NUR2488 FINAL EXAM / NUR 2488 FINAL EXAM (PRACTICE QUESTIONS) (NEW, 2021/2022): MENTAL HEA, Exams of Nursing

Download NUR2488 FINAL EXAM / NUR 2488 FINAL EXAM (PRACTICE QUESTIONS) (NEW, 2021/2022): MENTAL HEA and more Exams Nursing in PDF only on Docsity! NUR2488 FINAL EXAM / NUR 2488 FINAL EXAM (PRACTICE QUESTIONS) (NEW, 2021/2022): MENTAL HEALTH NURSING: RASMUSSEN COLLEGE (SATISFACTION GUARANTEED,) GRADED A+ NUR 2488 Final Exam (Practice Questions) 1. The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving: a. lithium (Eskalith) b. clozapine (Clozaril) c. diazepam (Valium) d. amitriptyline 2. A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs: NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 FINAL EXAM / NUR 2488 FINAL EXAM (PRACTICE QUESTIONS) (NEW, 2021/2022): MENTAL HEALTH NURSING: RASMUSSEN COLLEGE (SATISFACTION GUARANTEED,) GRADED A+ a. Selective serotonin reuptake inhibitors b. Monoamine oxidase inhibitors c. Serotonin and norepinephrine reuptake inhibitors d. All of the above  The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply. a. “Is the patient expressing suicidal thoughts?” b. “Does the patient have intact judgment and insight into his situation?” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+  Cholinesterase inhibitors g. What assessment question will provide the nurse with information regarding the effects of a woman’s circadian rhythms on her quality of life?  “How much sleep do you usually get each night?”  “Does your heart ever seem to skip a beat?”  “When was the last time you had a fever?”  “Do you have problems urinating?” h. You realize that your patient who is being treated for a major depressive disorder requires more teaching when she makes the following statement:  “I have been on this antidepressant for 3 days. I realize that the full effect may not happen for a period of weeks.” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+  “I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking a monoamine oxidase inhibitor tomorrow.”  “I may ask to have my medication changed to Wellbutrin due to the problems I am having being romantic with my wife.”  “I realize that there are many antidepressants and it might take a while until we find the one that works best for me.” i. A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?  Obsessive-compulsive disorder  Generalized anxiety disorder  Persistent depressive disorder  Substance use disorder j. Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+  “I hope Wellbutrin will help my depression and also help me to finally quit smoking.”  “I’m happy to hear that I won’t need to worry too much about weight gain.”  “It’s okay to take Wellbutrin since I haven’t had a seizure in 6 months.”  “I need to be careful about driving since the medication could make me drowsy.” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. “I’m not sure I understand what you mean.” d. “You look sad.”  When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient? a. Change of shift report b. Admission interviews c. One-to-one conversations with patients d. Conversations with patient families  During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply. a. Auditory NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Visual c. Written d. Tactile e. Olfactory  What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing” to a patient? NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ a. Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation. b. The patient is more interested in talking to you than listening to what you have to say and so is not likely to be offended. c. Considering the patient’s history, there is little chance that the comment will do any actual harm. d. Most people with a mentally illness have by necessity developed a high tolerance of forgiveness.  You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic? a. “A new psychiatrist is a chance to start fresh; I’m sure it will go well for you.” b. “You say you look forward to the meeting, but you appear anxious or unhappy.” c. “I notice that you frowned and avoided eye contact just now. Don’t you feel well?” d. “I get the impression you don’t really want to see your psychiatrist—can you tell me why?” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Encouraging description of perception c. Summarizing d. Asking “why” questions  Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, “I don’t need to come see you anymore. I have found a therapy app on my phone that I love.” How should Carolina respond to this news? a. “That sounds exciting, would you be willing to visit and show me the app?” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. “At this time, there is no real evidence that the app can replace our therapy.” c. “I am not sure that is a good idea right now, we are so close to progress.” d. “Why would you think that is a better option than meeting with me?”  A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be: a. Nursing Interventions Classification (NIC) b. Nursing Outcomes Classification (NOC) c. NANDA-I nursing diagnoses d. DSM-5 NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+  Epidemiological studies contribute to improvements in care for individuals with mental disorders by: a. Providing information about effective nursing techniques. b. Identifying risk factors that contribute to the development of a disorder. c. Identifying individuals in the general population who will develop a specific disorder. d. Identifying which individuals will respond favorably to a specific treatment. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. “I forgot that you told me to breathe when I become angry.” d. “I scream as loud as I can when the train goes by the house.” 