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