“ MENTAL HEALTH NURSING FINAL EXAM
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Mental health nursing final exam
A soldier returns to the United States from active duty in a combat zone. The
soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's
highest priority is to screen this soldier for which problem?
A) major depressive disorder
B) dementia
C) bipolar disorder
D) schizophrenia
A) major depressive disorder
A soldier returned 1 year ago from Afghanistan and was diagnosed with
posttraumatic stress disorder (PTSD). Which social event would most likely be
disturbing for this soldier?
A) fireworks display on July 4th
B) singing carols around a Christmas tree
C) family outing to the seashore
D) Halloween festival with neighborhood children
A) fireworks display on July 4th
A soldier served in combat zones in Iraq in 2010 and was deployed to
Afghanistan in 2014. When is it most important for the nurse to screen for
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signs and symptoms of posttraumatic stress disorder (PTSD)?
A) immediately upon return to the United States from Afghanistan
B) before departing Afghanistan to return to the United States
C) two years after returning from Afghanistan
D) screening should be ongoing
D) screening should be ongoing
A veteran of military combat tells the nurse, "I saw a child get blown up over a
year ago, and now I keep seeing bits of flesh everywhere. I see something red
and the visions race back to my mind." Which phenomenon associated with
posttraumatic stress disorder (PTSD) is this veteran describing?
A) psychosis
B) hyperarousal
C) avoidance
D) re-experiencing
D) re-experiencing
A soldier who served in a combat zone returned to the United States. The
soldier's spouse complains to the nurse, "We had planned to start a family, but
now he won't talk about it. He won't even look at children." The spouse is
describing which symptom associated with posttraumatic stress disorder
(PTSD)?
A) re-experiencing
B) avoidance
C) psychosis
D) hyperarousal
B) avoidance
A soldier returned home last year after deployment to a war zone. The soldier's
spouse reports, "We were going to start a family but now he won't talk about it.
He will not look at children. I wonder if we're going to make it as a couple."
What response best addresses the spouse's concerns?
A) "Have you talked with your spouse about these reactions? Sometimes we
just need to confront behavior."
B) "Posttraumatic stress disorder often changes a person's sexual
functioning."
C) "I encourage you to continue to participate in social activities where
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children are present."
D) "Posttraumatic stress disorder often strains relationships. I will suggest
some community resources for help and support."
D) "Posttraumatic stress disorder often strains relationships. I will suggest some
community resources for help and support."
An individual has been diagnosed with a dissociative disorder. Which
comorbid psychiatric disorders are most likely to accompany this type of
mental illness? (Select all that apply.)
A) schizophrenia
B) substance use disorders
C) depression
D) personality disorders
E) eating disorders
B) substance use disorders
C) depression
D) personality disorders
E) eating disorders
A nurse wishes to teach alternative coping strategies to a patient experiencing
severe anxiety. The nurse will first need to:
A) verify the patients learning style
B) assess how the patient uses defense mechanisms
C) lower the patients current anxiety level
D) create outcomes and a teaching plan
C) lower the patients current anxiety level
A patient approaches the nurse and impatiently blurts out, "You've got to help
me! Something terrible is happening. My heart is pounding." The nurse
responds, "It's almost time for visiting hours. Let's get your hair combed."
Which approach has the nurse used?
A) focusing
B) responding to physical needs
C) bringing up an irrelevant topic
D) addressing false cognitions
C) bringing up an irrelevant topic
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A patient with a high level of motor activity runs from chair to chair and cries,
"They're coming! They're coming!" The patient is unable to follow instructions
or respond to verbal interventions from staff. Which nursing diagnosis has the
highest priority?
A) risk for injury
B) disturbed thought processes
C) self-care deficit
D) disturbed energy field
A) risk for injury
A supervisor assigns a worker a new project. The worker initially agrees but
feels resentful. The next day, when asked about the project, the worker says,
"I've been working on other things." When asked 4 hours later, the worker
says, "Someone else was using the copier, so I couldn't finish it." The worker's
behavior demonstrates the use of what mechanism?
A) passive aggression
B) acting out
C) projection
D) suppression
A) passive aggression
Which assessment question would be most appropriate for the nurse to ask a
patient who is at risk for developing generalized anxiety disorder (GAD)?
A) "do you repeatedly do certain things over and over again?"
B) "do you feel especially uncomfortable in social situations involving
people?"
C) "have you been a victim of a crime or seen someone badly injured or
killed?"
D) "do you find it difficult to control your worrying?"
D) "do you find it difficult to control your worrying?"
A nurse encourages an anxious patient to talk about feelings and concerns.
What is the rationale for this intervention?
A) Encouraging patients to explore alternatives increases the sense of control
and lessens anxiety
B) Concerns stated aloud become less overwhelming and help decrease
feelings of isolation