,You are absolutely correct, and I sincerely apologize for the error. You asked for **100
questions**, and I only provided **50**. I clearly did not follow your explicit instructions.
Here is the complete, corrected set of **100 questions** for **NUR 253 Mental Health Exam
3**.
---
1. A nurse is educating a client who has post-traumatic stress disorder (PTSD). Which of the
following statements about the disorder is accurate according to DSM-5 criteria?
A) Clients with PTSD will revisit the physical place where the trauma occurred.
B) Marked physiological reactions to reminders of the traumatic event are characteristic.
C) A thankful attitude for being alive is common with this condition.
D) PTSD occurs only when directly experiencing a traumatic event, not when witnessing it.
Correct Answer: Marked physiological reactions to reminders of the traumatic event are
characteristic.
Rationale: DSM-5 criteria for PTSD include marked physiological reactions to internal or external
cues that symbolize or resemble an aspect of the traumatic event . The disorder can occur from
directly experiencing, witnessing, or learning about a traumatic event, not only direct
experience . Avoidance of trauma-related stimuli is a hallmark symptom .
2. A client has been admitted to the mental health unit after a sudden and unexpected divorce.
The client presents with confusion, inability to hear, and no identifiable physical cause. The
nurse should identify that the client is most likely experiencing which condition?
A) Somatic symptom disorder
B) Conversion disorder
C) Illness anxiety disorder
,D) Factitious disorder
Correct Answer: Conversion disorder
Rationale: Conversion disorder involves symptoms affecting voluntary motor or sensory function
that suggest a neurological condition, with psychological factors judged to be associated with
the symptoms . The sudden loss of hearing following a stressful event with no identifiable
physical cause is characteristic of conversion disorder.
3. The nurse is preparing a care plan for a newly admitted 73-year-old client who lost their
spouse last year and is suffering from depression. After assessing for suicidal ideation, which of
the following interventions is a priority for this client?
A) Teach the client new coping skills.
B) Monitor the client's nutritional intake during admission.
C) Encourage the client to attend socialization groups.
D) Offer grief counseling services to the client while on the unit.
Correct Answer: Offer grief counseling services to the client while on the unit.
Rationale: The client is experiencing depression following the loss of a spouse, and addressing
the underlying grief is a priority intervention . Grief counseling can help the client process their
loss and develop healthier coping strategies while receiving inpatient care .
4. A nurse is caring for a 6-year-old child who has PTSD. The parents are concerned because the
child has stopped playing with friends and draws pictures of themselves as a "bad guy." Which
response by the nurse is appropriate?
A) "Let's speak with the doctor; your child needs some intense therapy."
B) "Don't worry. This will pass within several months."
C) "This is part of the grieving process and a response to the trauma."
, D) "Just sit with them quietly; a child this age needs to deal with these emotions internally."
Correct Answer: "This is part of the grieving process and a response to the trauma."
Rationale: Children with PTSD often exhibit regressive behaviors, social withdrawal, and may
reenact aspects of the trauma through play or drawings . The child's behavior is a normal
response to trauma, and explaining this to the parents is appropriate . Dismissing the behavior
or suggesting intense therapy without further assessment is not the most therapeutic initial
response .
5. The nurse is caring for a client who was admitted with somatization. The nurse is identifying
potential secondary gains the client may be experiencing. Which of the following should the
nurse consider a secondary gain?
A) Decreased income
B) Increased attention
C) Increased pain
D) Decreased mobility
Correct Answer: Increased attention
Rationale: Secondary gains are the external benefits derived from an illness, such as increased
attention, sympathy, or relief from responsibilities . Increased attention is a classic secondary
gain in somatization disorders. Decreased income is a loss, and increased pain and decreased
mobility are primary symptoms.
6. The nurse is caring for a client with unexplained recurring abdominal pain. Multiple medical
tests have been administered with no significant findings. After assessing the client's pain,
which question should the nurse ask the client?
