Rasmussen Mental Health- Final 2023 Exam Questions and Answers

A Client is diagnosed with OCD. What action by the nurse would be more likely to increase the clients anxiety? - ANSWER-changing the schedule throughout the day a 28 yo male client has poor relationships and is suspicious of others. According to Erikson's theory of psychological adjustment, at what stage were tasks unmet? - ANSWER-trust vs mistrust Why is group therapy considered a powerful agent for change with clients diagnosed with substance abuse disorder? - ANSWER-the members can hear from others who have experienced similar experiences What is the priority nursing intervention when providing care to the client who was brought to the ED after a sexual assault? - ANSWER-provide a safe, secure environment A client is admitted with a diagnosis of borderline personality disorder. Which question by the nurse indicates an understanding of the essential features of the disorder? - ANSWER-are you afraid of being alone A 79 year old client admits that his daughter hits him while helping him dress each morning. You explain that this must be reported to the appropriate agency that receives calls of this nature in your state. what is the reason for this action? - ANSWER-you are required to make sure the proper agency is informed The nurse is conducting a presentation for family members on personality disorders. what statement would NOT be included? - ANSWER-medications can quickly treat the problematic symptoms of personality disorders A male partner has injured a client. She states that is the first time he has been physically abusive, but he apologized and has since sent her flowers. What is the intervention by the nurse? - ANSWER-teach her the "cycle of abuse" What would the priority subject for the nurse to discuss with a client diagnosed with OCD? - ANSWER-did you have strict rules as a child What is the difference between post traumatic stress disorder and acute stress disorder? - ANSWER-in acute stress disorder the stress response begins to resolve after the traumatic event A client is diagnosed with agoraphobia. Which question indicated the nurse understands the etiology related to this disorder? - ANSWER-do you remember a traumatic experience as a child a client is prescribed diazepam (Valium) PRN. Which of the following facts would cause the nurse to question the order? - ANSWER-the client had a severe addiction problem in the past (benzo- HIGHLY addictive!!) A school-age child is talking with her grandmother, who is dying. What should the nurse say to the child? - ANSWER-even though she may not answer you, she can hear you A 16 yo is admitted to the adolescent unit with a diagnosis of conduct disorder. This condition is often manifested by what behavior? - ANSWER-physical aggression in violation of others What behavior by the client diagnosed with bulimia nervosa indicated progression treatment? - ANSWER-verbalizing feelings Which statement by the nurse in the ED indicates a firm knowledge base regarding intimate partner violence? - ANSWER-power and control are the central dynamics of abuse A nurse is checking the suture site of a client diagnosed with borderline personality disorder. The client says to the nurse "the night nurse told me you do not know what you are doing." What is the most appropriate, therapeutic response by the nurse? - ANSWER-we speak directly to each ohter A terminal client expresses concern that his spouse seems distant and is continuing the activities always carried out with him, now without him. This situation is an example of what grieving process by the spouse? - ANSWER-anticipatory grief Which of the following is a therapeutic approach to setting limits with clients diagnosed with antisocial personality disorder? - ANSWER-Clarify the rules for all and make expectations clear The nurse is caring for a client diagnosed with somatic symptom disorder. The client continues to focus on his severe back pain. Which of the following is the most therapeutic nursing intervention? - ANSWER-allow the client to discuss physical concerns and then focus on coping skills for stress A client is diagnosed with antisocial personality disorder. She has a violent verbal, physically threatening outburst in the dayroom of the unit when the nurse explains she cannot smoke in the hospital. What is the priority action the nurse should take? - ANSWER-remove all other clients from the dayroom to ensure safety What behaviors, by the mother, did Mahler in her theory of object constancy say caused borderline personality disorder symptoms later in life? - ANSWER-the mother was seeing mixed messages regarding emotional presence Which of the following findings would the nurse identify as placing a client at risk for conversion disorder? - ANSWER-being in an automobile accident a month earlier in which her best friend died A