NURS 322
EXAM 2
ACTUAL Questions with Verified Answers
(Concepts of Mental Health Nursing)
Drexel University
This Document Description:
This document contains a collection of
Verified questions and accurate Answers
with Expert Rationales from EXAM 2 of
NURS 322 at the Drexel University. It covers
core topics assessed in the course and reflects
the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,1. A 14-year-patient old patient was admitted to the psychiatric unit for anorexia
nervosa. She is emaciated and refuses to eat. What is the most appropriate
nursing diagnosis?
A. Complicated grieving
B. Imbalanced nutrition: less than body requirements
C. Interrupted family processes
D. Anxiety (severe)
Correct Answer:
B. Imbalanced nutrition: less than body requirements
Expert Rationale:
The immediate clinical problem is severe nutritional deficit from food refusal and
emaciation. In eating disorder care, physiologic stabilization and nutrition restoration are
priorities.
2. An appropriate nursing intervention for a client having a panic attack is to
A. Teach the client relaxation techniques.
B. Show the client how to change his behavior.
C. Distract the client with a television show.
D. Stay with the client be direct and speak in a calm firm manner.
Correct Answer:
D. Stay with the client be direct and speak in a calm firm manner.
Expert Rationale:
During panic, the client’s ability to process information is impaired. The nurse should
remain with the client, provide safety, and use short, calm, simple directions.
3. Which of the following is an appropriate expected outcome when working with
a patient with DID? The patient will
A. verbalize a clear sense of personal identity.
B. express feelings verbally rather than through the development of physical symptoms.
C. experience no symptoms as a result of psychologic distress.
D. understand the distinction between true physical pain and imagined pain.
Correct Answer:
A. verbalize a clear sense of personal identity.
,Expert Rationale:
Dissociative identity disorder involves disruption in identity, memory, and sense of self.
A major treatment goal is improved integration, identity awareness, and ability to
verbalize a clearer sense of self.
4. Which of the following would the nurse expect to assess with a patient
diagnosed with a conversion (Functional Neurological ) Disorder? Select all that
apply.
A. Deep tendon reflexes intact.
B. Muscle wasting.
C. The client is unaware of the link between anxiety and physical symptoms.
D. Physical symptoms can be explained by a physiological cause.
Correct Answer:
A and C
Expert Rationale:
Functional neurological disorder presents with neurologic-like symptoms that are not
fully explained by medical findings. Reflexes may remain intact, and the client is often
unaware of the relationship between stress/anxiety and physical symptoms.
5. Which of the following interventions is the most appropriate therapy for a
patient with agoraphobia?
A. Administer a prn antianxiety medication.
B. Group therapy with other patients that have phobias.
C. Using a gradual step progression approach to address his/her fears.
D. Hypnosis
Correct Answer:
B. Group therapy with other patients that have phobias.
Expert Rationale:
Group therapy can help clients with phobias reduce isolation, learn coping strategies,
and gain support from others with similar fears. In NURS 322, therapeutic support and
structured exposure-based coping are important parts of anxiety disorder care.
, 6. Which of the following physical manifestations would the nurse expect to
assess in a patient diagnosed with anorexia nervosa?
A. Tachycardia, hypertension, hyperthermia
B. Bradycardia, hypertension, hyperthermia
C. Bradycardia, hypotension, hypothermia
D. Tachycardia, hypotension, hypothermia
Correct Answer:
C. Bradycardia, hypotension, hypothermia
Expert Rationale:
Starvation decreases metabolic rate and cardiac workload, leading to bradycardia,
hypotension, hypothermia, weakness, and possible electrolyte imbalance.
7. The nurse is caring for a patient who has been hospitalized with anorexia
nervosa and is severely malnourished. The patient continues to refuse to eat.
What is the most appropriate response by the nurse?
A. "You should be aware if you don't eat, you will die."
B. "If you continue to refuse to take food orally, you will be fed through a feeding tube."
C. "There is no reason for you to stay in the hospital if you are not going to follow the
recommended treatment."
D. "You do not have to eat. It is your choice."
Correct Answer:
B. "If you continue to refuse to take food orally, you will be fed through a feeding
tube."
Expert Rationale:
Severe malnutrition is life-threatening. The nurse should use clear, factual
communication about treatment expectations while avoiding threats, judgment, or power
struggles.
