NUR 2459 Mental Health questions with verified
answers
"The individual has an exaggerated feeling of importance, power,
knowledge or identity." This is an example of: Ans✓✓✓ Delusion of
Grandeur
•A client receives lorazepam (Ativan) because of a high Clinical Institute
Withdrawal Assessment (CIWA) score. What is the rationale for this
pharmacological intervention?
•1. Lorazepam is a medication that decreases cravings in clients who
are experiencing alcohol induced withdrawal.
•2. Lorazepam is a deterrent therapy that helps to motivate clients to
maintain alcohol abstinence.
•3. Lorazepam is a substitution therapy to decrease the intensity of
withdrawal symptoms.
•4. Lorazepam is a central nervous system stimulant that decreases the
CIWA score. Ans✓✓✓ •3. Lorazepam is a substitution therapy to
decrease the intensity of withdrawal symptoms.
•A disheveled client diagnosed with schizophrenia has bad body odor
and halitosis. Which nursing diagnosis reflects this client's current
problem?
•
•1. Social isolation
•2. Impaired home maintenance
,•3. Interrupted family processes
•4. Self-care deficit Ans✓✓✓ •4. Self-care deficit
•Although symptoms of schizophrenia occur at various times in the life
span, what client would more likely be diagnosed?
•
•1. 10-year-old girl
•2. 20-year-old man
•3. 50-year-old woman
•4. 65-year-old man Ans✓✓✓ . 20-year-old man
•In working with clients with late stage NCD due to Alzheimer's disease,
which is a priority nursing intervention?
•
•1. Assist the client in consuming fluids and food to prevent electrolyte
imbalance
•2. Reorient the client to place and time frequently to reduce confusion
and fear
•3. Encourage the client to participate in activities of daily living
promoting self-worth
•4.Assist with ambulation to avoid injury from falls Ans✓✓✓ •1. Assist
the client in consuming fluids and food to prevent electrolyte
imbalance
,•Studies have indicated that drastically reduced levels of acetylcholine
are noted in the brains of individuals diagnosed with NCD due to
Alzheimer's disease. Which cognitive deficit is primarily associated with
this reduction?
•
•1. Loss of memory
•2. Loss of purposeful movement
•3. Loss of sensory ability to recognize objects
•4. Loss of language ability Ans✓✓✓ •1. Loss of memory
•The children's saying :Step on a crack and you break your mother's
back" is an example of which type of thinking?
•
•1. Concrete thinking
•2. Thinking using neologisms
•3. Magical thinking
•4. Thinking using clang associations Ans✓✓✓ •3. Magical thinking
•The following clients are waiting to be seen in the emergency
department. Which client should the nurse assess first?
•
•1. A client diagnosed with cocaine use disorder experiencing chest
pain
•2. An intoxicated client with a long history of alcohol use disorder
, •3. A client who recently experienced a "bad trip" from lysergic acid
diethylamide (LSD)
•4. A woman who thinks she has been given flunitrazepam (Rohypnol)
Ans✓✓✓ •A client diagnosed with cocaine use disorder experiencing
chest pain
•The nurse documents that a client diagnosed with schizophrenia is
expressing a flat affect. What is an example of this symptom?
•
•1. The client laughs when told of the death of his or her mother
•2. The client sits alone and does not interact with others
•3. The client exhibits no emotional expression
•4. The client experiences no emotional feelings Ans✓✓✓ •3. The
client exhibits no emotional expression
•The nurse suspects a client is experiencing delirium. Which specific
assessment information would support this suspicion?
•
•1. A decreased level of consciousness with intermittent hypervigilance
•2. Slow onset of confusion and agitation
•3. Onset is insidious and relentless
•4. The symptoms last for 1 month or longer Ans✓✓✓ •1. A decreased
level of consciousness with intermittent hypervigilance
answers
"The individual has an exaggerated feeling of importance, power,
knowledge or identity." This is an example of: Ans✓✓✓ Delusion of
Grandeur
•A client receives lorazepam (Ativan) because of a high Clinical Institute
Withdrawal Assessment (CIWA) score. What is the rationale for this
pharmacological intervention?
•1. Lorazepam is a medication that decreases cravings in clients who
are experiencing alcohol induced withdrawal.
•2. Lorazepam is a deterrent therapy that helps to motivate clients to
maintain alcohol abstinence.
•3. Lorazepam is a substitution therapy to decrease the intensity of
withdrawal symptoms.
•4. Lorazepam is a central nervous system stimulant that decreases the
CIWA score. Ans✓✓✓ •3. Lorazepam is a substitution therapy to
decrease the intensity of withdrawal symptoms.
•A disheveled client diagnosed with schizophrenia has bad body odor
and halitosis. Which nursing diagnosis reflects this client's current
problem?
•
•1. Social isolation
•2. Impaired home maintenance
,•3. Interrupted family processes
•4. Self-care deficit Ans✓✓✓ •4. Self-care deficit
•Although symptoms of schizophrenia occur at various times in the life
span, what client would more likely be diagnosed?
•
•1. 10-year-old girl
•2. 20-year-old man
•3. 50-year-old woman
•4. 65-year-old man Ans✓✓✓ . 20-year-old man
•In working with clients with late stage NCD due to Alzheimer's disease,
which is a priority nursing intervention?
•
•1. Assist the client in consuming fluids and food to prevent electrolyte
imbalance
•2. Reorient the client to place and time frequently to reduce confusion
and fear
•3. Encourage the client to participate in activities of daily living
promoting self-worth
•4.Assist with ambulation to avoid injury from falls Ans✓✓✓ •1. Assist
the client in consuming fluids and food to prevent electrolyte
imbalance
,•Studies have indicated that drastically reduced levels of acetylcholine
are noted in the brains of individuals diagnosed with NCD due to
Alzheimer's disease. Which cognitive deficit is primarily associated with
this reduction?
•
•1. Loss of memory
•2. Loss of purposeful movement
•3. Loss of sensory ability to recognize objects
•4. Loss of language ability Ans✓✓✓ •1. Loss of memory
•The children's saying :Step on a crack and you break your mother's
back" is an example of which type of thinking?
•
•1. Concrete thinking
•2. Thinking using neologisms
•3. Magical thinking
•4. Thinking using clang associations Ans✓✓✓ •3. Magical thinking
•The following clients are waiting to be seen in the emergency
department. Which client should the nurse assess first?
•
•1. A client diagnosed with cocaine use disorder experiencing chest
pain
•2. An intoxicated client with a long history of alcohol use disorder
, •3. A client who recently experienced a "bad trip" from lysergic acid
diethylamide (LSD)
•4. A woman who thinks she has been given flunitrazepam (Rohypnol)
Ans✓✓✓ •A client diagnosed with cocaine use disorder experiencing
chest pain
•The nurse documents that a client diagnosed with schizophrenia is
expressing a flat affect. What is an example of this symptom?
•
•1. The client laughs when told of the death of his or her mother
•2. The client sits alone and does not interact with others
•3. The client exhibits no emotional expression
•4. The client experiences no emotional feelings Ans✓✓✓ •3. The
client exhibits no emotional expression
•The nurse suspects a client is experiencing delirium. Which specific
assessment information would support this suspicion?
•
•1. A decreased level of consciousness with intermittent hypervigilance
•2. Slow onset of confusion and agitation
•3. Onset is insidious and relentless
•4. The symptoms last for 1 month or longer Ans✓✓✓ •1. A decreased
level of consciousness with intermittent hypervigilance
