PSYCHOLOGY AND MENTAL HEALTH LATEST 2026
Page |1
PSYCHOLOGY AND MENTAL HEALTH LATEST 2026
WGU D449 FINAL ASSESSMENT EXAM (OA)
GRADED A+ COMPLETE 70 QUESTIONS FULLY
SOLVED 100% ORIGINAL|SOLVED
When caring for a client with bulimia nervosa, the nurse
remembers that bulimia nervosa follows a cyclical pattern.
The nurse identifies the first pattern in this cycle as:
1
Hunger resulting from food deprivation and stress
2
Dieting in an attempt to maintain control of one's life
3
Binge eating to numb physical and emotional discomforts
4
Purging in another attempt to regain control and alleviate guilt –
Correct Answer :2
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,PSYCHOLOGY AND MENTAL HEALTH LATEST 2026
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Dieting may be one area of control the person has in her life, and she elects to exercise
control over it. The body does experience hunger, and binge eating serves as emotional
comfort when the person ingests large amounts of calories. Purging is the final phase in this
cycle; individuals are unaware often that purging rids fewer than 50% of the calories
ingested.
What should be a priority of nursing care for a client with a dementia resulting from AIDS?
1
Frequent assessments for pain
2
Planning for remotivational therapy
3
Arranging for long-term custodial care
4
Providing basic intellectual stimulation –
Correct Answer :4
Providing basic intellectual stimulation maintains, for as long as possible, the client's
remaining intellectual functions by providing an opportunity to use them. Although pain
syndromes can occur in clients with dementia resulting from AIDS, frequent pain assessment
is not a priority; providing cognitive stimulation facilitates the use of nonpharmacological
treatments for pain management as long as possible. Remotivation is not always possible
with extensive organic brain damage. There are no data to indicate that the client needs
custodial care at this time.
Hospitalization or day-treatment centers are often indicated for the treatment of a client
with obsessive-compulsive disorder because these settings:
1
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Prevent the client from completing rituals.
2
Allow the staff to exert control over the client's activities.
3
Resolve the client's anxiety because decision making is minimal.
4
Provide the neutral environment the client needs to work through conflicts. –
Correct Answer :4
Clients with obsessive-compulsive disorder can work through their underlying conflicts more
easily or productively when demands are reduced and the routine is simple. Preventing such
a client from carrying out rituals can precipitate a panic reaction. The intent of therapy
should be to help the client gain control, not to enable others to do the controlling. Because
anxiety stems from unconscious conflicts, a controlled environment alone is not enough to
produce resolution.
A nurse notes that a client in the detoxification unit is exhibiting early signs of alcohol
withdrawal. What clinical manifestations might the nurse have noticed? Select all that apply.
1
Tremors
2
Anorexia
3
Agitation
4
Delusions
5
Confusion –
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Correct Answer :12
Hand tremors, related to dysfunction of the nervous system, are an early sign of withdrawal
from alcohol; alcohol depresses the central nervous system, interferes with nerve
conduction, and results in peripheral neuropathy. Signs and symptoms of alcohol
withdrawal begin within 12 hours of cessation or decrease in alcohol consumption, peak in
48 to 72 hours, and usually begin to ease after 4 or 5 days. Anorexia, nausea, and vomiting
are early signs of withdrawal from alcohol; alcohol affects the gastrointestinal system and
can cause gastritis, pancreatitis, hepatitis, and cirrhosis. Psychomotor agitation is a late, not
an early, sign of alcohol withdrawal. Transient visual, auditory, and tactile hallucinations,
rather than delusions, are associated with alcohol withdrawal. Confusion, disorientation, and
impaired cognition are not early signs of alcohol withdrawal; alcohol withdrawal delirium
occurs in less than 10% of those who experience the alcohol withdrawal syndrome.
A client in the psychiatric hospital is attempting to communicate by stating, "Sky, flower,
angry, green, opposite, blanket." The nurse recognizes this type of communication as:
1
Echolalia
2
Word salad
3
Confabulation
4
Flight of ideas –
Correct Answer :2
Word salad is an incoherent mixture of words. Echolalia is a pathologic repetition of
another's words or phrases. Confabulation is the unconscious filling in of memory gaps with
imagined or untrue experiences. Flight of ideas is a speech pattern of rapid transition from
topic to topic. The client's statement is too limited to be considered flight of ideas.
