Mental health NUR2459 final review questions
with verified answers
A 10-year-old child returns to school after the death of his mother. The
school nurse becomes aware that this child is frequently talking in the
classroom about fears that he will die, too. The classroom teacher is
asking for recommendations about how to handle this situation. Which
of these actions by the nurse is most appropriate?
a. Instruct the teacher to refer the child for psychological evaluation
because this is a warning sign of depression and possible suicide.
b. Encourage the teacher to redirect the child to activities that are
focused on school performance.
c. Educate the teacher that this a common reaction in children of this
age and it is best for the teacher to offer reassurance that he is safe.
d. Instruct the teacher to prohibit discussion of this topic in class
because children in this age-group cannot understand the finality of
death. Ans✓✓✓ c. Educate the teacher that this a common reaction in
children of this age and it is best for the teacher to offer reassurance
that he is safe.
A 14-year-old client has just been admitted to the psychiatric unit for
anorexia nervosa. She is emaciated and refuses to eat. What is the
priority nursing diagnosis for this client?
a. Complicated grieving
,b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe) Ans✓✓✓ b. Imbalanced nutrition: Less than body
requirements.
A battered woman presents to the emergency department with
multiple cuts and abrasions. Her right eye is swollen shut. She says that
her husband did this to her. What is the priority nursing intervention?
a. Tending to the immediate care of her wounds
b. Providing her with information about a safe place to stay
c. Administering the prn tranquilizer ordered by the physician
d. Explaining how she may go about bringing charges against her
husband Ans✓✓✓ a. Tending to the immediate care of her wounds
A child with ADHD is admitted to a residential treatment program.
Which of the following group activities would be most appropriate for
the nurse to recommend?
a. Monopoly
b. Volleyball
c. Pool
d. Checkers Ans✓✓✓ b. Volleyball
,A child, age 5, is sent to the school nurse's office with an upset
stomach. She has vomited and soiled her blouse. When the nurse
removes her blouse, she notices that the child has numerous bruises on
her arms and torso in various stages of healing. She also notices some
small scars, and her abdomen protrudes on her small, thin frame. From
the objective physical assessment, the nurse should screen further for:
a. Physical and sexual abuse.
b. Physical abuse and neglect.
c. Emotional neglect.
d. Sexual and emotional abuse. Ans✓✓✓ b. Physical abuse and
neglect.
A client arrives at the emergency department and tells the nurse her
husband inflicted the cuts to her face that required sutures. She says, "I
didn't want to come. I'm really okay. He only does this when he has too
much to drink. I just shouldn't have yelled at him." The best response
by the nurse is:
a. "How often does he drink too much?"
b. "It is not your fault. You did the right thing by coming here."
c. "How many times has he done this to you?"
d. "He is not a good husband. You have to leave him before he kills
you." Ans✓✓✓ b. "It is not your fault. You did the right thing by
coming here."
, A client diagnosed with borderline personality disorder manipulates the
staff in an effort to fulfill her own desires. All of the following may be
examples of manipulative behaviors in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing the
assigned nurse has explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse. You're the
best one around here."
d. Cutting arms with razor blade after discussing dismissal plans with
physician. Ans✓✓✓ a. Refusal to stay in a room alone, stating, "It's so
lonely."
A client diagnosed with generalized anxiety disorder has been
prescribed buspirone 15 mg daily. He says to the nurse, "Why do I have
to take this every day? My friend's doctor ordered Xanax for him, and
he only takes it when he is feeling anxious." Which of the following
would be an appropriate response by the nurse?
a. "Xanax is not effective for generalized anxiety disorder."
b. "Buspirone must be taken daily in order to be effective."
c. "I will ask the doctor if he will change your dose of buspirone to prn
so that you don't have to take it every day."
with verified answers
A 10-year-old child returns to school after the death of his mother. The
school nurse becomes aware that this child is frequently talking in the
classroom about fears that he will die, too. The classroom teacher is
asking for recommendations about how to handle this situation. Which
of these actions by the nurse is most appropriate?
a. Instruct the teacher to refer the child for psychological evaluation
because this is a warning sign of depression and possible suicide.
b. Encourage the teacher to redirect the child to activities that are
focused on school performance.
c. Educate the teacher that this a common reaction in children of this
age and it is best for the teacher to offer reassurance that he is safe.
d. Instruct the teacher to prohibit discussion of this topic in class
because children in this age-group cannot understand the finality of
death. Ans✓✓✓ c. Educate the teacher that this a common reaction in
children of this age and it is best for the teacher to offer reassurance
that he is safe.
A 14-year-old client has just been admitted to the psychiatric unit for
anorexia nervosa. She is emaciated and refuses to eat. What is the
priority nursing diagnosis for this client?
a. Complicated grieving
,b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe) Ans✓✓✓ b. Imbalanced nutrition: Less than body
requirements.
A battered woman presents to the emergency department with
multiple cuts and abrasions. Her right eye is swollen shut. She says that
her husband did this to her. What is the priority nursing intervention?
a. Tending to the immediate care of her wounds
b. Providing her with information about a safe place to stay
c. Administering the prn tranquilizer ordered by the physician
d. Explaining how she may go about bringing charges against her
husband Ans✓✓✓ a. Tending to the immediate care of her wounds
A child with ADHD is admitted to a residential treatment program.
Which of the following group activities would be most appropriate for
the nurse to recommend?
a. Monopoly
b. Volleyball
c. Pool
d. Checkers Ans✓✓✓ b. Volleyball
,A child, age 5, is sent to the school nurse's office with an upset
stomach. She has vomited and soiled her blouse. When the nurse
removes her blouse, she notices that the child has numerous bruises on
her arms and torso in various stages of healing. She also notices some
small scars, and her abdomen protrudes on her small, thin frame. From
the objective physical assessment, the nurse should screen further for:
a. Physical and sexual abuse.
b. Physical abuse and neglect.
c. Emotional neglect.
d. Sexual and emotional abuse. Ans✓✓✓ b. Physical abuse and
neglect.
A client arrives at the emergency department and tells the nurse her
husband inflicted the cuts to her face that required sutures. She says, "I
didn't want to come. I'm really okay. He only does this when he has too
much to drink. I just shouldn't have yelled at him." The best response
by the nurse is:
a. "How often does he drink too much?"
b. "It is not your fault. You did the right thing by coming here."
c. "How many times has he done this to you?"
d. "He is not a good husband. You have to leave him before he kills
you." Ans✓✓✓ b. "It is not your fault. You did the right thing by
coming here."
, A client diagnosed with borderline personality disorder manipulates the
staff in an effort to fulfill her own desires. All of the following may be
examples of manipulative behaviors in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing the
assigned nurse has explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse. You're the
best one around here."
d. Cutting arms with razor blade after discussing dismissal plans with
physician. Ans✓✓✓ a. Refusal to stay in a room alone, stating, "It's so
lonely."
A client diagnosed with generalized anxiety disorder has been
prescribed buspirone 15 mg daily. He says to the nurse, "Why do I have
to take this every day? My friend's doctor ordered Xanax for him, and
he only takes it when he is feeling anxious." Which of the following
would be an appropriate response by the nurse?
a. "Xanax is not effective for generalized anxiety disorder."
b. "Buspirone must be taken daily in order to be effective."
c. "I will ask the doctor if he will change your dose of buspirone to prn
so that you don't have to take it every day."
