Final Exam: NUR 2459 / NUR2459 (Latest 2023/ 2024) Mental and Behavioral Health Nursing Exam | Grade A| Questions and Verified Answers| Rasmussen

Final Exam: NUR 2459 / NUR2459 (Latest 2023/ 2024) Mental and Behavioral Health Nursing Exam | Grade A| Questions and Verified Answers| Rasmussen  A client diagnosed with Paranoid Personality Disorder becomes violent on a unit. Which nursing intervention is most appropriate? a. Provide objective evidence that violence is unwarranted. b. Initially restrain the client to maintain safety. c. Use clear, calm statements and a confident physical stance. d. Empathize with the client's paranoid perceptions.  Answer: c. Use clear, calm statements and a confident physical stance.  A highly emotional client presents at an outpatient clinic appointment wearing flamboyant attire, spiked heels, and theatrical makeup. Which personality disorder should the nurse associate with these assessment data? a. Compulsive personality disorder b. Schizotypal personality disorder c. Histrionic personality disorder (HPD) d. Manic personality disorder  Answer: c. Histrionic personality disorder (HPD)  A client diagnosed with Borderline Personality Disorder (BPD) brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. Which approach is best for the nursing staff to implement? a. Allow the clients to apply the democratic process when developing unit rules. b. Maintain consistency of care by open communication to avoid staff manipulation. c. Allow the client spokesperson to verbalize concerns during a unit staff meeting. d. Maintain unit order by the application of autocratic leadership.  Answer: b. Maintain consistency of care by open communication to avoid staff manipulation.  Which adult client should the nurse recognize as exhibiting the characteristics of a dependent personality disorder? a. A physically healthy client who is dependent on meeting social needs by having contact with 15 cats b. A physically healthy client who has a history of depending on intense relationships to meet basic needs c. A physically healthy client who lives with parents and relies on public transportation d. A physically healthy client who is serious, inflexible, perfectionistic, and depends on rules to provide security  Answer: c. A physically healthy client who lives with parents and relies on public transportation  A home health nurse makes weekly visits to an older adult client who lives with an adult child. The client has bruises from "bumping into things" and a weight loss of 10 pounds in the past month. How does the nurse proceed? a. Ask the client about any concerns about his or her living situation with the child in the room. b. Report suspected abuse to Adult Protective Services so an investigation can be performed. c. Question the client's child privately about suspicions of possible abuse or neglect. d. Confront the child about the abuse, and demand that the child seek help for the abusive behavior.  Answer: b. Report suspected abuse to Adult Protective Services so an investigation can be performed  A nurse cares for a client admitted to the hospital after being assaulted by his or her spouse. The nurse is paged for a phone call. The caller requests information on the status of the client. Which action does the nurse take? a. Request that the caller come to the hospital in person to discuss the client's status. b. Explain to the caller that there is no client admitted matching the description. c. Inform the caller that the client is "stable" with no further elaboration. d. Inform the caller of the client room number and anticipated discharge date.  Answer: b. Explain to the caller that there is no client admitted matching the description.  An older client, cared for by family, appears dirty and malnourished. What type of abuse might the nurse suspect? a. Sexual b. Physical c. Neglect d. Emotional  Answer: c. Neglect  An adolescent client is prescribed methylphenidate. The client's medical history includes attention deficit hyperactivity disorder and atrial septal defect. Which action does the nurse take? a. Obtain the client's surgical history. b. Teach the client how to take their heart rate. c. Ask the client whether the medication is working. d. Notify the health care provider immediately.  Answer: d. Notify the health care provider immediately.  A child with attention deficit hyperactivity disorder (ADHD) takes methylphenidate. Which client statement most concerns the nurse? a. "My heart feels like it's racing." b. "Sometimes I am not hungry." c. "I feel like I stopped growing." d. "I have gained a few pounds."  Answer: c. "I feel like I stopped growing."