NUR 2488 mental health nursing EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

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Psych/Mental Health Nursing Final Exam Review 2026 zm zm zm zm zm zm zm




A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
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FIED ANSWERS (25AB6) zm zm




QUESTION 1 zm




Term
ANSWER

Definition



QUESTION 2 zm




Which client statement demonstrates the mental health concept of resilience?
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A. "My kids' happiness is worth any sacrifice I have to make."
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B. "My mother made decisions about my husband's funeral when I just couldn't do tha
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t."
C. "Losing my job was hard but my skills will help me get another one."
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D. "In spite of all the treatment, I know I'll never be really healthy."
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ANSWER

C. "Losing my job was hard but my skills will help me get another one." Resilience is a characteristi
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c that helps individuals cope with loss and trauma that may occur in life. Dependence is described a
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s relying on others for decision making and care. Pessimism is a life philosophy that things are mor
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e likely to go wrong than right. Altruism is described as putting others before yourself.
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QUESTION 3 zm




A nurse is providing care to a 28-year-
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old client diagnosed with bipolar disorder who was admitted in a manic state. Accordi
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ng to Maslow's Hierarchy of Needs theory, the nurse should identify which client sym
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ptom as having priority?
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A. Rapid, pressured speech
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B. Grandiose thoughts
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,C. Lack of sleep
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D. Hyperactive behavior
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ANSWER

C. Lack of sleep Based on Maslow's theory, physiological needs such as food, water, air, sleep, etc., a
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re the priority and must be taken care of first. The other options are symptoms of mania but not as
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mcritical as lack of sleep. zm zm zm zm




QUESTION 4 zm




A client states, "I will always be alone because nobody could ever love me." The nurse
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recognizes that the client is expressing what cognitive-behavioral concept?
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A. Actualization
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B. Aversion
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C. Schema
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D. Emotional consequence
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ANSWER

C. Schema Schemas are unique assumptions about ourselves, according to Beck's theory. This statem
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ent is an example of a negative schema. Emotional consequence is the end result of negative thinkin
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g process, as described by Ellis. Actualization is a level of Maslow's Hierarchy of Needs. Aversion is
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a therapy characterized by punishment.
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QUESTION 5 zm




A prescription for which medication would require the nurse to monitor the client for
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potential development of the side effect of hypothyroidism?
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A. Fluoxetine
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B. Bupropion
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C. Lithium
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D. Imipramine
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ANSWER

C. Lithium Long-
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term use of lithium may cause hypothyroidism. The other options refer to drugs whose long-
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term use does not cause hypothyroidism.
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QUESTION 6 zm




A 49-year-
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old client diagnosed with schizophrenia at 22 years old is prescribed risperidone. Whi
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ch nursing assessment is the priority for this client?
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A. Monitoring blood levels to avoid toxicity
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B. Monitoring for abnormal involuntary movements
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, C. Observing for secondary mania
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D. Observing for memory changes
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ANSWER

B. Monitoring for abnormal involuntary movements Risperidone has the highest rate of extrapyramid
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al side effects (EPSs) of the second-
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generation antipsychotic medications, thus making it imperative to monitor for EPSs. Risperidone is
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not monitored with blood levels and does not cause mania or memory changes.
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QUESTION 7 zm




When considering client rights, which client can be legally medicated against his or he
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r wishes?
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A. The client has accepted the medication in the past.
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B. The client may cause imminent harm to self or others.
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C. The client's primary provider orders the medication.
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D. The client's mental illness may relate to cognitive impairment.
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ANSWER

B. The client may cause imminent harm to self or others. A patient may be medicated against their
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will without a court hearing in an emergency if the patient poses a danger to himself or herself or t
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o others. The other options are not legally valid reasons to give medication against a patient's will.
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QUESTION 8 zm




When considering the duty to warn and protect third parties, which client statement s
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hould the nurse report to the treatment team members?
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A. "That judge is going to really regret putting me in here."
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B. "All politicians need to be shot."
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C. "When I'm elected president, I'll make them all pay for doubting me."
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D. "The man out there who is laughing at me is going to die."
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ANSWER

A. "That judge is going to really regret putting me in here." The duty to protect is an ethical and leg
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al obligation of health care workers to protect patients from physically harming themselves or other
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s. This duty arises when the patient presents a serious danger to another. While all that statements
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infer the client's intention to harm, only the correct option is credible since it actually identifies the
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possible victim. zm




QUESTION 9 zm




A 43-year-
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old client being seen in the mental health clinic states, "I have always been a practicin
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g Jew, but in the past few months I am questioning everything. I just don't know if I b
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elieve in it anymore." Which of the following nursing diagnoses best describes the clie
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