8. The most common physiological cause of obesity is most related to:
A. lack of nutritional education
B. more calories consumed than expended
C. impaired endocrine functioning
D. low basal metabolic rate
EXAM 2
ACTUAL Questions with Verified Answers
(Concepts of Mental Health Nursing)
Drexel University
This Document Description:
This document contains a collection of
Verified questions and accurate Answers
with Expert Rationales from EXAM 2 of
NURS 322 at the Drexel University. It covers
core topics assessed in the course and reflects
the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,1. A 14-year-patient old patient was admitted to the psychiatric unit for anorexia
nervosa. She is emaciated and refuses to eat. What is the most appropriate
nursing diagnosis?
A. Complicated grieving
B. Imbalanced nutrition: less than body requirements
C. Interrupted family processes
D. Anxiety (severe)
Correct Answer:
B. Imbalanced nutrition: less than body requirements
Expert Rationale:
The immediate clinical problem is severe nutritional deficit from food refusal and
emaciation. In eating disorder care, physiologic stabilization and nutrition restoration are
priorities.
2. An appropriate nursing intervention for a client having a panic attack is to
A. Teach the client relaxation techniques.
B. Show the client how to change his behavior.
C. Distract the client with a television show.
D. Stay with the client be direct and speak in a calm firm manner.
Correct Answer:
D. Stay with the client be direct and speak in a calm firm manner.
Expert Rationale:
During panic, the client’s ability to process information is impaired. The nurse should
remain with the client, provide safety, and use short, calm, simple directions.
3. Which of the following is an appropriate expected outcome when working with
a patient with DID? The patient will
A. verbalize a clear sense of personal identity.
B. express feelings verbally rather than through the development of physical symptoms.
C. experience no symptoms as a result of psychologic distress.
D. understand the distinction between true physical pain and imagined pain.
Correct Answer:
A. verbalize a clear sense of personal identity.
,Expert Rationale:
Dissociative identity disorder involves disruption in identity, memory, and sense of self.
A major treatment goal is improved integration, identity awareness, and ability to
verbalize a clearer sense of self.
4. Which of the following would the nurse expect to assess with a patient
diagnosed with a conversion (Functional Neurological ) Disorder? Select all that
apply.
A. Deep tendon reflexes intact.
B. Muscle wasting.
C. The client is unaware of the link between anxiety and physical symptoms.
D. Physical symptoms can be explained by a physiological cause.
Correct Answer:
A and C
Expert Rationale:
Functional neurological disorder presents with neurologic-like symptoms that are not
fully explained by medical findings. Reflexes may remain intact, and the client is often
unaware of the relationship between stress/anxiety and physical symptoms.
5. Which of the following interventions is the most appropriate therapy for a
patient with agoraphobia?
A. Administer a prn antianxiety medication.
B. Group therapy with other patients that have phobias.
C. Using a gradual step progression approach to address his/her fears.
D. Hypnosis
Correct Answer:
B. Group therapy with other patients that have phobias.
Expert Rationale:
Group therapy can help clients with phobias reduce isolation, learn coping strategies,
and gain support from others with similar fears. In NURS 322, therapeutic support and
structured exposure-based coping are important parts of anxiety disorder care.
, 6. Which of the following physical manifestations would the nurse expect to
assess in a patient diagnosed with anorexia nervosa?
A. Tachycardia, hypertension, hyperthermia
B. Bradycardia, hypertension, hyperthermia
C. Bradycardia, hypotension, hypothermia
D. Tachycardia, hypotension, hypothermia
Correct Answer:
C. Bradycardia, hypotension, hypothermia
Expert Rationale:
Starvation decreases metabolic rate and cardiac workload, leading to bradycardia,
hypotension, hypothermia, weakness, and possible electrolyte imbalance.
7. The nurse is caring for a patient who has been hospitalized with anorexia
nervosa and is severely malnourished. The patient continues to refuse to eat.
What is the most appropriate response by the nurse?
A. "You should be aware if you don't eat, you will die."
B. "If you continue to refuse to take food orally, you will be fed through a feeding tube."
C. "There is no reason for you to stay in the hospital if you are not going to follow the
recommended treatment."
D. "You do not have to eat. It is your choice."
Correct Answer:
B. "If you continue to refuse to take food orally, you will be fed through a feeding
tube."
Expert Rationale:
Severe malnutrition is life-threatening. The nurse should use clear, factual
communication about treatment expectations while avoiding threats, judgment, or power
struggles.
8. The most common physiological cause of obesity is most related to:
A. lack of nutritional education
B. more calories consumed than expended
C. impaired endocrine functioning
D. low basal metabolic rate