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Page |1
PSYCHOLOGY AND MENTAL HEALTH LATEST 2026
WGU D449 FINAL ASSESSMENT EXAM (OA)
GRADED A+ COMPLETE 70 QUESTIONS FULLY
SOLVED 100% ORIGINAL|SOLVED
When caring for a client with bulimia nervosa, the nurse
remembers that bulimia nervosa follows a cyclical pattern.
The nurse identifies the first pattern in this cycle as:
1
Hunger resulting from food deprivation and stress
2
Dieting in an attempt to maintain control of one's life
3
Binge eating to numb physical and emotional discomforts
4
Purging in another attempt to regain control and alleviate guilt –
Correct Answer :2
P a g e 1 | 331
,PSYCHOLOGY AND MENTAL HEALTH LATEST 2026
Page |2
Dieting may be one area of control the person has in her life, and she elects to exercise
control over it. The body does experience hunger, and binge eating serves as emotional
comfort when the person ingests large amounts of calories. Purging is the final phase in this
cycle; individuals are unaware often that purging rids fewer than 50% of the calories
ingested.
What should be a priority of nursing care for a client with a dementia resulting from AIDS?
1
Frequent assessments for pain
2
Planning for remotivational therapy
3
Arranging for long-term custodial care
4
Providing basic intellectual stimulation –
Correct Answer :4
Providing basic intellectual stimulation maintains, for as long as possible, the client's
remaining intellectual functions by providing an opportunity to use them. Although pain
syndromes can occur in clients with dementia resulting from AIDS, frequent pain assessment
is not a priority; providing cognitive stimulation facilitates the use of nonpharmacological
treatments for pain management as long as possible. Remotivation is not always possible
with extensive organic brain damage. There are no data to indicate that the client needs
custodial care at this time.
Hospitalization or day-treatment centers are often indicated for the treatment of a client
with obsessive-compulsive disorder because these settings:
1
P a g e 2 | 331
,PSYCHOLOGY AND MENTAL HEALTH LATEST 2026
Page |3
Prevent the client from completing rituals.
2
Allow the staff to exert control over the client's activities.
3
Resolve the client's anxiety because decision making is minimal.
4
Provide the neutral environment the client needs to work through conflicts. –
Correct Answer :4
Clients with obsessive-compulsive disorder can work through their underlying conflicts more
easily or productively when demands are reduced and the routine is simple. Preventing such
a client from carrying out rituals can precipitate a panic reaction. The intent of therapy
should be to help the client gain control, not to enable others to do the controlling. Because
anxiety stems from unconscious conflicts, a controlled environment alone is not enough to
produce resolution.
A nurse notes that a client in the detoxification unit is exhibiting early signs of alcohol
withdrawal. What clinical manifestations might the nurse have noticed? Select all that apply.
1
Tremors
2
Anorexia
3
Agitation
4
Delusions
5
Confusion –
P a g e 3 | 331
, PSYCHOLOGY AND MENTAL HEALTH LATEST 2026
Page |4
Correct Answer :12
Hand tremors, related to dysfunction of the nervous system, are an early sign of withdrawal
from alcohol; alcohol depresses the central nervous system, interferes with nerve
conduction, and results in peripheral neuropathy. Signs and symptoms of alcohol
withdrawal begin within 12 hours of cessation or decrease in alcohol consumption, peak in
48 to 72 hours, and usually begin to ease after 4 or 5 days. Anorexia, nausea, and vomiting
are early signs of withdrawal from alcohol; alcohol affects the gastrointestinal system and
can cause gastritis, pancreatitis, hepatitis, and cirrhosis. Psychomotor agitation is a late, not
an early, sign of alcohol withdrawal. Transient visual, auditory, and tactile hallucinations,
rather than delusions, are associated with alcohol withdrawal. Confusion, disorientation, and
impaired cognition are not early signs of alcohol withdrawal; alcohol withdrawal delirium
occurs in less than 10% of those who experience the alcohol withdrawal syndrome.
A client in the psychiatric hospital is attempting to communicate by stating, "Sky, flower,
angry, green, opposite, blanket." The nurse recognizes this type of communication as:
1
Echolalia
2
Word salad
3
Confabulation
4
Flight of ideas –
Correct Answer :2
Word salad is an incoherent mixture of words. Echolalia is a pathologic repetition of
another's words or phrases. Confabulation is the unconscious filling in of memory gaps with
imagined or untrue experiences. Flight of ideas is a speech pattern of rapid transition from
topic to topic. The client's statement is too limited to be considered flight of ideas.
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