4. What assessment question should the nurse ask when attempting to determine a teenager’s mental health resilience? Select all that apply. a. “How did you cope when your father deployed with the Army for a year in Iraq?” b. “Who did you go to for advice while your father was away for a year in Iraq?” c. “How do you feel about talking to a mental health counselor?” d. “Where do you see yourself in 10 years?” e. “Do you like the school you go to?” 5. Which factors tend to increase the difficulty of diagnosing young children who demonstrate behaviors associated with mental illness? Select all that apply. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ a. Limited language skills b. Level of cognitive development c. Level of emotional development d. Parental denial that a problem exists e. Severity of the typical mental illnesses observed in young children NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ 7. In pediatric mental health there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select all that apply. a. Children of color and poor economic conditions being underserved b. Increased stress in the family unit c. Markedly increased funding d. Premature termination of services 8. Child protective services have removed 10-year-old Christopher from his parents’ home due to neglect. Christopher reveals to the nurse that he considers the woman next door his “nice” mom, that he loves school, and gets above average grades. The strongest explanation of this response is: a. Temperament b. Genetic factors NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ 1. Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia? a. Always afraid another student will steal her belongings. b. An unusual interest in numbers and specific topics. c. Demonstrates no interest in athletics or organized sports. d. Appears more comfortable among males. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ 2. Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia? a. Screening a group of males between the ages of 15 and 25 for early symptoms. b. Forming a support group for females aged 25 to 35 who are diagnosed with substance use issues. c. Providing a group for patients between the ages of 45 and 55 with information on coping skills that have proven to be effective. d. Educating the parents of a group of developmentally delayed 5- to 6-year-olds on the importance of early intervention. 3. To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select all that apply. a. Alcohol use disorder b. Major depressive disorder c. Stomach cancer NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ d. Polydipsia e. Metabolic syndrome 4. A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms? NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ d. To have a less positive outcome 7. Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient’s nursing diagnosis is altered thought processes? a. “I know you say you hear voices, but I cannot hear them.” b. “Stop listening to the voices, they are NOT real.” c. “You say you hear voices, what are they telling you?” d. “Please tell the voices to leave you alone for now.” 8. When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that: a. Medications provided are ineffective. b. Nurses are trying to control their minds. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. The medications will make them sick. d. They are not actually ill. 9. Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply. a. Hold his medication and contact his prescriber. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Wipe him with a washcloth wet with cold water or alcohol. c. Administer a medication such as benztropine IM to correct this dystonic reaction. d. Reassure him that although there is no treatment for his tardive dyskinesia, it will pass. e. Hold his medication for now and consult his prescriber when he comes to the unit later today. 10. Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas’s nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co- occur along with: a. Generally good health despite the mental illness. b. An aversion to drinking fluids. c. Anxiety and depression. d. The ability to express his needs. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Getting up at night to urinate c. Improved vision d. An upset stomach for no apparent reason e. Shaky hands that make holding a cup difficult NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ 4. A male patient calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which nursing intervention will the nurse implement initially? a. Reinforce that the level is considered therapeutic. b. Instruct the patient to hold the next dose of medication and contact the prescriber. c. Have the patient go to the hospital emergency room immediately. d. Alert the patient to the possibility of seizures and appropriate precautions. 5. Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? Select all that apply. a. Monitor the patient’s vital signs frequently. b. Keep the patient distracted with group-oriented activities. c. Provide the patient with frequent milkshakes and protein drinks. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ d. Reduce the volume on the television and dim bright lights in the environment. e. Use a firm but calm voice to give specific concise directions to the patient. 6. Substance abuse is often present in people diagnosed with bipolar disorder. Laura, a 28-year- old with a diagnosis of bipolar disorder, drinks alcohol instead of taking her prescribed medications. The nurse caring for this patient recognizes that: a. Anxiety may be present. b. Alcohol ingestion is a form of self-medication. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ 9. Tatiana has been hospitalized for an acute manic episode. On admission the nurse suspects lithium toxicity. What assessment findings would indicate the nurse’s suspicion as correct? a. Shortness of breath, gastrointestinal distress, chronic cough b. Ataxia, severe hypotension, large volume of dilute urine c. Gastrointestinal distress, thirst, nystagmus d. Electroencephalographic changes, chest pain, dizziness 10. Luc’s family comes home one evening to find him extremely agitated and they suspect in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting? a. Hypodermic needles b. Fast food wrappers NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. Empty soda cans d. Energy drink containers 1. Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder? a. “I’m so restless. I can’t seem to sit still.” b. “I spend most of my time studying. I have to get into a good college.” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. “I’m not trying to diet, but I’ve lost about 5 pounds in the past 5 months.” d. “I go to sleep around 11 p.m. but I’m always up by 3 a.m. and can’t go back to sleep.” 2. Which assessment question asked by the nurse demonstrates an understanding of comorbid mental health conditions associated with major depressive disorder? Select all that apply. a. “Do rules apply to you?” b. “What do you do to manage anxiety?” c. “Do you have a history of disordered eating?” d. “Do you think that you drink too much?” e. “Have you ever been arrested for committing a crime?” 3. Which nursing intervention focuses on managing a common characteristic of major depressive disorder associated with the older population? NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ d. Crohn’s disease 6. Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider? a. Fluoxetine (Prozac) b. Isocarboxazid (Marplan) c. Amitriptyline NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ d. Duloxetine (Cymbalta) 7. Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication? a. Tricyclic antidepressants b. Selective serotonin reuptake inhibitors c. Serotonin and norepinephrine reuptake inhibitors d. Monoamine oxidase inhibitor 8. When a nurse uses therapeutic communication with a withdrawn patient who has major depression, an effective method of managing the silence is to: a. Meditate in the quiet environment NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Ask simple questions even if the patient will not answer c. Use the technique of making observations d. Simply sit quietly and leave when the patient falls asleep 9. The biological approach to treating depression with electrodes surgically implanted into specific areas of the brain to stimulate the regions identified to be underactive in depression is: a. Transcranial magnetic stimulation NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+  When considering an eating disorder, what is a physical criterion for hospital admission? a. A daytime heart rate of less than 50 beats per minute b. An oral temperature of 100°F or more NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. 90% of ideal body weight d. Systolic blood pressure greater than 130 mm Hg  When considering the need for monitoring, which intervention should the nurse implement for a patient with anorexia nervosa? Select all that apply. a. Provide scheduled portion-controlled meals and snacks. b. Congratulate patients for weight gain and behaviors that promote weight gain. c. Limit time spent in bathroom during periods when not under direct supervision. d. Promote exercise as a method to increase appetite. e. Observe patient during and after meals/snacks to ensure that adequate intake is achieved and maintained.  Which intervention will promote independence in a patient being treated for bulimia NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ nervosa? a. Have the patient monitor daily caloric intake and intake and output of fluids. b. Encourage the patient to use behavior modification techniques to promote weight gain behaviors. c. Ask the patient to use a daily log to record feelings and circumstances related to urges to purge. d. Allow the patient to make limited choices about eating and exercise as weight gain progresses. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ d. “The daily structure is based around your desire to eat.”  Safety measures are of concern in eating-disorder treatments. Patients with anorexia nervosa are supervised closely to monitor: Select all that apply. a. Foods that are eaten b. Attempts at self-induced vomiting c. Relationships with other patients d. Weight  Malika has been overweight all of her life. Now an adult, she has health problems related to her excessive weight. Seeking weight loss assistance at a primary care facility Malika is surprised when the nurse practitioner suggests: a. A trial of SSRI antidepressant therapy b. Mild exercise to start, increasing in intensity over time NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. Removing snack foods from the home d. Medication treatment for hypertension  Malika agrees to try losing weight according to the nurse practitioner’s outlined plan. Additional teaching is warranted when Malika states: a. “I am willing to admit I am depressed.” b. “Psychotherapy will be a part of my treatment.” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. “I prefer to have a gastric bypass rather than use this plan.” d. “My comorbid conditions may improve with weight loss.”  Which patient has the greatest risk for suicide? a. A patient who expresses the inability to stop searching the internet for child pornography. b. A patient who reports having lost interest in having a sexual relationship with his wife. c. A patient with a history of exposing himself to female strangers on the bus. d. A patient whose attraction to prepubescent girls has increased.  