nurse is caring for a client with factitious disorder imposed on another. Which of the following statements by the client would the nurse expect? - ANSWER-I made my daughter sick because no one was paying use any attention The family of a 17 yo client diagnosed with anorexia nervosa is encouraged to attend family therapy sessions. The father states, "We dont have the eating disorder. Why should we attend?" What is the best response by the nurse? - ANSWER-Gaining insight about her illness and what contributes to it will be beneficial A nurse is teaching a group of students about the risk factors and complications of anorexia nervosa. Which of the following complications should be stressed as the most serious? - ANSWER-increased risk of mortality A client states "I was diagnosed with panic attacks. I have heard of dissociated disorders. What is the difference?" What is the nurses best response? - ANSWER-In Dissociative disorders, an unconscious memory enters conscious awareness causing dissociation A newly admitted client diagnosed with somatization disorder asked for his pain medication that is ordered on an as-need basis. What is the nurses best reaction to this request? - ANSWER-matter-of-factly administer the medications as prescribed The parent of a child with attention deficit hyperactivity disorder tells the nurse that the child does not follow directions well, what strategy would be best for the nurse to recommend? - ANSWER-Try having the child repeat the instructions before starting the task When planning the care of a 6-year-old child diagnosed with opposition defiant disorder, the nurse should include which method of therapy? - ANSWER-behavior modification a client diagnosed with dissociative disorder suddenly begins to speak with a childs vocabulary and voice. What interpretation should the nurse make about this behavior? - ANSWER-a state of depersonalization The nurse is assessing the client in a fugue state. What information would the nurse be most beneficial? - ANSWER-recent history of severe trauma 7 year old male client has severe bruising on his arms and injury to his abdomen. The nurse should consider child abuse if the parents act in what manner? - ANSWER-the parents delayed seeking treatment A 4 yo child states to the nurse, "If i can make a big enough wish, my dad wont be dead anymore!" What is the conclusion made by the nurse? - ANSWER-the child is voicing thoughts that are normal for children this age A female adolescent client says to the nurse, "Hey, you stupid blonde, what are you looking at? Which of the following responses would be inappropriate for the nurse to make? - ANSWER-state, "Dont you ever talk to me like that again" a nursing peer states, "this client always disrupts the unit and then she sings out against medical advice. She is a pain and a typical borderline.: What is the nurses best response to this comment? - ANSWER-I wish we could identify what she needs and help her before she signs out Which of the following statements by the nurse, who cares for children with psychiatric disorders, is the reason for concern? - ANSWER-I know exactly how the child feels since I went through the same thing What are symptoms of prolonged grief one year after the loss? - ANSWER-anhedonia The nurse observes a client diagnosed with anorexia nervosa doing repeated, vigorous sit-ups in her room. What is the most therapeutic intervention by the nurse? - ANSWER-interrupt the routine and offer to walk her The nurse has determined desensitization is the therapy being used to treat the client with acrophobia. How is this demonstrated? - ANSWER-gradual exposure to higher areas A client diagnosed with borderline personality disorder asks the nurse, "Why am I taking sertaline when I am anxious, not depressed? I asked for Buspar." Which of the following is an accurate response? - ANSWER-this medication helps with mood instability and anger control A client diagnosed with borderline personality disorder is angry that the night shift staff would not let her drink coffee at 3 am. She discusses this in a community meeting and develops a following of clients who demand access to the cafeteria at all hours. HOw can the nursing staff manage this situation to prevent "splitting"? - ANSWER-staff discuss the situation and agree upon consistency a client with past experiences of eating disorders symptoms uses the ego defense mechanism of sublimation in dealing with this disorder. How is this expressed? - ANSWER-the client speaks at high schools about her disorder the clients husband died three years ago before her admission to the hospital. She states in the assessment process, "Im not worth anything anymore. Why should I go on living?" what does this indicate to the nurse admitting this client? - ANSWER-depression rather than healthy grieving A client admitted with general anxiety disord