NUR 256 Mental Health Exam 3 – Galen College Nursing Study Guide & Test Prep
The nurse is caring for a 20-year-old client who is a survivor of a gang related shooting. The client suffers
from post-traumatic stress disorder (PTSD) and requires education about the condition.
Which of the following information should the nurse provide to the client? - (ANSWER)Marked
physiological reactions to things that remind the client of the event.
The nurse is preparing a care plan for a newly admitted 73-year-old client who lost their spouse last year
and is suffering from depression. After assessing for suicidal ideation, which of the following
interventions is a priority for this client? - (ANSWER)a. Teach the client new coping skills.
b. Monitor the client's nutritional intake during admission.
c. Encourage the client to attend socialization groups.
d. Offer grief counseling services to the client while on unit.
The nurse is caring for a 6-year-old child who has post-traumatic stress disorder (PTSD). The parents are
concerned because the child has stopped playing with friends and continues to draw pictures of
themself as a bad guy. Which of the following responses is appropriate for the nurse to tell
the parents? - (ANSWER)"This is part of the grieving process and a response to the trauma."
The nurse working on the mental health unit is caring for a newly admitted client. The client was in an
argument with their spouse. The spouse asked for a divorce and suddenly the client could not hear
anymore. Which of the following conditions should the nurse identify the client is experiencing? -
(ANSWER)Conversion Disorder
The nurse is caring for a client who was admitted with somatization. The nurse is identifying potential
secondary gains the client may be experiencing. Which of the following should the nurse consider a
secondary gain? - (ANSWER)Increased attention
A nurse is providing care to a client who states, "I feel sick all the time and can't work. I have been
applying for disability, but no one will approve it." The nurse reviews the client's tests and laboratory
reports and notes that all tests are normal. The nurse is correct to document these symptoms as? -
(ANSWER)Malingering
The nurse is caring for a client who was recently admitted from the emergency department (ED). The
client states, "I don't understand why they say I have another name, home, and family. Wouldn't I
, NUR 256 Mental Health Exam 3 – Galen College Nursing Study Guide & Test Prep
know if this was true?" The nurse expects that the client is experiencing - (ANSWER)Dissociative Identity
Disorder
The nurse is caring for a client who was found screaming at a meter on a sidewalk. During the
assessment, the client states, "I saw the tree had snakes coming out of its trunk." The nurse identifies
the client is having a(n) - (ANSWER)Illusion
A nurse receives a new client who has a diagnosis of somatic symptom disorder. The client now
complains of abdominal pain and vomits. Which of the following interventions should the nurse perform
first? - (ANSWER)Assess the client's abdomen and vital signs (VS).
The nurse has provided medication instruction to a client who was recently prescribed a cholinesterase
(ChE) inhibitor for Alzheimer's disease. Which of the following client statements indicates the need for
additional teaching? - (ANSWER)"This medication will stop the progression of my Alzheimer's disease."
The nurse is caring for an 8-year-old child who was brought to the emergency department (ED) by a
parent. The nurse reviews the information from the chart below and recognizes that this may be a
Instance of - (ANSWER)Factitious Disorder
The nurse is teaching the family of a client who has severe Alzheimer's disease about the side effects of
a newly prescribed medication, donepezil. Which of the following side effects should the
nurse include in the teaching? - (ANSWER)Bradycardia
The nurse is providing care to dementia residents. One client shouts at another, "Move along, you're
blocking the road." The other client turns, shakes a fist, and shouts, "You're trying to steal my cane."
Which of the following is an appropriate action by the nurse? - (ANSWER)Direct the clients to separate
areas and provide an activity to distract them.
The nurse is caring for a client who has unexplained recurring abdominal pain. Multiple medical tests
have been administered with no significant findings. After assessing the client's pain, which of the
following questions should the nurse ask the client? - (ANSWER)"Have you been seen by anyone in the
past for this problem?"
The nurse is caring for a 20-year-old client who is a survivor of a gang related shooting. The client suffers
from post-traumatic stress disorder (PTSD) and requires education about the condition.
Which of the following information should the nurse provide to the client? - (ANSWER)Marked
physiological reactions to things that remind the client of the event.
The nurse is preparing a care plan for a newly admitted 73-year-old client who lost their spouse last year
and is suffering from depression. After assessing for suicidal ideation, which of the following
interventions is a priority for this client? - (ANSWER)a. Teach the client new coping skills.
b. Monitor the client's nutritional intake during admission.
c. Encourage the client to attend socialization groups.
d. Offer grief counseling services to the client while on unit.
The nurse is caring for a 6-year-old child who has post-traumatic stress disorder (PTSD). The parents are
concerned because the child has stopped playing with friends and continues to draw pictures of
themself as a bad guy. Which of the following responses is appropriate for the nurse to tell
the parents? - (ANSWER)"This is part of the grieving process and a response to the trauma."
The nurse working on the mental health unit is caring for a newly admitted client. The client was in an
argument with their spouse. The spouse asked for a divorce and suddenly the client could not hear
anymore. Which of the following conditions should the nurse identify the client is experiencing? -
(ANSWER)Conversion Disorder
The nurse is caring for a client who was admitted with somatization. The nurse is identifying potential
secondary gains the client may be experiencing. Which of the following should the nurse consider a
secondary gain? - (ANSWER)Increased attention
A nurse is providing care to a client who states, "I feel sick all the time and can't work. I have been
applying for disability, but no one will approve it." The nurse reviews the client's tests and laboratory
reports and notes that all tests are normal. The nurse is correct to document these symptoms as? -
(ANSWER)Malingering
The nurse is caring for a client who was recently admitted from the emergency department (ED). The
client states, "I don't understand why they say I have another name, home, and family. Wouldn't I
, NUR 256 Mental Health Exam 3 – Galen College Nursing Study Guide & Test Prep
know if this was true?" The nurse expects that the client is experiencing - (ANSWER)Dissociative Identity
Disorder
The nurse is caring for a client who was found screaming at a meter on a sidewalk. During the
assessment, the client states, "I saw the tree had snakes coming out of its trunk." The nurse identifies
the client is having a(n) - (ANSWER)Illusion
A nurse receives a new client who has a diagnosis of somatic symptom disorder. The client now
complains of abdominal pain and vomits. Which of the following interventions should the nurse perform
first? - (ANSWER)Assess the client's abdomen and vital signs (VS).
The nurse has provided medication instruction to a client who was recently prescribed a cholinesterase
(ChE) inhibitor for Alzheimer's disease. Which of the following client statements indicates the need for
additional teaching? - (ANSWER)"This medication will stop the progression of my Alzheimer's disease."
The nurse is caring for an 8-year-old child who was brought to the emergency department (ED) by a
parent. The nurse reviews the information from the chart below and recognizes that this may be a
Instance of - (ANSWER)Factitious Disorder
The nurse is teaching the family of a client who has severe Alzheimer's disease about the side effects of
a newly prescribed medication, donepezil. Which of the following side effects should the
nurse include in the teaching? - (ANSWER)Bradycardia
The nurse is providing care to dementia residents. One client shouts at another, "Move along, you're
blocking the road." The other client turns, shakes a fist, and shouts, "You're trying to steal my cane."
Which of the following is an appropriate action by the nurse? - (ANSWER)Direct the clients to separate
areas and provide an activity to distract them.
The nurse is caring for a client who has unexplained recurring abdominal pain. Multiple medical tests
have been administered with no significant findings. After assessing the client's pain, which of the
following questions should the nurse ask the client? - (ANSWER)"Have you been seen by anyone in the
past for this problem?"
