NUR 356 MENTAL HEALTH EXAM 3 PRACTICE
QUESTIONS
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NUR 356 Exam 3 Practice Questions
Chuck came into his parents' home and witnessed his parents' murder scene.
The police and forensics arrived at this site and cordoned off the crime scene.
Chuck was taken home by friends where he later reported blindness. A full
examination was conducted at the hospital, where no physical reason for the
blindness was found. The unlicensed assistive personnel asked the RN, what
is the diagnosis?
A. Hypochondria
B. Illness anxiety disorder
C. Conversion disorder
D. Body dysmorphic
C. Conversion disorder
Rationale: This patient is presenting with conversion disorder, a medical condition
that is psychologically driven that has no basis for the symptoms. The client will lose
function in a body system. This happens when the client has experienced a
traumatic event.
A COWS scale is used to assess and monitor symptoms of ____?
Opiate/opioid withdrawal
The client is experiencing an episode of acute anxiety. The nurse will expect to
observe which common coping behaviors?
A. Social withdrawal
B. Attention seeking
C. Increased ability to problem solve
D. Hypersomnia
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A. Social withdrawal
Rationale: The client in acute anxiety is not able to sleep, problem solve, or desire
attention. This client will begin to socially withdraw. This client will require an
environment with minimal stimulation.
Which statement indicates to the nurse that a client is experiencing a
delusion?
A. "The government is watching everything I do."
B. "There is a snake on the back of the television."
C. "Spiders are crawling on the walls."
D. "I don't care to do counseling today."
A. "The government is watching everything I do."
Rationale: This statement indicates the client is experiencing a delusion. Delusions
are fixed, false beliefs that are irrational and that the individual maintains are true
despite evidence to the contrary.
A 21-year-old client diagnosed with dissociative identity disorder, presents in
the emergency department (ED) after attempting suicide. Which data obtained
during the client's health history would support the current diagnosis?
A. Recent drug abuse and living homelessness
B. Sexual abuse by biological parent during childhood
C. Unidentified continuous abdominal and neck pain
D. Multiple somatic and psychological issues over the past 6 months
B. Sexual abuse by biological parent during childhood
Rationale:
Clients with DID have sustained horrific physical and psychological abuse over time.
These events lead to the client experiencing multiple ego states that help the client
survive the trauma.
A nurse is working with a client that states being in public places causes them
debilitating anxiety and even panic. Which therapies will the nurse provide
education on? (Select all that apply)