NUR 2488 MH exam3.docx complete questions and answers 2021

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NUR 2488 MH exam3.docx complete questions and answers 2021 • Question 1 A patient with a history of cocaine use reports a concurrent history of using other drugs in order to counteract the ef... fects of cocaine. Which drug is this patient likely to have abused? • Question 2 A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp 96.8 and pinpoint pupils. Based on these clinical manifestations, what substance did this patient most likely overdose on? • Question 3 An elderly client with cognitive impairment is combative and pulled out a nasogastric tube, intravenous line, and indwelling urinary catheter. What can the nurse anticipate that the health care provider will most likely prescribe? • Question 4 A nursing care plan contains the intervention “monitor for complications of refeeding syndrome.” Which body system should a nurse most closely monitor for clinical manifestations of dysfunction? • Question 5 Which of the following is the best example of all-or-nothing thinking, a common cognitive distortion of patients with an eating disorder? • Question 6 A nurse reports to the interdisciplinary team that a patient with an antisocial personality disorder lies to other patients, verbally abuses a patient with Alzheimer’s disease, and flatters the primary nurse. This patient is detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting? • Question 7 Which of the following are primary characteristics of a person with borderline personality disorder? • Question 8 A nurse is working with a patient with a histrionic personality disorder. Which of the following nursing interventions must be implemented throughout the inpatient stay? • Question 9 A patient has blindness related to conversion disorder. In order to assist the patient with eating, which of the following interventions should the nurse implement? • Question 10 A patient is admitted for psychiatric observation after being arrested for breaking windows in the home of a former girlfriend who had refused to see him. His history reveals childhood abuse by a punitive father, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority in the plan of care? • Question 11 A patient is referred to the mental health center by the family health care provider. Over the past year, the patient has cooked gourmet meals for family members, but eats only tiny portions of the food. The patient wears layers of loose clothing, saying, “It’s just my style.” The patient’s weight has dropped from 130 to 95 pounds. The patient has amenorrhea. Which medical diagnosis are the history and symptoms are most consistent with? • Question 12 A patient sat in silence for 20 minutes after a therapy appointment. The patient appeared tense and vigilant. The patient abruptly stood up and paced back and forth across the day room, clenching and unclenching his fists. Next, he stopped and stared intently into the face of a psychiatric technician. Which of the following best explains the nurse’s observations of this patient? • Question 13 A patient referred to the eating disorders clinic has lost 35 pounds during one summer. Which of the following questions would be best if the nurse wished to assess the patient’s eating patterns? • Question 14 When a victim of sexual assault is discharged from the emergency department, which of the following interventions should the nurse perform? • Question 15 A patient admitted for a heroin overdose received naloxone, which improved her breathing pattern. Two hours later the patient reports muscle aches, abdominal cramps, and gooseflesh, and says, “I feel terrible.” Which is the correct analysis of this assessment? • Question 16 A health care provider writes these new prescriptions for a nursing home resident: 2-g sodium diet; restraints as needed for behavioral problems; limit fluids to 2000 mL daily; continue antihypertensive medication; milk of magnesia 30 mL orally one time as needed if no bowel movement for 3 days. Which of the following is most appropriate for the nurse to do first? • Question 17 The son of an elderly client with dementia is talking to the nurse about discharge. He indicates that his father’s physician has given him 48 hours to decide on a living situation. The nurse discusses possible living arrangements and provides contact information. The nurse knows that the son requires further teaching when he says: • Question 18 A child with ADHD will begin medication therapy. Which of the following classifications of medications should the nurse prepare to teach the patient and family about? • Question 19 Which of the following nursing interventions is the highest priority while working with a patient who has a somatoform disorder for the first time? • Question 20 The nurse is assessing a patient who has been diagnosed with hypochondriasis. Which clinical manifestation would the nurse most likely assess in this patient? • Question 21 While providing health teaching for a patient with binge-purge bulimia, what information is most important for the nurse to prioritize? • Question 22 An 11-year-old is absent from school to stay at home and care for siblings while the parents work. The family cannot afford a babysitter. When asked about the parents, the child reluctantly says, “I don’t think my parents like me very much. They call me stupid and say I never do anything