NUR2459 Mental Health
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?
A. Explain alternative interventions are available for back pain
B. Confront the client with the negative findings that have been determined
C. Allow the client to discuss physical concerns and redirect to coping skills for stress
D. Tell the client that there is no cause for the pain except for emotional concerns - Answer-C. Allow the
client to discuss physical concerns and redirect to coping skills for stress
While caring for a teenage client with ADHD who is at high risk for self-harm due to poor judgment,
high-risk taking behaviors, impulsivity. Which of the following is the priority nursing intervention?
A. Develop a no harm contract with the client and encourage participation in all unit activties
B. Schedule a regular nurse client session daily to discuss daily goals
C. Have the client sit within direct line of sight with the staff only during mealtimes
D. Have a staff member assigned for 1:!1observation at all times. - Answer-D. Have a staff member
assigned for 1:1 observation at all times.
Which of the following statements by the nurse, who cares for children with psychiatric disorders, is a
concern?
,A. Since I have been caring for this child, he has become less agitated.
B. When a child becomes violent, I also need to protect the other children
C. I know exactly how the child feels since I went through the same thing
D. I have to be careful not to become attached and show favoritism - Answer-C. I know exactly how the
child feels since I went through the same thing
A child diagnosed with ODD begins to yell at staff members when asked to leave group therapy because
of inappropriate behaviors. Which nursing intervention would be the most appropriate.
A. Accompany the child to a quiet area to decrease eternal stimuli
B. Institute seclusion following the facilities protocol
C. Allow the child to remain in group therapy and continue to monitor
D. Assist the child in recognizing how to separate feelings from reactions - Answer-A. Accompany the
child to a quiet area to decrease eternal stimuli
A 16 year old is admitted to the adolescent unit with a diagnosis of conduct disorder. This condition is
often manifested by what behavior.
A. Physical aggression in violation of others
B. Compassion
C. Yelling and name calling - Answer-A. Physical aggression in violation of others
The nurse is caring for a client with ADHD. The child has been prescribed methylphenidate. Which of the
following symptoms are side effects the nurse will monitor for? SATA
A. Sedation
B. Headache
C. Decreased appetitie
D. Decreased blood pressure
E. Insomnia - Answer-B. Headache
, C. Decreased appetitie
E. Insomnia
When planning the care of a 6 year old child diagnosed with ODD, the nurse should include which
method of therapy?
A. Mindfulness exercises
B. Cognitive Therapy
C. Behavior modification
D. Emotive Therapy - Answer-C. Behavior modification
A female client expresses to the nurse that she feels like she didn't do enough to prevent the loss of her
father. Which of the following interventions should the nurse to address the clients feelings.
A. Explain that this feeling is a pathological defense that will prevent the client from progressing through
the stages of grief.
B. Encourage the client to remain strong to suppose the other family members
C. Review the circumstances of the loss and the reality that it could not be prevented.
D. Role play the events and assist the client with understanding the decisons leading to the loss -
Answer-C. Review the circumstances of the loss and the reality that it could not be prevented.
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?
A. Allow the client to continue to exercise
B. Interrupt the routine and offer to walk with her
C. Tell the client exercise is not allowed
D. Restrict the client from her room - Answer-B. Interrupt the routine and offer to walk with her
A client is prescribed diazepam PRN for panic disorder. Which of the following facts would cause the
nurse to question the order?
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?
A. Explain alternative interventions are available for back pain
B. Confront the client with the negative findings that have been determined
C. Allow the client to discuss physical concerns and redirect to coping skills for stress
D. Tell the client that there is no cause for the pain except for emotional concerns - Answer-C. Allow the
client to discuss physical concerns and redirect to coping skills for stress
While caring for a teenage client with ADHD who is at high risk for self-harm due to poor judgment,
high-risk taking behaviors, impulsivity. Which of the following is the priority nursing intervention?
A. Develop a no harm contract with the client and encourage participation in all unit activties
B. Schedule a regular nurse client session daily to discuss daily goals
C. Have the client sit within direct line of sight with the staff only during mealtimes
D. Have a staff member assigned for 1:!1observation at all times. - Answer-D. Have a staff member
assigned for 1:1 observation at all times.
Which of the following statements by the nurse, who cares for children with psychiatric disorders, is a
concern?
,A. Since I have been caring for this child, he has become less agitated.
B. When a child becomes violent, I also need to protect the other children
C. I know exactly how the child feels since I went through the same thing
D. I have to be careful not to become attached and show favoritism - Answer-C. I know exactly how the
child feels since I went through the same thing
A child diagnosed with ODD begins to yell at staff members when asked to leave group therapy because
of inappropriate behaviors. Which nursing intervention would be the most appropriate.
A. Accompany the child to a quiet area to decrease eternal stimuli
B. Institute seclusion following the facilities protocol
C. Allow the child to remain in group therapy and continue to monitor
D. Assist the child in recognizing how to separate feelings from reactions - Answer-A. Accompany the
child to a quiet area to decrease eternal stimuli
A 16 year old is admitted to the adolescent unit with a diagnosis of conduct disorder. This condition is
often manifested by what behavior.
A. Physical aggression in violation of others
B. Compassion
C. Yelling and name calling - Answer-A. Physical aggression in violation of others
The nurse is caring for a client with ADHD. The child has been prescribed methylphenidate. Which of the
following symptoms are side effects the nurse will monitor for? SATA
A. Sedation
B. Headache
C. Decreased appetitie
D. Decreased blood pressure
E. Insomnia - Answer-B. Headache
, C. Decreased appetitie
E. Insomnia
When planning the care of a 6 year old child diagnosed with ODD, the nurse should include which
method of therapy?
A. Mindfulness exercises
B. Cognitive Therapy
C. Behavior modification
D. Emotive Therapy - Answer-C. Behavior modification
A female client expresses to the nurse that she feels like she didn't do enough to prevent the loss of her
father. Which of the following interventions should the nurse to address the clients feelings.
A. Explain that this feeling is a pathological defense that will prevent the client from progressing through
the stages of grief.
B. Encourage the client to remain strong to suppose the other family members
C. Review the circumstances of the loss and the reality that it could not be prevented.
D. Role play the events and assist the client with understanding the decisons leading to the loss -
Answer-C. Review the circumstances of the loss and the reality that it could not be prevented.
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?
A. Allow the client to continue to exercise
B. Interrupt the routine and offer to walk with her
C. Tell the client exercise is not allowed
D. Restrict the client from her room - Answer-B. Interrupt the routine and offer to walk with her
A client is prescribed diazepam PRN for panic disorder. Which of the following facts would cause the
nurse to question the order?
