NUR 2459 MENTAL HEALTH FINAL review EXAM LATEST
2024-2025 ALL 80 QUESTIONS AND ANSWERS
RASMUSSEN COLLEGE|AGRADE
Some obese individuals take amphetamines to suppress appetite and help them lose weight. Which of
the following is an adverse effect associated with the use of amphetamines that makes this practice
undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions - CORRECT ANSWER-c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia nervosa advances which of the
following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since there are often control
issues.
c. Adolescents need to work on developing healthy self-identities before they can begin to gain weight.
d. Individual psychotherapy is the most effective treatment for adolescents with anorexia nervosa. -
CORRECT ANSWER-a. The patient's family should be actively involved in each phase of treatment.
A client has sought help for his concern that he is binge eating and feels like it has "gotten out of
control." He asks the nurse what can be done to help him. Which of the following is the most accurate
response?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated effectiveness in reducing binge
eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective for reducing binge
eating." - CORRECT ANSWER-b. "Some medications and psychological treatments have
demonstrated effectiveness in reducing binge eating behaviors."
,Which of the following physical manifestations would you expect to assess in a client suffering from
anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia - CORRECT ANSWER-c. Bradycardia, hypotension,
hypothermia
A client who recently left her husband of 10 years is admitted to the hospital with a diagnosis of
adjustment disorder with depressed mood. She acknowledges that she was very dependent on him and
is having difficulty adjusting to an independent lifestyle. What is the priority nursing diagnosis for this
client?
a. Risk-prone health behavior related to loss of dependency
b. Complicated grieving related to breakup of marriage
c. Ineffective communication related to problems with dependency
d. Social isolation related to depressed mood - CORRECT ANSWER-b. Complicated grieving related to
breakup of marriage
A client, who is depressed following the breakup of a very stormy marriage, says to the nurse, "I feel so
bad. I thought I would feel better once I left, but I feel worse!" Which is the best response by the nurse?
a. "Cheer up. You have a lot to be happy about."
b. "You are grieving the loss of your marriage. It's natural for you to feel bad."
c. "Try not to dwell on how you feel. If you don't think about it, you'll feel better."
d. "You did the right thing. Knowing that should make you feel better." - CORRECT ANSWER-b. "You
are grieving the loss of your marriage. It's natural for you to feel bad."
A client, age 16 years, has recently been diagnosed with diabetes mellitus. She must watch her diet and
take an oral hypoglycemic medication daily. She has become very depressed, and her mother reports
that she refuses to change her diet and often skips her medication. She has been hospitalized for
stabilization of her blood glucose level. The psychiatric nurse practitioner has been called in as a
, consultant. Which of the following nursing diagnoses by the psychiatric nurse would be a priority for the
client at this time?
a. Anxiety related to hospitalization, evidenced by noncompliance
b. Low self-esteem related to feeling different from her peers, evidenced by social isolation
c. Risk for suicide related to new diagnosis of diabetes mellitus
d. Risk-prone health behavior related to denial of the seriousness of her illness, evidenced by refusal to
follow diet and take medication - CORRECT ANSWER-d. Risk-prone health behavior related to
denial of the seriousness of her illness, evidenced by refusal to follow diet and take medication
Which of the following symptom profiles would you expect when assessing a client with somatic
symptom disorder?
a. Multiple somatic symptoms in several body systems
b. Fear of having a serious disease
c. Loss or alteration in sensorimotor functioning
d. Belief that his or her body is deformed or defective in some way - CORRECT ANSWER-a. Multiple
somatic symptoms in several body systems
Which of the following ego defense mechanisms describes the underlying psychodynamics of somatic
symptom disorder?
a. Denial of depression
b. Repression of anxiety
c. Suppression of grief
d. Displacement of anger - CORRECT ANSWER-b. Repression of anxiety
Nursing care for a client with somatic symptom disorder should focus on helping the client to:
a. Eliminate stressors.
2024-2025 ALL 80 QUESTIONS AND ANSWERS
RASMUSSEN COLLEGE|AGRADE
Some obese individuals take amphetamines to suppress appetite and help them lose weight. Which of
the following is an adverse effect associated with the use of amphetamines that makes this practice
undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions - CORRECT ANSWER-c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia nervosa advances which of the
following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since there are often control
issues.
c. Adolescents need to work on developing healthy self-identities before they can begin to gain weight.
d. Individual psychotherapy is the most effective treatment for adolescents with anorexia nervosa. -
CORRECT ANSWER-a. The patient's family should be actively involved in each phase of treatment.
A client has sought help for his concern that he is binge eating and feels like it has "gotten out of
control." He asks the nurse what can be done to help him. Which of the following is the most accurate
response?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated effectiveness in reducing binge
eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective for reducing binge
eating." - CORRECT ANSWER-b. "Some medications and psychological treatments have
demonstrated effectiveness in reducing binge eating behaviors."
,Which of the following physical manifestations would you expect to assess in a client suffering from
anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia - CORRECT ANSWER-c. Bradycardia, hypotension,
hypothermia
A client who recently left her husband of 10 years is admitted to the hospital with a diagnosis of
adjustment disorder with depressed mood. She acknowledges that she was very dependent on him and
is having difficulty adjusting to an independent lifestyle. What is the priority nursing diagnosis for this
client?
a. Risk-prone health behavior related to loss of dependency
b. Complicated grieving related to breakup of marriage
c. Ineffective communication related to problems with dependency
d. Social isolation related to depressed mood - CORRECT ANSWER-b. Complicated grieving related to
breakup of marriage
A client, who is depressed following the breakup of a very stormy marriage, says to the nurse, "I feel so
bad. I thought I would feel better once I left, but I feel worse!" Which is the best response by the nurse?
a. "Cheer up. You have a lot to be happy about."
b. "You are grieving the loss of your marriage. It's natural for you to feel bad."
c. "Try not to dwell on how you feel. If you don't think about it, you'll feel better."
d. "You did the right thing. Knowing that should make you feel better." - CORRECT ANSWER-b. "You
are grieving the loss of your marriage. It's natural for you to feel bad."
A client, age 16 years, has recently been diagnosed with diabetes mellitus. She must watch her diet and
take an oral hypoglycemic medication daily. She has become very depressed, and her mother reports
that she refuses to change her diet and often skips her medication. She has been hospitalized for
stabilization of her blood glucose level. The psychiatric nurse practitioner has been called in as a
, consultant. Which of the following nursing diagnoses by the psychiatric nurse would be a priority for the
client at this time?
a. Anxiety related to hospitalization, evidenced by noncompliance
b. Low self-esteem related to feeling different from her peers, evidenced by social isolation
c. Risk for suicide related to new diagnosis of diabetes mellitus
d. Risk-prone health behavior related to denial of the seriousness of her illness, evidenced by refusal to
follow diet and take medication - CORRECT ANSWER-d. Risk-prone health behavior related to
denial of the seriousness of her illness, evidenced by refusal to follow diet and take medication
Which of the following symptom profiles would you expect when assessing a client with somatic
symptom disorder?
a. Multiple somatic symptoms in several body systems
b. Fear of having a serious disease
c. Loss or alteration in sensorimotor functioning
d. Belief that his or her body is deformed or defective in some way - CORRECT ANSWER-a. Multiple
somatic symptoms in several body systems
Which of the following ego defense mechanisms describes the underlying psychodynamics of somatic
symptom disorder?
a. Denial of depression
b. Repression of anxiety
c. Suppression of grief
d. Displacement of anger - CORRECT ANSWER-b. Repression of anxiety
Nursing care for a client with somatic symptom disorder should focus on helping the client to:
a. Eliminate stressors.
