SNHU Mental Health Exam B
A nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia
nervosa and has a fainting episode during a ballet performance. Which of the following statements by
the parent acknowledges the client's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight." - Answer-B. "She won't let me
take the trash from her room. I'm concerned about what she has in there."
The client might be binge eating and attempting to hide food containers, which is a common behavior
among clients who have bulimia nervosa. The parent's statement indicates awareness of the client's
behavior.
A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing
objects, and kicking orders. Which of the following therapeutic nursing interventions is the priority?
A. Encourage expression of feelings
B. Support the child's attendance at an assertiveness training group
C. Assist the child to perform relaxation breathing
D. Reduce environmental stimuli - Answer-D. Reduce environmental stimuli
The greatest risk to the child and others is harm. Therefore, the nurse's priority intervention is to reduce
environmental stimuli in an attempt to de-escalate the behavior and prevent injury.
, A nurse in a community health center is teaching families of clients who have post-traumatic stress
disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should
the nurse include?
A. Repeatedly talks about the traumatic incident
B. sleeps excessively
C. experiences feelings of isolation
D. uses repetitive speech - Answer-C. experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged and detached from others.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory
findings should the nurse expect?
A. Increased creatine phosphokinase (CPK)
B. Increase low-density lipoproteins (LDL)
C. Decreased fasting blood glucose
D. Decreased aspartate aminotransferase (AST) - Answer-A. Increased creatine phosphokinase (CPK)
An increase in CPK, a muscle enzyme released when muscle tissue is damaged, occurs with
cardiomyopathy.
A nurse is caring for an older adult client who is experiencing delirium. Which of the following
interventions should the nurse include in the client's plan of care?
A. Offer the clients various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lightning - Answer-C. Permit the client to perform daily rituals
to decrease anxiety
A nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia
nervosa and has a fainting episode during a ballet performance. Which of the following statements by
the parent acknowledges the client's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight." - Answer-B. "She won't let me
take the trash from her room. I'm concerned about what she has in there."
The client might be binge eating and attempting to hide food containers, which is a common behavior
among clients who have bulimia nervosa. The parent's statement indicates awareness of the client's
behavior.
A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing
objects, and kicking orders. Which of the following therapeutic nursing interventions is the priority?
A. Encourage expression of feelings
B. Support the child's attendance at an assertiveness training group
C. Assist the child to perform relaxation breathing
D. Reduce environmental stimuli - Answer-D. Reduce environmental stimuli
The greatest risk to the child and others is harm. Therefore, the nurse's priority intervention is to reduce
environmental stimuli in an attempt to de-escalate the behavior and prevent injury.
, A nurse in a community health center is teaching families of clients who have post-traumatic stress
disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should
the nurse include?
A. Repeatedly talks about the traumatic incident
B. sleeps excessively
C. experiences feelings of isolation
D. uses repetitive speech - Answer-C. experiences feelings of isolation
The nurse should expect clients who have PTSD to feel estranged and detached from others.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory
findings should the nurse expect?
A. Increased creatine phosphokinase (CPK)
B. Increase low-density lipoproteins (LDL)
C. Decreased fasting blood glucose
D. Decreased aspartate aminotransferase (AST) - Answer-A. Increased creatine phosphokinase (CPK)
An increase in CPK, a muscle enzyme released when muscle tissue is damaged, occurs with
cardiomyopathy.
A nurse is caring for an older adult client who is experiencing delirium. Which of the following
interventions should the nurse include in the client's plan of care?
A. Offer the clients various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lightning - Answer-C. Permit the client to perform daily rituals
to decrease anxiety