right.” Which type of abuse is most likely? • Question 23 The student nurse is asked to provide a general and concise description of persons with personality disorders. Which of the following would be the best description? • Question 24 A nurse in the emergency department tells the daughter of an older adult woman, “Your mother had a severe stroke.” The daughter tearfully says, “Who will take care of me now? My mother always tells me what to do, what to wear, and what to eat. I need someone to reassure me when I get anxious.” This behavior could best be assessed as: • Question 25 Which behavior best describes physical aggression? • Question 26 Which nursing intervention(s) would be most likely included in a plan of care for a patient with bulimia nervosa? Select all that apply. • Question 27 An older adult patient with Alzheimer’s disease lives with family and goes to day care on weekdays. The nurse at the center observed poor hygiene and discussed this observation with the caregiver, the patient’s adult child. The caregiver became defensive and said, “It takes all my time and energy to care for my mother. She’s awake all night. Last night she fell down the stairs.” Which nursing intervention takes highest priority in this case? • Question 28 Which patient statement would be best documented as a subjective assessment finding supporting a psychiatric diagnosis of dissociative fugue? • Question 29 A patient admitted yesterday for injuries sustained in a fall while intoxicated believes the window blinds are snakes trying to get in the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe? • Question 30 A patient is pacing the hall near the nurses’ station, swearing loudly. Which of the following best describes how the nurse should address this situation in a therapeutic manner? • Question 31 Which of the following nursing interventions are necessary after administration of naloxone (Narcan)? • Question 32 What is a nurse’s legal responsibility if child abuse or neglect is suspected? • Question 33 What is the priority nursing diagnosis for a patient who is experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations? • Question 34 Nurses working in a family planning clinic for women routinely ask clients about whether they have experienced domestic violence. The purpose of having this question in the assessment tool is that: • Question 35 An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak? • Question 36 Which is an important nursing intervention when giving care to a patient withdrawing from a CNS stimulant? • Question 37 Which of the following clinical manifestations should the nurse expect to assess in a 2-year-old with suspected autistic disorder? • Question 38 The nurse working on a memory care unit hears her client in a group of his peers reminiscing about his past. How might this behavior affect the client’s daily functioning on the unit? • Question 39 Which child shows behaviors that are most indicative of a potential mental illness? • Question 40 A patient being assessed for somatoform pain disorder says, “My pain is from an undiagnosed injury. I can’t perform my own activities of daily living or walk 20 minutes. I have to take pain medicine six or seven times a day. I feel like a baby because my family has to provide so much care for me.” Which of the following does the nurse understand is most important to include as part of this assessment? • Question 41 A 70-year-old client is admitted to the locked psychiatric unit, diagnosed with delirium. Later in the day, he tries to get out of the locked unit several times. He yells, "I have to leave and get to my barber. I see him every Wednesday. Let me out!” The most therapeutic response by the nurse would be: • Question 42 Which intervention is most effective in managing excessive demands from a client with borderline personality disorder? • Question 43 A client is admitted for acute alcohol withdrawal. Which of the following clinical manifestations indicate the need for treatment of acute alcohol withdrawal? • Question 44 A client with vascular dementia is experiencing agnosia. She sits at her dining table looking at her food, but doesn’t pick up a utensil and try to eat. Which intervention is most appropriate for the nurse to try first? • Question 45 A nurse is preparing a care plan for a newly admitted patient diagnosed with body dysmorphic disorder. Which nursing diagnosis would be highest priority for the plan of care? • Question 46 Which of the following statements best indicates a client is utilizing an individualized relapse prevention plan as part of recovery from alcohol dependence? • Question 47 Which of the following interventions are included as part of milieu management in the plan of care for a patient with anorexia who is admitted for inpatient treatment? Select all that apply. • Question 48 The nurse is caring for a client who is receiving treatment for an overdose of phencyclidine piperidine (PCP). Which of the following interventions would the nurse expect to see as part of a collaborative plan of care? • Question 49 Which scenario bet predicts the highest risk for a patient who may direct violent behavior toward others? • Question 50 An older adult patient in the intensive care unit has visual and auditory illusions. Which intervention will be most helpful to the patient in managing these illusions? OK [Show More]

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