NUR 2459 MENTAL AND BEHAVIORAL HEALTH NURSING FINAL LATEST VERSION EXAM 2025

NUR 2459 MENTAL AND BEHAVIORAL HEALTH NURSING FINAL LATEST VERSION EXAM 2025 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 - Correct 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. - Correct 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 - Correct 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 - Correct Answer-A. Accompany the child to a quiet area to decrease eternal stimuli NUR 2459 NUR 2459 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 - Correct 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 - Correct 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 - Correct 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 - Correct 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 - Correct 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? NUR 2459 NUR 2459 A. The client has been diagnosed with IBS B. The client states she is allergic to meperidine C. The client has severe addiction problem in the past D. Lithium Carbonate has also been prescibed - Correct Answer-C. The client has severe addiction problem in the past The nurse is assessing the client in a fugue state. What assessment finding would the nurse recognize as most significant to a fugue state. A. Depersonalization episode B. History of childhood trauma C. Recent history of sever trauma D. Depressive Symptoms - Correct Answer-C. Recent history of sever trauma A child is diagnosed as being on the autistic spectrum. Which clinical manifestation should the nurse expect? SATA A. Inability to express themselves B. Appropriate nonverbal communication C. Repetitive body movements D. Inability to maintain eye contact E. Hallucinations - Correct Answer-A. Inability to express themselves C. Repetitive body movements D. Inability to maintain eye contact A client is admitted with a diagnosis of dependent personality disorder. Which question by the nurse indicates an understand of the essential feature of the disorder? A. Are you afraid of being alone? B. Do you find that you don't want praise for your accomplishments C. Do you feel awkward in social situations? D. Do you have problems expressing your feelings? - Correct Answer-A. Are you afraid of being alone? 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. A. Increased risk of mortality B. Family relationships C. Depression D. Ineffective coping - Correct Answer-A. Increased risk of mortality A child drowned while swimming in a local lake 2 years ago. Which behavior best indicates the child parent are mourning in an effective way? A. They throw flowers on the lake at each anniversary date of the accident B. They forbid their other children from going swimming C. They sealed their childs room and will not allow anyone too change it D. They keep a place set for the deceased child at the family dinner table - Correct Answer-A. They throw flowers on the lake at each anniversary date of the accident NUR 2459 NUR 2459 A child diagnosed with ODD is spiteful, vindictive, and argumentative and has a history of aggressiveness towards others. Which of the following would be a priority nursing concern? A. impaired social skills during group therapy B. Ineffective coping in dealing with negative behaviors C. Poor impulse control leading towards violence of others D. Refusal to engage actively in the treatment plan - Correct Answer-C. Poor impulse control leading towards violence of others A 4 year old 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? A. The child is voicing thought that are normal for children this age B. The child is making up a story so sad feelings will not be as painful C. This is magical thinking, generally used by older children D. The child is repeasting something he heard other children say - Correct Answer-A. The child is voicing thought that are normal for children this age A 79 year old client admitted that his daughter hits him while helping him dress each morning. Whats the appropriate nursing action? A. The family member is to be charged for this offense b. It is a requirement that he be removed for his safety C. The nurse is required to make sure the proper authority is informed D. A competency hearing must be scheduled for the client - Correct Answer-C. The nurse is required to make sure the proper authority is informed The nurse is conducting a presentation for family members on personality disorders. What would be included in this presentation? A. Personality disorders only occur as a product of certain home environments B. Personality traits can be challenging to change C. Medications can quickly treat the problematic symptoms of personality disorders D. Stress has an impact on daily behaviors and attitudes E. Personality traits are formed early in life - Correct Answer-B. Personality traits can be challenging to change D. Stress has an impact on daily behaviors and attitudes E. Personality traits are formed early in life A client is diagnosed with agoraphobia. Which question indicates the nurse understands the etiology related to this disorder? A. Do you struggle with control impulse B. Were your parents supportive of your endeavors C. Can you share the places that cause you fear D. Do you ever feel like your mind goes blank - Correct Answer-C. Can you share the places that cause you fear NUR 2459 NUR 2459 A school-age child is talking with grandmother who is dying. What should the nurse to the child? A. Although she cannot hear you, she can feel your presence B. Even though she may not answer you, she can hear you C. Hold her hand since she probably can't hear you D. Talk loudly so she can hear you - Correct Answer-B. Even though she may not answer you, she can hear you A client is diagnosed with antisocial personality disorder. She has a violent verbal and physically threatening outburst in the dayroom of the unit after the nurse explains she cannot smoke in the hospital. What is the priority action the nurse should take? A. Insist that she immediately give him the cigarettes B. Remove all the other clients from the dayroom to ensure safety C. Use a girm controlling approach in explaining the rules D. Call for help to restrain the client - Correct Answer-B. Remove all the other clients from the dayroom to ensure safety The nurse is working with a client who is preoccupied with perfection, cannot discard anything and has trouble relaxing. Which of the following personality disorders is described within this example? A. Antisocial B. Histrionic C. Narcissistic D. Obsessive Compulsive - Correct Answer-D. Obsessive Compulsive The nurse has destermined systematic desensitization is the therapy being used to treat the client with acrophobia. How is the demonstrated? A. Gradual exposure to the higher areas B. Visualizing going up steep places C. Discussing past trauma at certain heights D. Being regularly exposed to high places - Correct Answer-A. Gradual exposure to the higher areas A nurse is caring for a client experiencing panic level anxiety. The nurse understand which of the following nursing actions should be considered a priority A. Allow the client to remain alone to recollect themselves B. Guide the client through relaxation techniques C. Stay with the client and reduce the stimuli in the room D. Ask the family member what the trigger for the anxiety was - Correct Answer-C. Stay with the client and reduce the stimuli in the room A client has been withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance with a shower. Which of these are the most appropriate. A. If you look better, you might feel better too B. Taking a shower might wash away some of that gloom and doom NUR 2459 NUR 2459 C. I will be glad to assist. I'll be right back with your supplies D. Your spouse will be glad to see that you're feeling better - Correct Answer-C. I will be glad to assist. I'll be right back with your supplies The nurse is caring for a patient who has just been injured by her male partner. The client states this is the first time he has been physically abusive, he apologized and since bought flowers. A. Ask the client about the level of stress she is experiencing B. Give the client a list of anger management resources. C. Teach the client the cycle of battering D. Suggest the client and her partner both take time to evaluate the relationship - Correct Answer-C. Teach the client the cycle of battering A female adolescent client says to the nurse, her you stupid blonde, what are you looking at? Which response from the nurse would be considered inappropriate? A. Whats that all about B. I dont understand that comment C. That kind of language is unacceptable D. Don't you ever talk to me like that again - Correct Answer-D. Don't you ever talk to me like that again A 7 year old male without any other diagnosed problem engages in jaw clenching, rocking back and forth and unable to engage in physical contact. The nurse recognizes that this is which of the following conditions? A. Sterotypic movement disorder B. Attention deficit hyperactivity disorder C. Tourettes Disorder D. Autism spectrum disorder - Correct Answer-D. Autism spectrum disorder A nurse working on an inpatient psychiatric unit observes a client diagnosed with obsessive compulsive disorder rearranging the magazine in the day room. The nurse understands this action is promarily meant to do which of the following? A. Show the other clients how to stay organized B. Temporarily reduce the anxiety the client is feeling C. Ensure a structured and orderly environment D. Show the nursing staff they can handle emotions - Correct Answer-B. Temporarily reduce the anxiety the client is feeling A 7 year old male client has severe bruising on his arms and injury to his abdom