PRNU 235 MENTAL HEALTH NURSING EXAM QUESTIONS
WITH SOLUTIONS 2025 GRADED A+
✔✔Identify the nursing intervention for a client with an eating disorder/purging -
✔✔Monitor meal times
✔✔Identify nursing findings of a patient with the diagnosis of bulimia - ✔✔- Dental
deterioration
- Calluses on fingers from self inducing vomiting
- Periods of binging and purging
✔✔Identify the expected finding of a patient with anorexia - ✔✔- BMI < 18.5
- Fear of gaining weight
- "safe" foods
✔✔Identify possible risk factors for developing an eating disorder - ✔✔- being bullied
- revealing sports (gymnastics, swimming, dance)
✔✔Identify patients' responses as their stress increases - ✔✔- More stressful labored
breathing, higher RR
- Increased HR
- Shaky/jittery
- Looking around
- Appearing anxious or fearful
- Rubbing neck or chest
✔✔Identify the issues that could increase violent episodes on the unit - ✔✔- Reference:
seeing someone that reminds them of someone they don't like
- Not being included in plans of care
- Loud noises/stimulating environment/triggers
- Involuntary status
- Medication struggle (to decrease- give them the power of choice)
- Unit rules and regulations
✔✔What are the 5 stages of grief? - ✔✔1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
DABDA
✔✔Identify a Munchausen by proxy - ✔✔- When someone falsely claims another
person's psychological or physiological illness and/or causes this disease or sickness in
another, forcing dependence of someone on the person
, - Can be done to yourself
- Overall goal is to get attention
✔✔Identify the characteristics of a patient with somatic/pain disorder - ✔✔- Has seen
many providers
- Gone to the ER many times
- Self harm behaviors because no one believes them
✔✔Nursing intervention for a patient with conversion disorder - ✔✔- Neurologic
dysfunction/neurocognitive
- Involuntary symptomology
- Don't ignore the symptoms they're experiencing (do lab work, take vitals, etc to not
overlook any pathological issue)
✔✔Identify the treatment options opposed by patients with somatic/pain disorder -
✔✔They don't want to see mental health professionals (because they feel their issue is
more physical)
✔✔Identify the differences between factitious and somatic symptoms - ✔✔- Factitious:
intentional
- Somatic: unintentional
✔✔Identify the intervention for a client with BPD (borderline personality disorder) -
✔✔suicide risk assessment
✔✔Cluster A of personality disorders (odd or eccentric) - ✔✔- Schizoid
- Schizotypal
- Schizoaffective
- Paranoid
✔✔Cluster B of personality disorders (erratic or dramatic) - ✔✔- Histrionic
- Narcissistic
- Borderline
- Antisocial
✔✔Cluster C of personality disorders - ✔✔- Avoidant
- Dependent
- OCD
** normally fearful and tend to avoid things **
✔✔They are superstitious and may be getting messages from beyond - ✔✔Schizotypal
✔✔They are highly emotional with flamboyant attire - ✔✔Histrionic
WITH SOLUTIONS 2025 GRADED A+
✔✔Identify the nursing intervention for a client with an eating disorder/purging -
✔✔Monitor meal times
✔✔Identify nursing findings of a patient with the diagnosis of bulimia - ✔✔- Dental
deterioration
- Calluses on fingers from self inducing vomiting
- Periods of binging and purging
✔✔Identify the expected finding of a patient with anorexia - ✔✔- BMI < 18.5
- Fear of gaining weight
- "safe" foods
✔✔Identify possible risk factors for developing an eating disorder - ✔✔- being bullied
- revealing sports (gymnastics, swimming, dance)
✔✔Identify patients' responses as their stress increases - ✔✔- More stressful labored
breathing, higher RR
- Increased HR
- Shaky/jittery
- Looking around
- Appearing anxious or fearful
- Rubbing neck or chest
✔✔Identify the issues that could increase violent episodes on the unit - ✔✔- Reference:
seeing someone that reminds them of someone they don't like
- Not being included in plans of care
- Loud noises/stimulating environment/triggers
- Involuntary status
- Medication struggle (to decrease- give them the power of choice)
- Unit rules and regulations
✔✔What are the 5 stages of grief? - ✔✔1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
DABDA
✔✔Identify a Munchausen by proxy - ✔✔- When someone falsely claims another
person's psychological or physiological illness and/or causes this disease or sickness in
another, forcing dependence of someone on the person
, - Can be done to yourself
- Overall goal is to get attention
✔✔Identify the characteristics of a patient with somatic/pain disorder - ✔✔- Has seen
many providers
- Gone to the ER many times
- Self harm behaviors because no one believes them
✔✔Nursing intervention for a patient with conversion disorder - ✔✔- Neurologic
dysfunction/neurocognitive
- Involuntary symptomology
- Don't ignore the symptoms they're experiencing (do lab work, take vitals, etc to not
overlook any pathological issue)
✔✔Identify the treatment options opposed by patients with somatic/pain disorder -
✔✔They don't want to see mental health professionals (because they feel their issue is
more physical)
✔✔Identify the differences between factitious and somatic symptoms - ✔✔- Factitious:
intentional
- Somatic: unintentional
✔✔Identify the intervention for a client with BPD (borderline personality disorder) -
✔✔suicide risk assessment
✔✔Cluster A of personality disorders (odd or eccentric) - ✔✔- Schizoid
- Schizotypal
- Schizoaffective
- Paranoid
✔✔Cluster B of personality disorders (erratic or dramatic) - ✔✔- Histrionic
- Narcissistic
- Borderline
- Antisocial
✔✔Cluster C of personality disorders - ✔✔- Avoidant
- Dependent
- OCD
** normally fearful and tend to avoid things **
✔✔They are superstitious and may be getting messages from beyond - ✔✔Schizotypal
✔✔They are highly emotional with flamboyant attire - ✔✔Histrionic
