Mental health NUR2459 final review questions
with verified answers
A 10-year-old child returns to school after the death of his mother. The school
nurse becomes aware that this child is frequently talking in the classroom about
fears that he will die, too. The classroom teacher is asking for recommendations
about how to handle this situation. Which of these actions by the nurse is most
appropriate?
a. Instruct the teacher to refer the child for psychological evaluation because this
is a warning sign of depression and possible suicide.
b. Encourage the teacher to redirect the child to activities that are focused on
school performance.
c. Educate the teacher that this a common reaction in children of this age and it is
best for the teacher to offer reassurance that he is safe.
d. Instruct the teacher to prohibit discussion of this topic in class because children
in this age-group cannot understand the finality of death. Ans✓✓✓ c. Educate
the teacher that this a common reaction in children of this age and it is best for
the teacher to offer reassurance that he is safe.
A 14-year-old client has just been admitted to the psychiatric unit for anorexia
nervosa. She is emaciated and refuses to eat. What is the priority nursing
diagnosis for this client?
a. Complicated grieving
b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe) Ans✓✓✓ b. Imbalanced nutrition: Less than body
requirements.
,A battered woman presents to the emergency department with multiple cuts and
abrasions. Her right eye is swollen shut. She says that her husband did this to her.
What is the priority nursing intervention?
a. Tending to the immediate care of her wounds
b. Providing her with information about a safe place to stay
c. Administering the prn tranquilizer ordered by the physician
d. Explaining how she may go about bringing charges against her husband
Ans✓✓✓ a. Tending to the immediate care of her wounds
A child with ADHD is admitted to a residential treatment program. Which of the
following group activities would be most appropriate for the nurse to
recommend?
a. Monopoly
b. Volleyball
c. Pool
d. Checkers Ans✓✓✓ b. Volleyball
A child, age 5, is sent to the school nurse's office with an upset stomach. She has
vomited and soiled her blouse. When the nurse removes her blouse, she notices
that the child has numerous bruises on her arms and torso in various stages of
healing. She also notices some small scars, and her abdomen protrudes on her
small, thin frame. From the objective physical assessment, the nurse should
screen further for:
,a. Physical and sexual abuse.
b. Physical abuse and neglect.
c. Emotional neglect.
d. Sexual and emotional abuse. Ans✓✓✓ b. Physical abuse and neglect.
A client arrives at the emergency department and tells the nurse her husband
inflicted the cuts to her face that required sutures. She says, "I didn't want to
come. I'm really okay. He only does this when he has too much to drink. I just
shouldn't have yelled at him." The best response by the nurse is:
a. "How often does he drink too much?"
b. "It is not your fault. You did the right thing by coming here."
c. "How many times has he done this to you?"
d. "He is not a good husband. You have to leave him before he kills you."
Ans✓✓✓ b. "It is not your fault. You did the right thing by coming here."
A client diagnosed with borderline personality disorder manipulates the staff in an
effort to fulfill her own desires. All of the following may be examples of
manipulative behaviors in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing the assigned nurse
has explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse. You're the best one
around here."
d. Cutting arms with razor blade after discussing dismissal plans with physician.
Ans✓✓✓ a. Refusal to stay in a room alone, stating, "It's so lonely."
, A client diagnosed with generalized anxiety disorder has been prescribed
buspirone 15 mg daily. He says to the nurse, "Why do I have to take this every
day? My friend's doctor ordered Xanax for him, and he only takes it when he is
feeling anxious." Which of the following would be an appropriate response by the
nurse?
a. "Xanax is not effective for generalized anxiety disorder."
b. "Buspirone must be taken daily in order to be effective."
c. "I will ask the doctor if he will change your dose of buspirone to prn so that you
don't have to take it every day."
d. "Your friend really should be taking the Xanax every day." Ans✓✓✓ b.
"Buspirone must be taken daily in order to be effective."
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. Ans✓✓✓ b. Lack of understanding about the
correlation of symptoms and stress.
