NUR2488 Mental Health Nursing Exam 3 (50 Verified Answers, (Already Graded A+) | New Update : Rasmussen College

NUR2488 Mental Health Nursing Exam 3 (50 Verified Answers, (Already Graded A+) | New Update : Rasmussen College Question 1 A patient with a history of cocaine use reports a concurrent history of using other drugs in order to counteract the effects of cocaine. Which drug is this patient likely to have abused? Answers: PCP Alcohol Methylphenidate Caffeine • Question 2 A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp 96.8 and pinpoint pupils. Based on these clinical manifestations, what substance did this patient most likely overdose on? Answers: Opioids Alcohol Marijuana Amphetamine • Question 3 An elderly client with cognitive impairment is combative and pulled out a nasogastric tube, intravenous line, and indwelling urinary catheter. What can the nurse anticipate that the health care provider will most likely prescribe? Answers: A small dose of a selective serotonin reuptake inhibitor A large dose of a benzodiazepine A maintenance dose of buspirone A small dose of an atypical antipsychotic • Question 4 A nursing care plan contains the intervention “monitor for complications of refeeding syndrome.” Which body system should a nurse most closely monitor for clinical manifestations of dysfunction? Answers: Renal Central nervous Endocrine Cardiovascular • Question 5 Which of the following is the best example of all-or-nothing thinking, a common cognitive distortion of patients with an eating disorder? Answers: “If I gain any weight, I’ll keep going until I’m huge.” “When people tell me I’m looking better, they really mean I’m fatter.” “No one likes me because I’m fat.” “When I’m thin, I’m perfect.” • Question 6 A nurse reports to the interdisciplinary team that a patient with an antisocial personality disorder lies to other patients, verbally abuses a patient with Alzheimer’s disease, and flatters the primary nurse. This patient is detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting? Answers: Lying to other patients Flattering the nurse Verbal abuse of another patient Detached superficiality during counseling • Question 7 Which of the following are primary characteristics of a person with borderline personality disorder? Answers: Demonstrates flexibility and compromise Demonstrates socially appropriate behaviors Demonstrates eagerness to learn new coping skills Demonstrated a self-defeating cycle of behavior • Question 8 A nurse is working with a patient with a histrionic personality disorder. Which of the following nursing interventions must be implemented throughout the inpatient stay? Answers: Setting appropriate limits on maladaptive behaviors Offering relationship advice Providing multiple options when the patient makes frequent requests Having the patient approach different staff members for interpretation of unit rules • Question 9 A patient has blindness related to conversion disorder. In order to assist the patient with eating, which of the following interventions should the nurse implement? Answers: Establish a “buddy” system with other patients who can feed this patient at each meal. Expect the patient to feed himself after explaining arrangement of the food on the tray. Address the needs of other patients in the dining room, then feed this patient. Direct the patient to locate items on the tray independently and feed himself unassisted. • Question 10 A patient is admitted for psychiatric observation after being arrested for breaking windows in the home of a former girlfriend who had refused to see him. His history reveals childhood abuse by a punitive father, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority in the plan of care? Answers: Risk for injury Post-trauma syndrome Disturbed thought processes Risk for other-directed violence • Question 11 A patient is referred to the mental health center by the family health care provider. Over the past year, the patient has cooked gourmet meals for family members, but eats only tiny portions of the food. The patient wears layers of loose clothing, saying, “It’s just my style.” The patient’s weight has dropped from 130 to 95 pounds. The patient has amenorrhea. Which medical diagnosis are the history and symptoms are most consistent with? Answers: Anorexia nervosa Bulimia nervosa Binge eating Eating disorder not otherwise specified • Question 12 A patient sat in silence for 20 minutes after a therapy appointment. The patient appeared tense and vigilant. The patient abruptly stood up and paced back and forth across the day room, clenching and unclenching his fists. Next, he stopped and stared intently into the face of a psychiatric technician. Which of the following best explains the nurse’s observations of this patient? Answers: The patient is demonstrating withdrawal The patient is working off angry feelings. The patient is using relaxation strategies effectively. The patient is exhibiting clues to potential aggression. • Question 13 A patient referred to the eating disorders clinic has lost 35 pounds during one summer. Which of the following questions would be best if the nurse wished to assess the patien.........................................................................................................................................................................