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NUR 354 - EXAM 4 PSYCH-MENTAL HEALTH
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, Page 2 of 33
NUR 354 - Exam 4 Cumulative QUESTIONS (Varcarolis Psych-Mental Health
Nursing)
What nursing intervention is the priority in the period immediately after an
emaciated 13-year-old child's admission to the hospital for starvation
secondary to anorexia nervosa?
A. Ensuring the child's rest and nutrition needs are met
B. Correcting the child's fluid and electrolyte imbalances
C. Obtaining more data about the child's diet and exercise program
D. Completing an assessment of the child's physical and mental status
B. Correcting the child's fluid and electrolyte imbalances
These children usually are severely malnourished and have severe fluid and
electrolyte imbalances. Unless these imbalances are corrected, cardiac irregularities
and death can occur.
A This is important, but it is not the priority at this time.
C This is important, but it is not the priority at this time.
D This is important, but it is not the priority at this time.
What is the initial nursing intervention when planning care for an adolescent
client with anorexia nervosa?
A. Rewarding weight gain by increasing privileges
B. Discussing the importance of eating a balanced diet
C. Encouraging the client to include high-caloric foods in the diet
D. Family therapy focusing on the influence of the client's behavior on the
family
A. Rewarding weight gain by increasing privileges
Behavior modification programs are helpful treatment modes for many clients with
anorexia nervosa.
B. This is ineffective. The person with anorexia nervosa is more concerned with
losing weight than with eating a balanced diet.
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C. A well-balanced diet should be encouraged, but actual weight gain is critical and
must be reinforced.
D. Although family therapy may be helpful, placing emphasis on the anorexia may
reinforce the negative behavior. Also family therapy will not be a priority until the
client gains weight.
When interacting with an adolescent client with the diagnosis of anorexia
nervosa, it is most important that the nurse:
a. Show empathy
b. Maintain control
c. Set and maintain limits
d. Focus on food and nutrition
c. Set and maintain limits
The client's security is increased by limit-setting; guidelines remove responsibility for
behavior from the client and increase compliance with the regimen.
A The client needs limit-setting, not empathy.
B Simply maintaining control is not therapeutic and increases the power struggle.
D Emphasis on food and nutrition may establish a power struggle between the client
and the nurse.
A nurse at the mental health center has been counseling the family of an
adolescent client with anorexia about nutrition. The statement made by a
family member that demonstrates an adequate understanding of the needs of
the client is, "We:
A. do not have to worry about this passing fad for long."
B. will monitor the exercise habits of both our teenagers."
C. need to watch more closely when we are eating together."
D. should allow our daughter to have input into food planning."
D. should allow our daughter to have input into food planning."
. The anorexic client feels out of control in most situations. The client needs to
assume responsibility for treatment associated with this lifelong problem; input into
planning and preparation gives some responsibility to the client as well as others in
the family.
A. This is not a passing fad.
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B. Close supervision takes away the client's responsibility in the treatment regimen
and impedes the development of independence from the parents.
C. Close supervision takes away the client's responsibility in the treatment regimen
and impedes the development of independence from the parents.
Which principle best applies to care of a patient diagnosed with conversion
disorder?
A. Structure care to provide time for rituals.
B. Facilitate progressive review of the trauma.
C. Give attention to the patient, not the symptom.
D. Permit dependence while the symptoms are acute.
C. Give attention to the patient, not the symptom.
Focus on the patient, as the symptoms are distressful to them even though they
don't have a biological basis
Which statement by a patient diagnosed with somatic symptom disorder
indicates that goals for treatment are being achieved?
A. "I need to be very careful about what I eat."
B. "I can focus on things other than my symptoms."
C. "I understand that my doctor is not an expert in everything."
D. "I try to figure out my diagnosis by reading articles on the Internet."
B. "I can focus on things other than my symptoms."
What priority nursing assessments should be made early in the refeeding
process for a patient with anorexia nervosa? Select all that apply:
a. Vital Signs
b. Skin Integrity
c. Peripheral Edema
d. Lung and Heart Sounds
e. Level of Consciousness
a. Vital Signs
c. Peripheral Edema
d. Lung and Heart Sounds
A nurse anticipates that most clients with phobias will use the defense
mechanisms of:
a. Dissociation and denial
NUR 354 - EXAM 4 PSYCH-MENTAL HEALTH
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
, Page 2 of 33
NUR 354 - Exam 4 Cumulative QUESTIONS (Varcarolis Psych-Mental Health
Nursing)
What nursing intervention is the priority in the period immediately after an
emaciated 13-year-old child's admission to the hospital for starvation
secondary to anorexia nervosa?