A client diagnosed with somatic symptom disorder tells the nurse about a pain in
her side. She says she has not experienced it before. Which is the most
appropriate response by the nurse?
with verified answers
A 10-year-old child returns to school after the death of his mother. The school
nurse becomes aware that this child is frequently talking in the classroom about
fears that he will die, too. The classroom teacher is asking for recommendations
about how to handle this situation. Which of these actions by the nurse is most
appropriate?
a. Instruct the teacher to refer the child for psychological evaluation because this
is a warning sign of depression and possible suicide.
b. Encourage the teacher to redirect the child to activities that are focused on
school performance.
c. Educate the teacher that this a common reaction in children of this age and it is
best for the teacher to offer reassurance that he is safe.
d. Instruct the teacher to prohibit discussion of this topic in class because children
in this age-group cannot understand the finality of death. Ans✓✓✓ c. Educate
the teacher that this a common reaction in children of this age and it is best for
the teacher to offer reassurance that he is safe.
A 14-year-old client has just been admitted to the psychiatric unit for anorexia
nervosa. She is emaciated and refuses to eat. What is the priority nursing
diagnosis for this client?
a. Complicated grieving
b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe) Ans✓✓✓ b. Imbalanced nutrition: Less than body
requirements.
,A battered woman presents to the emergency department with multiple cuts and
abrasions. Her right eye is swollen shut. She says that her husband did this to her.
What is the priority nursing intervention?
a. Tending to the immediate care of her wounds
b. Providing her with information about a safe place to stay
c. Administering the prn tranquilizer ordered by the physician
d. Explaining how she may go about bringing charges against her husband
Ans✓✓✓ a. Tending to the immediate care of her wounds
A child with ADHD is admitted to a residential treatment program. Which of the
following group activities would be most appropriate for the nurse to
recommend?
a. Monopoly
b. Volleyball
c. Pool
d. Checkers Ans✓✓✓ b. Volleyball
A child, age 5, is sent to the school nurse's office with an upset stomach. She has
vomited and soiled her blouse. When the nurse removes her blouse, she notices
that the child has numerous bruises on her arms and torso in various stages of
healing. She also notices some small scars, and her abdomen protrudes on her
small, thin frame. From the objective physical assessment, the nurse should
screen further for:
,a. Physical and sexual abuse.
b. Physical abuse and neglect.
c. Emotional neglect.
d. Sexual and emotional abuse. Ans✓✓✓ b. Physical abuse and neglect.
A client arrives at the emergency department and tells the nurse her husband
inflicted the cuts to her face that required sutures. She says, "I didn't want to
come. I'm really okay. He only does this when he has too much to drink. I just
shouldn't have yelled at him." The best response by the nurse is:
a. "How often does he drink too much?"
b. "It is not your fault. You did the right thing by coming here."
c. "How many times has he done this to you?"
d. "He is not a good husband. You have to leave him before he kills you."
Ans✓✓✓ b. "It is not your fault. You did the right thing by coming here."
A client diagnosed with borderline personality disorder manipulates the staff in an
effort to fulfill her own desires. All of the following may be examples of
manipulative behaviors in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing the assigned nurse
has explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse. You're the best one
around here."
d. Cutting arms with razor blade after discussing dismissal plans with physician.
Ans✓✓✓ a. Refusal to stay in a room alone, stating, "It's so lonely."
, A client diagnosed with generalized anxiety disorder has been prescribed
buspirone 15 mg daily. He says to the nurse, "Why do I have to take this every
day? My friend's doctor ordered Xanax for him, and he only takes it when he is
feeling anxious." Which of the following would be an appropriate response by the
nurse?
a. "Xanax is not effective for generalized anxiety disorder."
b. "Buspirone must be taken daily in order to be effective."
c. "I will ask the doctor if he will change your dose of buspirone to prn so that you
don't have to take it every day."
d. "Your friend really should be taking the Xanax every day." Ans✓✓✓ b.
"Buspirone must be taken daily in order to be effective."
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. Ans✓✓✓ b. Lack of understanding about the
correlation of symptoms and stress.
A client diagnosed with somatic symptom disorder tells the nurse about a pain in
her side. She says she has not experienced it before. Which is the most
appropriate response by the nurse?
