Exam 3: NUR 2459 / NUR2459 (Latest 2023/2024) Mental and Behavioral Health Nursing Exam|Grade A| Questions and Verified Answers| Rasmussen

Exam 3: NUR 2459 / NUR2459 (Latest 2023/2024) Mental and Behavioral Health Nursing Exam|Grade A| Questions and Verified Answers| Rasmussen  Which of the following ego defense mechanisms describes the underlying psychodynamics of somatic symptom disorder? a. Denial of depression b. Repression of anxiety c. Suppression of grief d. Displacement of anger  Answer: b. Repression of anxiety  Nursing care for a client with somatic symptom disorder should focus on helping the client to: a. Eliminate stressors. b. Discontinue focusing on numerous physical complaints. c. Take medication only as prescribed. d. Learn more adaptive coping strategies.  Answer: d. Learn more adaptive coping strategies.  A client diagnosed with somatic symptom disorder states, "My doctor thinks I should see a psychiatrist. I can't imagine why he would make such a suggestion." What is the most common basis for the client's statement? a. Lack of trust in the physician. b. Lack of understanding about the correlation of symptoms and stress. c. Lack of understanding about the role of a psychiatrist. d. Lack of financial resources.  Answer: b. Lack of understanding about the correlation of symptoms and stress.  What is the ultimate goal of therapy for a client with dissociative identity disorder? a. Integration of the personalities into one b. The ability to switch from one personality to another voluntarily c. The ability to select one personality as the dominant self d. Recognition that the various personalities exist  Answer: a. Integration of the personalities into one  Some obese individuals take amphetamines to suppress appetite and help them lose weight. Which of the following is an adverse effect associated with the use of amphetamines that makes this practice undesirable? a. Bradycardia b. Amenorrhea c. Tolerance d. Convulsions  Answer: c. Tolerance  The Maudsley approach to the treatment of adolescents with anorexia nervosa advances which of the following fundamental concepts? a. The patient's family should be actively involved in each phase of treatment. b. Parents should be prohibited from involvement in helping their child eat since there are often control issues. c. Adolescents need to work on developing healthy self-identities before they can begin to gain weight. d. Individual psychotherapy is the most effective treatment for adolescents with anorexia nervosa.  Answer: a. The patient's family should be actively involved in each phase of treatment.  A client has sought help for his concern that he is binge eating and feels like it has "gotten out of control." He asks the nurse what can be done to help him. Which of the following is the most accurate response? a. "Nothing can be done." b. "Some medications and psychological treatments have demonstrated effectiveness in reducing binge eating behaviors." c. "The primary problem is obesity. I can help you set up a calorie-restricted diet." d. "Medications can help with weight loss, but there are no medications effective for reducing binge eating."  Answer: b. "Some medications and psychological treatments have demonstrated effectiveness in reducing binge eating behaviors."  Which of the following physical manifestations would you expect to assess in a client suffering from anorexia nervosa? a. Tachycardia, hypertension, hyperthermia b. Bradycardia, hypertension, hyperthermia c. Bradycardia, hypotension, hypothermia d. Tachycardia, hypotension, hypothermia  Answer: c. Bradycardia, hypotension, hypothermia  Which medication has been used with some success in clients with anorexia nervosa? a. Lorcaserin (Belviq) b. Diazepam (Valium) c. Fluoxetine (Prozac) d. Carbamazepine (Tegretol)  Answer: c. Fluoxetine (Prozac)