When Melissa was a small child, she insisted that she was a boy, refused to wear dresses, and wanted to be called Mitch. As Melissa reached puberty, she no longer NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+  Pedophilic disorder is the most common paraphilic disorder where adults who have a primary or exclusive sexual preference for prepubescent children. A subset of this disorder is termed hebephilia and is defined as attraction to: a. Infants b. Pubescent individuals c. Teens between the ages of 15 and 19 d. Males only NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+  Which goal should be addressed initially when providing care for 10-year-old Harper who is diagnosed with posttraumatic stress disorder (PTSD)? NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ a. Harper will be able to identify feelings through the use of play therapy. b. Harper and her parents will have access to protective resources available through social services. c. Harper will demonstrate the effective use of relaxation techniques to restore a sense of control over disturbing thoughts. d. Harper and her parents will demonstrate an understanding of the personal human response to traumatic events.  The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis? a. Has no memory of the physical abuse he endured. b. Using both alcohol and marijuana. c. Often reports being unaware of surroundings. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Parental nurturing c. Appropriate stress responses in the brain d. Memories of the abuse  Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states: NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ a. “I understand that imaginary friends are abnormal.” b. “I understand that imaginary friends are a maladaptive behavior.” c. “I understand that imaginary friends are a coping mechanism.” d. “I understand that we should tell the child that imaginary friends are unacceptable.”  An incest survivor undergoing treatment at the mental health clinic is relieved when she learns that her anxiety and depression are: a. Going to be eradicated with treatment b. Normal and will soon pass c. Abnormal but will pass d. A normal reaction to posttraumatic events NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+  During a routine health screening, a grieving widow whose husband died 15 months ago reports emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The nurse suggests bereavement counseling. The widow is most likely suffering from: a. Major depression b. Normal grieving c. Adjustment disorder d. Posttraumatic stress disorder NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ on the prevalence of personality disorders. b. The North American and Australian cultures produce higher incidences of personality disorders among their populations. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. Neither culture nor ethnic background is generally considered in the development of personality disorders. d. Personality disorders have been found to be primarily the products of genetic factors, not cultural factors.  Which personality disorders are generally associated with behaviors described as “odd or eccentric”? Select all that apply. a. Paranoid b. Schizoid c. Histrionic d. Obsessive-compulsive e. Avoidant  Which behaviors are examples of a primitive defense mechanism often relied upon by NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ those diagnosed with a personality disorder? Select all that apply. a. Regularly attempts to split the staff b. Attempts to undo feelings of anger by offering to do favors c. Regresses to rocking and humming to sooth themselves when fearful d. Lashes out verbally when confronted with criticism NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ a. Can be made aware of their delusions b. Are far more delusional than schizophrenics c. Have a greater need for socialization d. Do not usually respond to antipsychotic medications  Garret’s wife of 8 years is divorcing him because the marriage never developed a warm or loving atmosphere. Garrett states in therapy, “I have always been a loner,” and was never concerned about what others think. The nurse practitioner suggests that Garrett try a trial of bupropion (Wellbutrin) to: a. Improve his flat emotions b. Assist in getting a good night’s sleep c. Increase the pleasure of living NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ d. Prepare Garrett for group therapy  Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell that you are a caring person. Josie is unsure of what she wants to do with her life and her “mixed-up feelings” about relationships. When you tell her that you will be on vacation next week, she becomes very angry. Two hours later, she is found using a curling iron to burn her underarms and explains that it “makes the numbness stop.” Given this presentation, which personality disorder would you suspect? a. Obsessive-compulsive NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Borderline c. Antisocial d. Schizotypal 1. Which statement made by the primary caregiver of a patient diagnosed with dementia demonstrates accurate understanding of providing the patient with a safe environment? a. “The local police know that he has wandered off before.” b. “I keep the noise level low in the house.” c. “We’ve installed locks on all the outside doors.” d. “Our telephone number is always attached to the inside of his shirt pocket.” 2. Which statement made by a family member tends to support a diagnosis of delirium rather than dementia? NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ e. Reports of headache 5. What is the rationale for providing a patient diagnosed with dementia easily accessible finger foods thorough the day? a. Increases input throughout the day b. The person may be anorexic c. Assists with monitoring food intake d. Helps prevent constipation NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ 6. Ophelia, a 69-year-old retired nurse, attends a reunion of her former coworkers. Ophelia is concerned because she usually knows everyone, and she cannot recognize faces today. A registered nurse colleague recognizes Ophelia’s distress and “introduces” Ophelia to those attending. The nurse practitioner recognizes that Ophelia seems to have a deficit in: a. Lower-level cognitive domain b. Delirium threshold