Mental exam 3
1. The nurse is educating a 20yr old client who has post traumatic stress disorder (PTSD)
about the disorder. The client was sexually assaulted during a live concert. Which of the
following is included in the criteria for a diagnosis of PTSD?
a) looking at pictures of concerts on the internet repeatedly
b) listening to the same music from the concert throughout the day
c) increased attendance to live concerts with friends
d) recurring dreams of the incident during the live concert. Page 599 (dsm-5).
1. The Nurse is caring for a client who was found confused and wandering around a
playground. The client is unable to identify who they are and where they live. The nurse
expects that the client is experiencing
a) Acute stress disorder
b) Dissociative fugue (pg 637) A subtype of dissociative amnesia is dissociative fugue. It is
characterized by sudden unexpected travel and an inability to recall one’s identity and
information about some or all of the past.
c) Depersonalization disorder
d) Dissociative identity disorder
2. The nurse is caring for a 6yr old child who has post-traumatic stress disorder (PTSD).
The parents are concerned because the child has stopped playing with friends and
continues to draw pictures of themselves as a bad guy. Which of the following responses
is appropriate for the nurse to tell the parents?
a) “Don’t worry. This will pass with time”
b) “just let them be alone, a child this age needs to deal with these emotions internally”
c) “Let's speak with a doctor, your child needs some intense therapy”
d) “This is part of the grieving process and a response to the trauma”
3. The nurse is caring for a client with unexplained recurring abdominal pain. Multiple
medical tests have been administred with no significant findings. After assessing the
clients pain, which of the following assessment questions should the nurse ask the
client? (somatic disorder 661)
a) “Have you considered this is not real pain and is in your head?”
b) “Have you faked pain before to get attention?”
c) “Have you tried to just take more antacids?”
d) Have you been seen by anyone in the past for this problem?”
4. The nurse is working on the mental health unit is caring for a newly admitted client. The
client was in and argument with their spouse. The spouse asked for a devoirce and
, suddenly the client could not hear anymore. Which of the following conditions should the
nurse identify the client is experiencing?
a) Factitious disorder
b) Illness anxiety disorder
c) Conversion disorder (pg 663 functional neurological disorder)
d) Somatic symptom disorder
5. The nurse is caring for a 8yr old child who was brought to the emergency department by
a parent. The nurse reviews the information from the chart below and recognizes that
this may be an instance of
ED note- 8yr old female, diagnosis: rule out back pain, VS: WNL
Lab results- WBC: 10.0/mm, X-ray: no visible abnormalities
History- 6th visit to the ED in 6months. Unable to verify any illness or concern during
previous visits. Parent states “I have a very sickly child who needs medical attention
regardless of what the tests show”
a) Factitious disorder
Factitious disorder imposed on others which a caregiver deliberately falsifies
illness in a vulnerable dependent
b) Conversion disorder
c) Somatic symptom disorder
d) Anxiety disorder
6. The nurse is preparing a care plan for a newly admitted 73yrold 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) Encourage client to attend socialization groups
b) Monitor nutritional intake during admission
c) Provide grief counseling services while on unit
d) Engage with client each shift to develop coping skills
7. The nurse is preparing to discharge an elderly client who has multiple diagnoses
including hypertension, diabetes, anxiety, and asthma. Which of the following
information regarding medication management should the nurse include in clients
discharge teaching?
a) “Keep track of all of the medications that are in your medication cabinet, even if
not prescribed to you”
b) “Attend any follow-up appointments by yourself so you dont appear incompetent”
c) “Go through your medications every 2yrs to dispose of any that are expired”
d) “Use a calendar to help remind you to take your medications”
1. The nurse is educating a 20yr old client who has post traumatic stress disorder (PTSD)
about the disorder. The client was sexually assaulted during a live concert. Which of the
following is included in the criteria for a diagnosis of PTSD?
a) looking at pictures of concerts on the internet repeatedly
b) listening to the same music from the concert throughout the day
c) increased attendance to live concerts with friends
d) recurring dreams of the incident during the live concert. Page 599 (dsm-5).
1. The Nurse is caring for a client who was found confused and wandering around a
playground. The client is unable to identify who they are and where they live. The nurse
expects that the client is experiencing
a) Acute stress disorder
b) Dissociative fugue (pg 637) A subtype of dissociative amnesia is dissociative fugue. It is
characterized by sudden unexpected travel and an inability to recall one’s identity and
information about some or all of the past.
c) Depersonalization disorder
d) Dissociative identity disorder
2. The nurse is caring for a 6yr old child who has post-traumatic stress disorder (PTSD).
The parents are concerned because the child has stopped playing with friends and
continues to draw pictures of themselves as a bad guy. Which of the following responses
is appropriate for the nurse to tell the parents?
a) “Don’t worry. This will pass with time”
b) “just let them be alone, a child this age needs to deal with these emotions internally”
c) “Let's speak with a doctor, your child needs some intense therapy”
d) “This is part of the grieving process and a response to the trauma”
3. The nurse is caring for a client with unexplained recurring abdominal pain. Multiple
medical tests have been administred with no significant findings. After assessing the
clients pain, which of the following assessment questions should the nurse ask the
client? (somatic disorder 661)
a) “Have you considered this is not real pain and is in your head?”
b) “Have you faked pain before to get attention?”
c) “Have you tried to just take more antacids?”
d) Have you been seen by anyone in the past for this problem?”
4. The nurse is working on the mental health unit is caring for a newly admitted client. The
client was in and argument with their spouse. The spouse asked for a devoirce and
, suddenly the client could not hear anymore. Which of the following conditions should the
nurse identify the client is experiencing?
a) Factitious disorder
b) Illness anxiety disorder
c) Conversion disorder (pg 663 functional neurological disorder)
d) Somatic symptom disorder
5. The nurse is caring for a 8yr old child who was brought to the emergency department by
a parent. The nurse reviews the information from the chart below and recognizes that
this may be an instance of
ED note- 8yr old female, diagnosis: rule out back pain, VS: WNL
Lab results- WBC: 10.0/mm, X-ray: no visible abnormalities
History- 6th visit to the ED in 6months. Unable to verify any illness or concern during
previous visits. Parent states “I have a very sickly child who needs medical attention
regardless of what the tests show”
a) Factitious disorder
Factitious disorder imposed on others which a caregiver deliberately falsifies
illness in a vulnerable dependent
b) Conversion disorder
c) Somatic symptom disorder
d) Anxiety disorder
6. The nurse is preparing a care plan for a newly admitted 73yrold 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) Encourage client to attend socialization groups
b) Monitor nutritional intake during admission
c) Provide grief counseling services while on unit
d) Engage with client each shift to develop coping skills
7. The nurse is preparing to discharge an elderly client who has multiple diagnoses
including hypertension, diabetes, anxiety, and asthma. Which of the following
information regarding medication management should the nurse include in clients
discharge teaching?
a) “Keep track of all of the medications that are in your medication cabinet, even if
not prescribed to you”
b) “Attend any follow-up appointments by yourself so you dont appear incompetent”
c) “Go through your medications every 2yrs to dispose of any that are expired”
d) “Use a calendar to help remind you to take your medications”
