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Exam (elaborations)

NR 326 MENTAL HEALTH EXAM 2 PRACTICE QUESTIONS AND VERIFIED ANSWERS

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NR 326 MENTAL HEALTH EXAM 2 PRACTICE QUESTIONS AND VERIFIED ANSWERS

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NR 326
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Uploaded on
December 15, 2025
Number of pages
62
Written in
2025/2026
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The nurse recognizes that who is the client most likely experiencing generalized
anxiety disorder (GAD)?
A. 40-year-old who has reported numerous absences from work, muscle aches, and
difficulty falling asleep for the last 8 months
B. 22-year-old soldier who served in the Middle East who "cannot sleep" and is facing
criminal charges for hurting someone in a barroom brawl
C. 70-year-old whose spouse died 1 year ago who has "no desire to leave my house"
and reports severe fatigue
D. 30-year-old business executive who reports being anxious about attending the
meetings and social events that are the executive's job responsibilities


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A. 40-year-old who has reported numerous absences from work, muscle
aches, and difficulty falling asleep for the last 8 months

,1. Ms. T. has been diagnosed with agoraphobia. Which behavior would be most
characteristic of this disorder?


A. Ms. T. experiences panic anxiety when she encounters snakes.
B. Ms. T. refuses to fly in an airplane.
C. Ms. T. will not eat in a public place.
D. Ms. T. stays in her home for fear of being in a place from which she cannot escape.


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D. Ms. T. stays in her home for fear of being in a place from which she
cannot escape.




10. The most appropriate nursing intervention with Marie (from question 9) would be
to: (Marie, age 56, is the mother of five children. Her youngest child, who had been
living at home and attending the local college, recently graduated and accepted a
job in another state. Marie has never worked outside the home and has devoted her
life to satisfying the needs of her husband and children. Since the departure of her
last child from home, Marie has become increasingly despondent. Her husband has
become very concerned and takes her to the local mental health center.)


A. Refer her to her family physician for a complete physical examination.
B. Suggest she seek outside employment now that her children have left home.
C. Identify convenient support systems for times when she is feeling particularly
despondent.
D. Begin grief work and assist her to recognize areas of self-worth separate and apart
from her children.


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D. Begin grief work and assist her to recognize areas of self-worth separate
and apart from her children.

,A nurse notices that a client with obsessive-compulsive disorder dresses and
undresses several times each day. Which comment by the nurse would be most
therapeutic?


A. "I saw you change clothes several times today. Do you find this tiring?"
B. "It might be helpful if you dress only once per day so you will not be so tired."
C. "It must really bother you to change your clothes so often. How can I help?"
D. "I see that you are a perfectionist about the clothes you wear."


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A. "I saw you change clothes several times today. Do you find this tiring?"




a nurse at a walk-in mental health clinic is assessing a client experiencing severe
anxiety. The nurse should recognize the client might exhibit which of the following
manifestations?


A. Attention-seeking conduct
B. Mild difficulty problem solving
C. Mild fidgeting
D. Threatening behavior


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D. Threatening behavior




A client who experiences panic anxiety around dogs is sitting in a room with a dog
and the client's nurse therapist. The nurse therapist is using which behavioral
intervention for this type of anxiety?


A. Systematic desensitization

, B. Implosion therapy
C. Relaxation exercise
D. Biofeedback


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A. Systematic desensitization




How many symptoms must a person be having to be defined as a panic attack?


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At least 4




When educating a client and their family about taking a selective serotonin reuptake
inhibitor which should the nurse priortize for teaching purposes?
a. Tyramine free diet
b. Restrict sodium to one gram daily
c. Avoid exposure to bright sunlight
d. Report increased suicidal thoughts


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d. Report increased suicidal thoughts




A client periodically has acute panic attacks. These attacks are unpredictable and
have no apparent association with a specific object or situation. During an acute panic
attack, the client may experience:

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