PSYCHIATRIC/MENTAL HEALTH NURSINGEXAM
A 12-year-old child who has a history of school failure and
destructive acting out is admitted to a child psychiatric unit with
the diagnosis of conduct disorder. The youngest of three
children, the child is identified by both the parents and the
siblings as the family problem. The nurse recognizes the family's
pattern of relating to the child as: - ...ANSWER✓✓✓Scapegoating
A 13-year-old boy who recently was suspended from school for
consistently bullying other children is brought to the pediatric
mental health clinic by his mother. The child is assessed by the
psychiatrist and referred to a psychologist for psychological
testing. The day after the tests are completed, the mother
returns to the clinic and asks the nurse for results of the tests.
The nurse should: - ...ANSWER✓✓✓Refer the mother to the
psychiatrist
A 17-year-old client is admitted to the hospital because of weight
loss and malnutrition, and the health care provider diagnoses
anorexia nervosa. After the client's physical condition is
stabilized, the provider, in conjunction with the client and
parents, decides to institute a behavior-modification program.
What component of behavior modification verbalized by one of
the parents leads the nurse to conclude that the parent has an
,understanding of the therapy? - ...ANSWER✓✓✓Rewarding
positive behavior
A 17-year-old teenager is found to have leukemia. Which
statements by the teenager reflect Piaget's cognitive processes
associated with adolescence? (Select all that apply.) -
...ANSWER✓✓✓"I'm going to do my best to fight this awful
disease."
"Now I can't go to the prom because I have this stupid disease."
"This illness is serious, but with treatment I think I have a chance
to get better."
A 20-year-old woman is brought to an emergency department
after having been raped. She is very anxious and cannot recall
any of the circumstances surrounding the assault or provide the
police with a description of the rapist. The nurse knows that the
defense mechanism being utilized by this woman is: -
...ANSWER✓✓✓Repression
A 2½-year-old child is admitted for treatment of injuries
supposedly sustained in a fall down a flight of stairs. Child abuse
is suspected. What statements might the nurse expect from a
parent who engages in child abuse? (Select all that apply.) -
...ANSWER✓✓✓"Every time I turn around the kid is falling over
something."
"I can't understand it. He didn't have a problem using the stairs
without my help before this."
,A 3-year-old child is found to have a pervasive developmental
disorder not otherwise specified (autistic disorder). What should
the nurse consider most unusual for the child to demonstrate? -
...ANSWER✓✓✓Responsiveness to the parents
A 30-year-old female client asks the nurse to change her room,
stating that she hates her roommate and can't stand to be in the
same room with her. Just as she finishes speaking, her
roommate enters and the client tells her she missed her and has
been all over the unit looking for her. The nurse recognizes that
the client is using: - ...ANSWER✓✓✓Reaction formation
A 30-year-old woman reports to the mental health clinic on the
recommendation of her primary health care provider. She has
been unable to carry out everyday activities because of
increased pain in her lower back and legs. Numerous
neurological and orthopedic workups indicate that her symptoms
seem excessive when compared with the physical problems
shown on physical examination and repeated MRIs and x-rays.
She says that no one understands how difficult it has been to
care for her 32-year-old husband, who has an inoperable brain
tumor and is undergoing chemotherapy. In light of the history
and symptoms, what disorder should the nurse suspect? -
...ANSWER✓✓✓Conversion
A 4-year-old child is found to have attention deficit-hyperactivity
disorder (ADHD). What information about the child's behavior
, should the nurse expect when obtaining a health history from the
parents? (Select all that apply.) - ...ANSWER✓✓✓Impulsiveness
Excessive talking
Playing video games for hours on end
Failure to follow through or finish tasks
A 6-year-old child has been wetting the bed at night since the
birth of a baby brother. What defense mechanism is the child
using to cope with the stress of accepting a new family member?
- ...ANSWER✓✓✓Regression
A 6-year-old child who has autism exhibits frequent spinning
and hand-flapping behaviors. What should the nurse teach the
parents to do to limit these actions? - ...ANSWER✓✓✓Use
another activity to distract the child
A 67-year-old man with type 2 diabetes sadly confides in the
nurse that he has been unable to have an erection for several
years. What is the best response by the nurse? -
...ANSWER✓✓✓"You sound upset about not being able to have an
erection."
