NURS 3381 Exam 3 questions with accurate
answers
15. A person comes to the clinic reporting, I wear a scarf across my
lower face when I go out but because of my ugly appearance.
Assessment reveals an average appearance with no actual disfigurement.
Which problem is most likely? Ans✓✓✓ Body dysmorphic disorder
A 12-year- old child has been the neighborhood bully for several years.
The parents say, We cant believe anything our child says. Recently, the
child shot a dog with a pellet gun and set fire to a trash bin outside a
store. The childs behaviors are most consistent with: Ans✓✓✓ conduct
disorder (CD).
A 15-year- old adolescent has run away from home six times. After the
adolescent was arrested for prostitution, the parents told the court, We
cant manage our teenager. The adolescent is physically abusive to the
mother and defiant with the father. The adolescents problem is most
consistent with criteria for: Ans✓✓✓ conduct disorder (CD).
A 15-year-old adolescent is referred to a residential program after an
arrest for theft and running away from home. At the program, the
adolescent refuses to participate in scheduled activities and pushes a
staff member, causing a fall. Which approach by the nursing staff would
be most therapeutic? Ans✓✓✓ Establish firm limits
A 16-year-old adolescent diagnosed with conduct disorder (CD) has
been in a residential program for three months. Which outcome should
,occur before discharge? Ans✓✓✓ The teen and parents create and
consent to a behavioral contract with rules, rewards, and consequences.
A 37-year-old is involuntarily committed to outpatient treatment after
sexually molesting a 12-year-old child. The patient says, That girl
looked like she was 19 years old. Which defense mechanism is this
patient using? Ans✓✓✓ Rationalization
A 4-year-old child cries and screams from the time the parents leave the
child at preschool until the child is picked up 4 hours later. The child is
calm and relaxed when the parents are present. The parents ask, What
should we do? What is the nurses best recommendation? Ans✓✓✓
Talk with your health care provider about a referral to a mental health
professional.
A 5-year-old child diagnosed with attention deficit hyperactivity
disorder (ADHD) bounces out of a chair in the waiting room, runs across
the room, and begins to slap another child. What is the nurses best
action? Ans✓✓✓ Take the child into another room with toys to act out
feelings.
A 5-year-old child moves and talks constantly, is easily distracted, and
does not listen to the parents. The child awakens before the parents
every morning. The child attended kindergarten, but the teacher could
not handle the behavior. What is this childs most likely problem?
Ans✓✓✓ Attention deficit hyperactivity disorder (ADHD)
,A child diagnosed with attention deficit hyperactivity disorder (ADHD)
has hyperactivity, distractibility, and impaired play. The health care
provider prescribed methylphenidate (Concerta). The desired behavior
for which the nurse should monitor is: Ans✓✓✓ improved ability to
participate in play with other children.
A child diagnosed with attention deficit hyperactivity disorder (ADHD)
is going to begin medication therapy. The nurse should plan to teach the
family about which classification of medications? Ans✓✓✓ Central
nervous system stimulants
A child was abducted and raped. Which personal reaction by the nurse
could interfere with the childs care? Ans✓✓✓ Anger
A clinic nurse interviews an adult patient who reports fatigue, back pain,
headaches, and sleep disturbances.
The patient seems tense and then becomes reluctant to provide more
information and hurries to leave. How can the nurse best serve the
patient? Ans✓✓✓ Have the patient complete an abuse assessment
screen.
A college student observes a roommate going out wearing
uncharacteristically seductive clothing, returning 12 to 24 hours later,
and then sleeping for 8 to 12 hours. At other times, the roommate sits on
the floor speaking like a young child. Which health problem should be
considered? Ans✓✓✓ Dissociative identity disorder
, A homeless patient diagnosed with severe and persistent mental illness
became suspicious and delusional.
The patient was given depot antipsychotic medication and housing was
arranged at a local shelter. After 2
weeks, which statement by the patient indicates significant
improvement? Ans✓✓✓ I am feeling safe and comfortable here.
Nobody bothers me.
A hospitalized patient experiencing delirium misinterprets reality, and a
patient diagnosed with dementia wanders about the home. Which
outcome is the priority in both scenarios? Each patient will: Ans✓✓✓
remain safe in the environment.
A hospitalized patient, injured in a fall while intoxicated, believes
spiders are spinning entrapping webs in
the room. The patient is anxious, agitated, and diaphoretic. Which
nursing intervention has priority? Ans✓✓✓ Provide one-on-one
supervision.
A man tells the nurse, All my life, I have felt and acted like a woman
while living in a mans body. For the past year, I have lived and dressed
as a woman. I changed jobs to protect my new identity. Which request is
the patient likely to make to the health care provider? Ans✓✓✓ Will
you prescribe estrogen therapy?
