this age needs to deal with these
emotions internally."
Correct Answer: C
Rationale: The child's behavior of drawing themselves as a bad guy and
withdrawing from play is a manifestation of the grieving process and a
response to trauma. It is important for the nurse to educate the parents
that this is a common response and to provide supportive care.
Question 4
The nurse working on the mental health unit is caring for a newly admitted
client. The client was in an argument with their spouse. The spouse asked
for a divorce and suddenly the client could not hear anymore. Which of
the following conditions should the nurse identify the client is
experiencing?
A) Somatic symptom disorder
B) Conversion disorder
C) Factitious disorder
D) Illness anxiety disorder
Correct Answer: B
Rationale: Conversion disorder is characterized by the presence of
neurological symptoms (such as loss of hearing, vision, or paralysis) that
cannot be explained by a medical condition. These symptoms are often
, triggered by psychological stress or conflict, such as the argument with
the spouse.
Question 5
The nurse is caring for a client who was admitted with somatization. The
nurse is identifying potential secondary gains the client may be
experiencing. Which of the following should the nurse consider a
secondary gain?
A) Decreased income
B) Increased attention
C) Increased pain
D) Decreased mobility
Correct Answer: B
Rationale: Secondary gain refers to the external benefits or advantages
that a client receives as a result of their illness. For a client with
somatization, increased attention from family, friends, and healthcare
providers is a common secondary gain.
Question 6
A nurse is assessing a client with generalized anxiety disorder (GAD).
Which of the following symptoms would the nurse expect to find?
