Psychiatric/Mental Health Review Questions
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An adolescent client, diagnosed with anorexia nervosa, discloses an incestuous relationship
to a nurse. What is the most therapeutic response by the nurse?
1. "It's okay. Let's talk about this."
2. "Have you discussed this with your primary healthcare provider?"
3. "Can you tell me how you feel about what happened?"
4. "Tell me more about what happened when you were younger."
✓ -:- 3. Correct: The nurse is using a therapeutic approach by encouraging the client to
express feelings about the relationship using an open-ended question.
1. Incorrect: The nurse is providing false reassurance by saying, "It's okay." This is a
statement not a question to see how the client feels about talking with the nurse. The nurse
should use open-ended questions to determine whether or not the client wishes to discuss
the incestuous relationship further at this time.
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2. Incorrect: This is a non-therapeutic, closed ended question that only requires a yes or no
answer. This is not a priority at this time. An open ended question will allow the nurse to
see if the client is ready to share with the nurse.
4. Incorrect: The nurse should not probe for a factual account about a past event and should
keep the focus of the discussion on the client's feelings about the event. Again, this is a
statement, not an open ended question.
A client is seen in the clinic for recurrent, unexplained, vague stomach pain over the past 5
years. Esophagogastroduodenoscopy (EGD), colonoscopy, gallbladder ultrasound, and lab
results have revealed no physical reason for the pain. The client tells the nurse, "the pain is
so bad sometimes that I can't function!" What disorder is this client likely experiencing?
1. Conversion disorder
2. Pseudocyesis
3. Somatization disorder
4. Dysmorphic disorder
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✓ -:- 3. Correct: Somatization disorder is a syndrome of multiple somatic symptoms
that cannot be explained medically and are associated with psychosocial distress
and long-term seeking of assistance from healthcare professionals. Symptoms are
vague, dramatized, or exaggerated in presentation. The disorder impairs social,
occupational and other forms of functioning.
1. Incorrect: Conversion disorder is a loss of or change in body function resulting from a
psychological conflict, the physical symptoms of which cannot be explained by any known
medical disorder. This disorder affects voluntary motor or sensory functioning suggestive
of a neurological disease.
2. Incorrect: Pseudocyesis is false pregnancy that may represent a strong desire to be
pregnant. The client has nearly all the usual signs and symptoms of pregnancy such as
enlarged abdomen, weight gain, cessation of menses and morning sickness..
4. Incorrect: Dysmorphic disorder is characterized by the exaggerated belief that the body
is deformed or defective in some way. Most common complaints are slight flaws of face or
head, such as thinning hair, acne, wrinkles.
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The nurse is admitting an adolescent reporting severe depression and amenorrhea. What
additional assessment findings by the nurse would suggest the client may develop anorexia
nervosa?
Select all that apply
1. Tight fitting clothes
2. Oily, elastic skin
3. Brittle, dry nails
4. Gingival infections
5. Low blood pressure
✓ -:- 3. & 5. Correct: This client is reporting symptoms consistent with anorexia
nervosa, a serious and potentially life-threatening eating disorder that develops
secondary to the type of family or social stress experienced in adolescence. In
addition to severe depression and amenorrhea, the nurse has identified brittle, dry
nails, and a low blood pressure secondary to weight loss as additional indications of
anorexia nervosa.
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