A medical-surgical nurse works with a patient diagnosed with a somatic
system disorder. Care planning is facilitated by understanding that the
answers
15. A person comes to the clinic reporting, I wear a scarf across my
lower face when I go out but because of my ugly appearance.
Assessment reveals an average appearance with no actual disfigurement.
Which problem is most likely? Ans✓✓✓ Body dysmorphic disorder
A 12-year- old child has been the neighborhood bully for several years.
The parents say, We cant believe anything our child says. Recently, the
child shot a dog with a pellet gun and set fire to a trash bin outside a
store. The childs behaviors are most consistent with: Ans✓✓✓ conduct
disorder (CD).
A 15-year- old adolescent has run away from home six times. After the
adolescent was arrested for prostitution, the parents told the court, We
cant manage our teenager. The adolescent is physically abusive to the
mother and defiant with the father. The adolescents problem is most
consistent with criteria for: Ans✓✓✓ conduct disorder (CD).
A 15-year-old adolescent is referred to a residential program after an
arrest for theft and running away from home. At the program, the
adolescent refuses to participate in scheduled activities and pushes a
staff member, causing a fall. Which approach by the nursing staff would
be most therapeutic? Ans✓✓✓ Establish firm limits
A 16-year-old adolescent diagnosed with conduct disorder (CD) has
been in a residential program for three months. Which outcome should
,occur before discharge? Ans✓✓✓ The teen and parents create and
consent to a behavioral contract with rules, rewards, and consequences.
A 37-year-old is involuntarily committed to outpatient treatment after
sexually molesting a 12-year-old child. The patient says, That girl
looked like she was 19 years old. Which defense mechanism is this
patient using? Ans✓✓✓ Rationalization
A 4-year-old child cries and screams from the time the parents leave the
child at preschool until the child is picked up 4 hours later. The child is
calm and relaxed when the parents are present. The parents ask, What
should we do? What is the nurses best recommendation? Ans✓✓✓
Talk with your health care provider about a referral to a mental health
professional.
A 5-year-old child diagnosed with attention deficit hyperactivity
disorder (ADHD) bounces out of a chair in the waiting room, runs across
the room, and begins to slap another child. What is the nurses best
action? Ans✓✓✓ Take the child into another room with toys to act out
feelings.
A 5-year-old child moves and talks constantly, is easily distracted, and
does not listen to the parents. The child awakens before the parents
every morning. The child attended kindergarten, but the teacher could
not handle the behavior. What is this childs most likely problem?
Ans✓✓✓ Attention deficit hyperactivity disorder (ADHD)
,A child diagnosed with attention deficit hyperactivity disorder (ADHD)
has hyperactivity, distractibility, and impaired play. The health care
provider prescribed methylphenidate (Concerta). The desired behavior
for which the nurse should monitor is: Ans✓✓✓ improved ability to
participate in play with other children.
A child diagnosed with attention deficit hyperactivity disorder (ADHD)
is going to begin medication therapy. The nurse should plan to teach the
family about which classification of medications? Ans✓✓✓ Central
nervous system stimulants
A child was abducted and raped. Which personal reaction by the nurse
could interfere with the childs care? Ans✓✓✓ Anger
A clinic nurse interviews an adult patient who reports fatigue, back pain,
headaches, and sleep disturbances.
The patient seems tense and then becomes reluctant to provide more
information and hurries to leave. How can the nurse best serve the
patient? Ans✓✓✓ Have the patient complete an abuse assessment
screen.
A college student observes a roommate going out wearing
uncharacteristically seductive clothing, returning 12 to 24 hours later,
and then sleeping for 8 to 12 hours. At other times, the roommate sits on
the floor speaking like a young child. Which health problem should be
considered? Ans✓✓✓ Dissociative identity disorder
, A homeless patient diagnosed with severe and persistent mental illness
became suspicious and delusional.
The patient was given depot antipsychotic medication and housing was
arranged at a local shelter. After 2
weeks, which statement by the patient indicates significant
improvement? Ans✓✓✓ I am feeling safe and comfortable here.
Nobody bothers me.
A hospitalized patient experiencing delirium misinterprets reality, and a
patient diagnosed with dementia wanders about the home. Which
outcome is the priority in both scenarios? Each patient will: Ans✓✓✓
remain safe in the environment.
A hospitalized patient, injured in a fall while intoxicated, believes
spiders are spinning entrapping webs in
the room. The patient is anxious, agitated, and diaphoretic. Which
nursing intervention has priority? Ans✓✓✓ Provide one-on-one
supervision.
A man tells the nurse, All my life, I have felt and acted like a woman
while living in a mans body. For the past year, I have lived and dressed
as a woman. I changed jobs to protect my new identity. Which request is
the patient likely to make to the health care provider? Ans✓✓✓ Will
you prescribe estrogen therapy?
A medical-surgical nurse works with a patient diagnosed with a somatic
system disorder. Care planning is facilitated by understanding that the