A. Ensuring the child's rest and nutrition needs are met
B. Correcting the child's fluid and electrolyte imbalances
C. Obtaining more data about the child's diet and exercise program
D. Completing an assessment of the child's physical and mental status
B. Correcting the child's fluid and electrolyte imbalances
These children usually are severely malnourished and have severe fluid and
electrolyte imbalances. Unless these imbalances are corrected, cardiac irregularities
and death can occur.
A This is important, but it is not the priority at this time.
C This is important, but it is not the priority at this time.
D This is important, but it is not the priority at this time.
What is the initial nursing intervention when planning care for an adolescent
client with anorexia nervosa?
A. Rewarding weight gain by increasing privileges
B. Discussing the importance of eating a balanced diet
C. Encouraging the client to include high-caloric foods in the diet
D. Family therapy focusing on the influence of the client's behavior on the
family
A. Rewarding weight gain by increasing privileges
Behavior modification programs are helpful treatment modes for many clients with
anorexia nervosa.
B. This is ineffective. The person with anorexia nervosa is more concerned with
losing weight than with eating a balanced diet.
, Page 3 of 33
C. A well-balanced diet should be encouraged, but actual weight gain is critical and
must be reinforced.
D. Although family therapy may be helpful, placing emphasis on the anorexia may
reinforce the negative behavior. Also family therapy will not be a priority until the
client gains weight.
When interacting with an adolescent client with the diagnosis of anorexia
nervosa, it is most important that the nurse:
a. Show empathy
b. Maintain control
c. Set and maintain limits
d. Focus on food and nutrition
c. Set and maintain limits
The client's security is increased by limit-setting; guidelines remove responsibility for
behavior from the client and increase compliance with the regimen.
A The client needs limit-setting, not empathy.
B Simply maintaining control is not therapeutic and increases the power struggle.
D Emphasis on food and nutrition may establish a power struggle between the client
and the nurse.
A nurse at the mental health center has been counseling the family of an
adolescent client with anorexia about nutrition. The statement made by a
family member that demonstrates an adequate understanding of the needs of
the client is, "We:
A. do not have to worry about this passing fad for long."
B. will monitor the exercise habits of both our teenagers."
C. need to watch more closely when we are eating together."
D. should allow our daughter to have input into food planning."
D. should allow our daughter to have input into food planning."
. The anorexic client feels out of control in most situations. The client needs to
assume responsibility for treatment associated with this lifelong problem; input into
planning and preparation gives some responsibility to the client as well as others in
the family.
A. This is not a passing fad.
, Page 4 of 33
B. Close supervision takes away the client's responsibility in the treatment regimen
and impedes the development of independence from the parents.
C. Close supervision takes away the client's responsibility in the treatment regimen
and impedes the development of independence from the parents.
Which principle best applies to care of a patient diagnosed with conversion
disorder?
A. Structure care to provide time for rituals.
B. Facilitate progressive review of the trauma.
C. Give attention to the patient, not the symptom.
D. Permit dependence while the symptoms are acute.
C. Give attention to the patient, not the symptom.
Focus on the patient, as the symptoms are distressful to them even though they
don't have a biological basis
Which statement by a patient diagnosed with somatic symptom disorder
indicates that goals for treatment are being achieved?
A. "I need to be very careful about what I eat."
B. "I can focus on things other than my symptoms."
C. "I understand that my doctor is not an expert in everything."
D. "I try to figure out my diagnosis by reading articles on the Internet."
B. "I can focus on things other than my symptoms."
What priority nursing assessments should be made early in the refeeding
process for a patient with anorexia nervosa? Select all that apply:
a. Vital Signs
b. Skin Integrity
c. Peripheral Edema
d. Lung and Heart Sounds
e. Level of Consciousness
a. Vital Signs
c. Peripheral Edema
d. Lung and Heart Sounds
A nurse anticipates that most clients with phobias will use the defense
mechanisms of:
a. Dissociation and denial