c. Executive function d. Social cognition 7. Nancy is a nurse. After talking with her mother, she became concerned enough to drive over and check on her. Her mother’s appearance is disheveled, words are nonsensical, smells strongly of urine, and there is a stain on her dressing gown. Nancy recognizes that her mother’s condition is likely temporary due to: a. Early onset dementia NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. A mild cognitive disorder c. A urinary tract infection d. Skipping breakfast 8. Darnell is an 84-year-old widower who has lived alone since his wife died 6 years ago. A neighbor called Darnell’s son to tell him that Darnell was trying to start his car from the passenger’s side. He became angry and aggressive when the car would not start. After a medical NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ 10. Nurses caring for patients who have neurocognitive disorders are exposed to stress on many levels. Specialized skills training and continuing education are helpful to diffuse nursing stress, as well as: Select all that apply. a. Expressing emotions by journaling b. Describing stressful events on Facebook c. Engage in exercise and relaxation activities d. Having realistic patient expectations e. Happy hour after work to blow off steam 1. Which statement made by a 9-year-old child after hitting a classmate is a typical comment associated with childhood conduct disorder? a. “I’m sorry, I won’t hit him again.” b. “He deserved it for being a sissy.” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. “I didn’t think I hit him very hard.” d. “He hit me first. You just didn’t see it.” 2. What assessment data would support a diagnosis of conduct disorder? Select all that apply. a. Evidence of social isolation b. Arrested twice for disorderly conduct NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. Expresses difficulty in keeping employment d. Demonstrates objective signs of phobia e. Exhibits signs of chronic self-mutilation 3. Which event experienced in the patient’s childhood increases the risk of the development of behaviors associated with intermittent explosive disorder? a. Orphaned at age 4 b. Physically abused from ages 3 to 10 c. Born with a chronic congenital disorder d. One parent was diagnosed with obsessive-compulsive disorder 4. What is a common behavior observed in a patient diagnosed with intermittent explosive disorder? Select all that apply. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Empathetic reasoning when Tommy acts out in the activity room c. Teaching Tommy the benefits of socializing d. Solitary time so that Tommy can think about his actions 7. Some cultures have lower rates of diagnosed conduct disorders than observed in Western societies. The lower rate of incidence may be contributed to: a. Strict parenting with corporal punishment NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ b. Cultural expression of anger as normal behavior c. Parents’ limited tolerance for externalizing behavior d. Widespread acceptance of conduct disorders 8. Larry, a middle-aged male in a treatment facility, is loudly displaying anger in the day room with a visiting family member. It is obvious to the nurse this pattern has played out before. Violence is often escalated when family members or authority figures: a. Use a soft tone of voice to gain control of the situation b. Move away from the agitated person in fear c. Use simple words to communicate d. Engage in a power struggle 9. The impulse control spectrum can begin in childhood and continue on into adulthood, often morphing into criminal behaviors. Working with patients diagnosed with these NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ disorders, the best examples of expressed emotion by the nursing staff are: a. Low to prevent emotional reactions b. Matched to the patient’s level of emotion c. Flat without evidence of any emotional output d. High expression to improve therapeutic patient emotions NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ c. Slow movements d. Extreme anxiety e. Sleepy 3. The nursing diagnosis ineffective denial is especially useful when working with substance use disorders and gambling. Which statements describe this diagnosis? Select all that apply. a. Reports inability to cope b. Does not perceive danger of substance use or gambling c. Minimizes symptoms d. Refuses healthcare attention NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ e. Unable to admit impact of disease on life pattern 4. What action should you take when a female staff member is demonstrating behaviors associated with a substance use disorder? a. Accompany the staff member when she is giving patient care. b. Offer to attend rehabilitation counseling with her. c. Refer her to a peer assistance program. d. Confront her about your concerns and/or report your concerns to a supervisor immediately. NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+ 5. A patient diagnosed with opioid use disorder has expressed a desire to enter into a rehabilitation program. What initial nursing intervention during the early days after admission will help ensure the patient’s success? a. Restrict visitors to family members only. b. Manage the patient’s withdrawal symptoms well. c. Provide the patient a low stimulus environment. d. Advocate for at least 3 months of treatment. 6. Lester and Eileen have always enjoyed gambling. Lately, Eileen has discovered that their savings account is down by $50,000. Eileen insists that Lester undergo therapy for his gambling behavior. The nurse recognizes that Lester is making progress when he states: a. “I understand that I am a bad person for depleting our savings.” b. “Gambling activates the reward pathways in my brain.” NUR2488 Final Exam / NUR 2488 Final Exam (Practice Questions) (New, 2021/2022): Mental Health Nursing: Rasmussen College (SATISFACTION GUARANTEED,) GRADED A+