A) "Have you tried to just take more antacids?"
questions**, and I only provided **50**. I clearly did not follow your explicit instructions.
Here is the complete, corrected set of **100 questions** for **NUR 253 Mental Health Exam
3**.
---
1. A nurse is educating a client who has post-traumatic stress disorder (PTSD). Which of the
following statements about the disorder is accurate according to DSM-5 criteria?
A) Clients with PTSD will revisit the physical place where the trauma occurred.
B) Marked physiological reactions to reminders of the traumatic event are characteristic.
C) A thankful attitude for being alive is common with this condition.
D) PTSD occurs only when directly experiencing a traumatic event, not when witnessing it.
Correct Answer: Marked physiological reactions to reminders of the traumatic event are
characteristic.
Rationale: DSM-5 criteria for PTSD include marked physiological reactions to internal or external
cues that symbolize or resemble an aspect of the traumatic event . The disorder can occur from
directly experiencing, witnessing, or learning about a traumatic event, not only direct
experience . Avoidance of trauma-related stimuli is a hallmark symptom .
2. A client has been admitted to the mental health unit after a sudden and unexpected divorce.
The client presents with confusion, inability to hear, and no identifiable physical cause. The
nurse should identify that the client is most likely experiencing which condition?
A) Somatic symptom disorder
B) Conversion disorder
C) Illness anxiety disorder
,D) Factitious disorder
Correct Answer: Conversion disorder
Rationale: Conversion disorder involves symptoms affecting voluntary motor or sensory function
that suggest a neurological condition, with psychological factors judged to be associated with
the symptoms . The sudden loss of hearing following a stressful event with no identifiable
physical cause is characteristic of conversion disorder.
3. The nurse is preparing a care plan for a newly admitted 73-year-old client who lost their
spouse last year and is suffering from depression. After assessing for suicidal ideation, which of
the following interventions is a priority for this client?
A) Teach the client new coping skills.
B) Monitor the client's nutritional intake during admission.
C) Encourage the client to attend socialization groups.
D) Offer grief counseling services to the client while on the unit.
Correct Answer: Offer grief counseling services to the client while on the unit.
Rationale: The client is experiencing depression following the loss of a spouse, and addressing
the underlying grief is a priority intervention . Grief counseling can help the client process their
loss and develop healthier coping strategies while receiving inpatient care .
4. A nurse is caring for a 6-year-old child who has PTSD. The parents are concerned because the
child has stopped playing with friends and draws pictures of themselves as a "bad guy." Which
response by the nurse is appropriate?
A) "Let's speak with the doctor; your child needs some intense therapy."
B) "Don't worry. This will pass within several months."
C) "This is part of the grieving process and a response to the trauma."
, D) "Just sit with them quietly; a child this age needs to deal with these emotions internally."
Correct Answer: "This is part of the grieving process and a response to the trauma."
Rationale: Children with PTSD often exhibit regressive behaviors, social withdrawal, and may
reenact aspects of the trauma through play or drawings . The child's behavior is a normal
response to trauma, and explaining this to the parents is appropriate . Dismissing the behavior
or suggesting intense therapy without further assessment is not the most therapeutic initial
response .
5. The nurse is caring for a client who was admitted with somatization. The nurse is identifying
potential secondary gains the client may be experiencing. Which of the following should the
nurse consider a secondary gain?
A) Decreased income
B) Increased attention
C) Increased pain
D) Decreased mobility
Correct Answer: Increased attention
Rationale: Secondary gains are the external benefits derived from an illness, such as increased
attention, sympathy, or relief from responsibilities . Increased attention is a classic secondary
gain in somatization disorders. Decreased income is a loss, and increased pain and decreased
mobility are primary symptoms.
6. The nurse is caring for a client with unexplained recurring abdominal pain. Multiple medical
tests have been administered with no significant findings. After assessing the client's pain,
which question should the nurse ask the client?
A) "Have you tried to just take more antacids?"
