NUR2459 Exam 4 Actual Exam Style V1 |
NUR 2459 Mental and Behavioral Health
Nursing | Rasmussen
1. Which clinical manifestation is a hallmark sign of delirium as opposed to dementia?
A. Gradual decline in memory over several years
B. Permanent and irreversible cognitive loss
C. Sudden or acute onset of confusion and altered consciousness
D. Consistent behavior throughout the 24-hour cycle
Correct Answer: C
Expert Explanation: Delirium is characterized by a rapid and acute onset of symptoms. It
often fluctuates throughout the day and is typically caused by an underlying medical
condition. Once the medical cause is treated, the confusion usually resolves.
2. A nurse is caring for a client with Alzheimer’s disease who is using confabulation. What is
the purpose of this behavior?
A. To intentionally deceive the nursing staff
B. To demonstrate advanced verbal skills
C. To express anger regarding their diagnosis
D. To protect self-esteem and fill in memory gaps
Correct Answer: D
,Expert Explanation: Confabulation involves the creation of stories or answers to fill in
gaps of memory. It is an unconscious mechanism used by clients to maintain self-esteem
when they cannot remember facts. It should not be confused with lying or a conscious
attempt to be deceptive.
3. Which medication is commonly prescribed to slow the progression of mild to moderate
Alzheimer’s disease?
A. Methylphenidate (Ritalin)
B. Haloperidol (Haldol)
C. Lorazepam (Ativan)
D. Donepezil (Aricept)
Correct Answer: D
Expert Explanation: Donepezil is a cholinesterase inhibitor used to treat symptoms of
mild to moderate Alzheimer’s disease. It works by increasing the levels of acetylcholine in
the brain. This medication does not cure the disease but can temporarily improve or
stabilize cognitive function.
4. A child is diagnosed with Oppositional Defiant Disorder (ODD). Which behavior is most
consistent with this diagnosis?
A. Repeated physical aggression toward animals
B. Persistent pattern of irritability and defiance toward authority figures
C. Lack of remorse after stealing from a store
, D. Inability to sustain focus on school tasks
Correct Answer: B
Expert Explanation: Oppositional Defiant Disorder involves a pattern of angry, irritable
moods and argumentative behavior. These behaviors are specifically directed at authority
figures such as parents or teachers. Unlike conduct disorder, it generally does not involve
serious violations of others’ rights or laws.
5. A nurse is assessing a child with Conduct Disorder. Which finding is considered a classic
characteristic?
A. Shyness and social withdrawal
B. Extreme sensitivity to criticism
C. Callousness and lack of empathy for others
D. High levels of anxiety in social situations
Correct Answer: C
Expert Explanation: Conduct Disorder is marked by a persistent pattern of behavior that
violates the basic rights of others. This often includes aggression toward people and
animals, destruction of property, and deceitfulness. A hallmark of this disorder is a lack of
remorse or empathy regarding their actions.
6. A patient with Anorexia Nervosa is being admitted. Which physical finding should the
nurse expect?
A. Tachycardia and hypertension
NUR 2459 Mental and Behavioral Health
Nursing | Rasmussen
1. Which clinical manifestation is a hallmark sign of delirium as opposed to dementia?
A. Gradual decline in memory over several years
B. Permanent and irreversible cognitive loss
C. Sudden or acute onset of confusion and altered consciousness
D. Consistent behavior throughout the 24-hour cycle
Correct Answer: C
Expert Explanation: Delirium is characterized by a rapid and acute onset of symptoms. It
often fluctuates throughout the day and is typically caused by an underlying medical
condition. Once the medical cause is treated, the confusion usually resolves.
2. A nurse is caring for a client with Alzheimer’s disease who is using confabulation. What is
the purpose of this behavior?
A. To intentionally deceive the nursing staff
B. To demonstrate advanced verbal skills
C. To express anger regarding their diagnosis
D. To protect self-esteem and fill in memory gaps
Correct Answer: D
,Expert Explanation: Confabulation involves the creation of stories or answers to fill in
gaps of memory. It is an unconscious mechanism used by clients to maintain self-esteem
when they cannot remember facts. It should not be confused with lying or a conscious
attempt to be deceptive.
3. Which medication is commonly prescribed to slow the progression of mild to moderate
Alzheimer’s disease?
A. Methylphenidate (Ritalin)
B. Haloperidol (Haldol)
C. Lorazepam (Ativan)
D. Donepezil (Aricept)
Correct Answer: D
Expert Explanation: Donepezil is a cholinesterase inhibitor used to treat symptoms of
mild to moderate Alzheimer’s disease. It works by increasing the levels of acetylcholine in
the brain. This medication does not cure the disease but can temporarily improve or
stabilize cognitive function.
4. A child is diagnosed with Oppositional Defiant Disorder (ODD). Which behavior is most
consistent with this diagnosis?
A. Repeated physical aggression toward animals
B. Persistent pattern of irritability and defiance toward authority figures
C. Lack of remorse after stealing from a store
, D. Inability to sustain focus on school tasks
Correct Answer: B
Expert Explanation: Oppositional Defiant Disorder involves a pattern of angry, irritable
moods and argumentative behavior. These behaviors are specifically directed at authority
figures such as parents or teachers. Unlike conduct disorder, it generally does not involve
serious violations of others’ rights or laws.
5. A nurse is assessing a child with Conduct Disorder. Which finding is considered a classic
characteristic?
A. Shyness and social withdrawal
B. Extreme sensitivity to criticism
C. Callousness and lack of empathy for others
D. High levels of anxiety in social situations
Correct Answer: C
Expert Explanation: Conduct Disorder is marked by a persistent pattern of behavior that
violates the basic rights of others. This often includes aggression toward people and
animals, destruction of property, and deceitfulness. A hallmark of this disorder is a lack of
remorse or empathy regarding their actions.
6. A patient with Anorexia Nervosa is being admitted. Which physical finding should the
nurse expect?
A. Tachycardia and hypertension