A 7-year-old boy is brought to the clinic by the mother, who tells
the nurse that her child has been having trouble in school, has
difficulty concentrating, and is falling behind in schoolwork since
she and her husband separated 6 months ago. The mother
A 12-year-old child who has a history of school failure and
destructive acting out is admitted to a child psychiatric unit with
the diagnosis of conduct disorder. The youngest of three
children, the child is identified by both the parents and the
siblings as the family problem. The nurse recognizes the family's
pattern of relating to the child as: - ...ANSWER✓✓✓Scapegoating
A 13-year-old boy who recently was suspended from school for
consistently bullying other children is brought to the pediatric
mental health clinic by his mother. The child is assessed by the
psychiatrist and referred to a psychologist for psychological
testing. The day after the tests are completed, the mother
returns to the clinic and asks the nurse for results of the tests.
The nurse should: - ...ANSWER✓✓✓Refer the mother to the
psychiatrist
A 17-year-old client is admitted to the hospital because of weight
loss and malnutrition, and the health care provider diagnoses
anorexia nervosa. After the client's physical condition is
stabilized, the provider, in conjunction with the client and
parents, decides to institute a behavior-modification program.
What component of behavior modification verbalized by one of
the parents leads the nurse to conclude that the parent has an
,understanding of the therapy? - ...ANSWER✓✓✓Rewarding
positive behavior
A 17-year-old teenager is found to have leukemia. Which
statements by the teenager reflect Piaget's cognitive processes
associated with adolescence? (Select all that apply.) -
...ANSWER✓✓✓"I'm going to do my best to fight this awful
disease."
"Now I can't go to the prom because I have this stupid disease."
"This illness is serious, but with treatment I think I have a chance
to get better."
A 20-year-old woman is brought to an emergency department
after having been raped. She is very anxious and cannot recall
any of the circumstances surrounding the assault or provide the
police with a description of the rapist. The nurse knows that the
defense mechanism being utilized by this woman is: -
...ANSWER✓✓✓Repression
A 2½-year-old child is admitted for treatment of injuries
supposedly sustained in a fall down a flight of stairs. Child abuse
is suspected. What statements might the nurse expect from a
parent who engages in child abuse? (Select all that apply.) -
...ANSWER✓✓✓"Every time I turn around the kid is falling over
something."
"I can't understand it. He didn't have a problem using the stairs
without my help before this."
,A 3-year-old child is found to have a pervasive developmental
disorder not otherwise specified (autistic disorder). What should
the nurse consider most unusual for the child to demonstrate? -
...ANSWER✓✓✓Responsiveness to the parents
A 30-year-old female client asks the nurse to change her room,
stating that she hates her roommate and can't stand to be in the
same room with her. Just as she finishes speaking, her
roommate enters and the client tells her she missed her and has
been all over the unit looking for her. The nurse recognizes that
the client is using: - ...ANSWER✓✓✓Reaction formation
A 30-year-old woman reports to the mental health clinic on the
recommendation of her primary health care provider. She has
been unable to carry out everyday activities because of
increased pain in her lower back and legs. Numerous
neurological and orthopedic workups indicate that her symptoms
seem excessive when compared with the physical problems
shown on physical examination and repeated MRIs and x-rays.
She says that no one understands how difficult it has been to
care for her 32-year-old husband, who has an inoperable brain
tumor and is undergoing chemotherapy. In light of the history
and symptoms, what disorder should the nurse suspect? -
...ANSWER✓✓✓Conversion
A 4-year-old child is found to have attention deficit-hyperactivity
disorder (ADHD). What information about the child's behavior
, should the nurse expect when obtaining a health history from the
parents? (Select all that apply.) - ...ANSWER✓✓✓Impulsiveness
Excessive talking
Playing video games for hours on end
Failure to follow through or finish tasks
A 6-year-old child has been wetting the bed at night since the
birth of a baby brother. What defense mechanism is the child
using to cope with the stress of accepting a new family member?
- ...ANSWER✓✓✓Regression
A 6-year-old child who has autism exhibits frequent spinning
and hand-flapping behaviors. What should the nurse teach the
parents to do to limit these actions? - ...ANSWER✓✓✓Use
another activity to distract the child
A 67-year-old man with type 2 diabetes sadly confides in the
nurse that he has been unable to have an erection for several
years. What is the best response by the nurse? -
...ANSWER✓✓✓"You sound upset about not being able to have an
erection."
A 7-year-old boy is brought to the clinic by the mother, who tells
the nurse that her child has been having trouble in school, has
difficulty concentrating, and is falling behind in schoolwork since
she and her husband separated 6 months ago. The mother
