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WGU D449 PSYCHIATRIC AND MENTAL HEALTH
NURSING EXAMINATION COMPLETE VERIFIED
QUESTIONS AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR||NEWETS EXAM!!
An 86-year-old female client with Alzheimer's disease is
wandering the busy halls of the extended care facility and
asks the nurse, "Where should I stand for the parade?"
Which response is best for the nurse to provide?
A) "Anywhere you want to stand as long as you do not get
hurt by those in the parade."
B) "You are confused because of all the activity in the hall.
There is no parade."
C) "Let us go back to the activity room and see what is
going on in there."
D) "Remember I told you that this is a nursing home and I
am your nurse." - Answer-C. "Let's go back to the activity
room and 1see what is going on there."
Physical examination of a 6-year-old reveals several bite
marks in various locations on his body. X-ray examination
reveals healed fractures of the ribs. The mother tells the
nurse that her child is always having accidents. Which
initial response by the nurse would be most appropriate?
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A) "I need to inform the healthcare provider about your
child's tendency to be accident prone."
B) "Tell me more specifically about your child's accidents."
C) "I must report these injuries to the authorities because
they do not seem accidental."
D) "Boys this age always seem to require more
supervision and can be quite accident prone." - Answer-B.
"Tell me more specifically about your child's accidents."
A child is brought to the emergency room with a broken
arm. Because of other injuries, the nurse suspects the
child may be a victim of abuse. When the nurse tries to
give the child an injection, the child's mother becomes
very loud and shouts, "I won't leave my son! Don't you
touch him! You'll hurt my child!" What is the best
interpretation of the mother's statements? The mother is
A) regressing to an earlier behavior pattern.
B) sublimating her anger.
C) projecting her feelings onto the nurse.
D) suppressing her fear. - Answer-C. projecting her anger.
A 38-year-old female client is admitted with a diagnosis of
paranoid schizophrenia. When her tray is brought to her,
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she refuses to eat and tells the nurse, "I know you are
trying to poison me with that food." Which response is
most appropriate for the nurse to make?
A) "I'll leave your tray here. I am available if you need
anything else."
B) "You're not being poisoned. Why do you think someone
is trying to poison you?"
C) "No one on this unit has ever died from poisoning.
You're safe here."
D) "I will talk to your healthcare provider about the
possibility of changing your diet." - Answer-A. "I'll leave
your tray here. I am available if you need anything else."
At the first meeting of a group of older adults at a daycare
center for the elderly, the nurse asks one of the members
what kinds of things she would like to do with the group.
The older woman shrugs her shoulders and says, "You tell
me, you're the leader." What is the best response for the
nurse to make?
A) "Yes, I am the leader today. Would you like to be the
leader tomorrow?"
B) "Yes, I will be leading this group. What would you like to
accomplish during this time?"
C) "Yes, I have been assigned to be the leader of this
group. I will be here for the next six weeks."
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D) "Yes, I am the leader. You seem angry about not being
the leader yourself." - Answer-B. "Yes, I will be leading this
group. What would you like to accomplish during this
time?"
Over a period of several weeks, one male participant of a
socialization group at a community day care center for the
elderly monopolizes most of the group's time and
interrupts others when they are talking. What is the best
action for the nurse to take in this situation?
A) Talk to the client outside the group about his behavior
during group meetings.
B) Remind the client to allow others in the group a chance
to talk.
C) Allow the group to handle the problem.
D) Ask the client to join another group. - Answer-C. Allow
the group to handle the problem.
A 25-year-old female client has been particularly restless
and the nurse finds her trying to leave the psychiatric unit.
She tells the nurse, "Please let me go! I must leave
because the secret police are after me." Which response
is best for the nurse to make?
A) "No one is after you, you're safe here."
B) "You'll feel better after you have rested."
WGU D449 PSYCHIATRIC AND MENTAL HEALTH
NURSING EXAMINATION COMPLETE VERIFIED
QUESTIONS AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR||NEWETS EXAM!!
An 86-year-old female client with Alzheimer's disease is
wandering the busy halls of the extended care facility and
asks the nurse, "Where should I stand for the parade?"
Which response is best for the nurse to provide?
A) "Anywhere you want to stand as long as you do not get
hurt by those in the parade."
B) "You are confused because of all the activity in the hall.
There is no parade."
C) "Let us go back to the activity room and see what is
going on in there."
D) "Remember I told you that this is a nursing home and I
am your nurse." - Answer-C. "Let's go back to the activity
room and 1see what is going on there."
Physical examination of a 6-year-old reveals several bite
marks in various locations on his body. X-ray examination
reveals healed fractures of the ribs. The mother tells the
nurse that her child is always having accidents. Which
initial response by the nurse would be most appropriate?
,2|Page
A) "I need to inform the healthcare provider about your
child's tendency to be accident prone."
B) "Tell me more specifically about your child's accidents."
C) "I must report these injuries to the authorities because
they do not seem accidental."
D) "Boys this age always seem to require more
supervision and can be quite accident prone." - Answer-B.
"Tell me more specifically about your child's accidents."
A child is brought to the emergency room with a broken
arm. Because of other injuries, the nurse suspects the
child may be a victim of abuse. When the nurse tries to
give the child an injection, the child's mother becomes
very loud and shouts, "I won't leave my son! Don't you
touch him! You'll hurt my child!" What is the best
interpretation of the mother's statements? The mother is
A) regressing to an earlier behavior pattern.
B) sublimating her anger.
C) projecting her feelings onto the nurse.
D) suppressing her fear. - Answer-C. projecting her anger.
A 38-year-old female client is admitted with a diagnosis of
paranoid schizophrenia. When her tray is brought to her,
,3|Page
she refuses to eat and tells the nurse, "I know you are
trying to poison me with that food." Which response is
most appropriate for the nurse to make?
A) "I'll leave your tray here. I am available if you need
anything else."
B) "You're not being poisoned. Why do you think someone
is trying to poison you?"
C) "No one on this unit has ever died from poisoning.
You're safe here."
D) "I will talk to your healthcare provider about the
possibility of changing your diet." - Answer-A. "I'll leave
your tray here. I am available if you need anything else."
At the first meeting of a group of older adults at a daycare
center for the elderly, the nurse asks one of the members
what kinds of things she would like to do with the group.
The older woman shrugs her shoulders and says, "You tell
me, you're the leader." What is the best response for the
nurse to make?
A) "Yes, I am the leader today. Would you like to be the
leader tomorrow?"
B) "Yes, I will be leading this group. What would you like to
accomplish during this time?"
C) "Yes, I have been assigned to be the leader of this
group. I will be here for the next six weeks."
, 4|Page
D) "Yes, I am the leader. You seem angry about not being
the leader yourself." - Answer-B. "Yes, I will be leading this
group. What would you like to accomplish during this
time?"
Over a period of several weeks, one male participant of a
socialization group at a community day care center for the
elderly monopolizes most of the group's time and
interrupts others when they are talking. What is the best
action for the nurse to take in this situation?
A) Talk to the client outside the group about his behavior
during group meetings.
B) Remind the client to allow others in the group a chance
to talk.
C) Allow the group to handle the problem.
D) Ask the client to join another group. - Answer-C. Allow
the group to handle the problem.
A 25-year-old female client has been particularly restless
and the nurse finds her trying to leave the psychiatric unit.
She tells the nurse, "Please let me go! I must leave
because the secret police are after me." Which response
is best for the nurse to make?
A) "No one is after you, you're safe here."
B) "You'll feel better after you have rested."
