RASMUSSEN MENTAL HEALTH FINAL EXA M TEST BANK LATEST 2023 -2024 ACTUAL EXAM 200 QUESTIONS AND CORREC T DETAILED ANSWERS WITH RATIONALES |AGRADE A client is diagnosed with antisocial personality disorder. She has a violent verbal, physically threatening outburst in the dayroom of the unit when the nurse explains she cannot smoke in the hospital. What is the priority action the nurse should take? - ANSWER - remove all other clients from the dayroom to ensure safety What behaviors, by the mother, did Mahler in her theory of object constancy say caused borderline personality disorder symptoms later in life? - ANSWER - the mother was seeing mixed messages regarding emotional presence Which of the following findings woul d the nurse identify as placing a client at risk for conversion disorder? - ANSWER - being in an automobile accident a month earlier in which her best friend died A nurse is caring for a client with factitious disorder imposed on another. Which of the foll owing statements by the client would the nurse expect? - ANSWER - I made my daughter sick because no one was paying use any attention The family of a 17 yo client diagnosed with anorexia nervosa is encouraged to attend family therapy sessions. The father s tates, "We dont have the eating disorder. Why should we attend?" What is the best response by the nurse? - ANSWER - Gaining insight about her illness and what contributes to it will be beneficial A nurse is teaching a group of students about the risk facto rs and complications of anorexia nervosa. Which of the following complications should be stressed as the most serious? - ANSWER - increased risk of mortality A client states "I was diagnosed with panic attacks. I have heard of dissociated disorders. What i s the difference?" What is the nurses best response? - ANSWER - In Dissociative disorders, an unconscious memory enters conscious awareness causing dissociation A newly admitted client diagnosed with somatization disorder asked for his pain medication that is ordered on an as -need basis. What is the nurses best reaction to this request? - ANSWER - matter -of-factly administer the medications as prescribed The parent of a child with attention deficit hyperactivity disorder tells the nurse that the child does not follow directions well, what strategy would be best for the nurse to recommend? - ANSWER - Try having the child repeat the instructions before starting the task When planning the care of a 6 -year-old child diagnosed with opposition defiant disorder, th e nurse should include which method of therapy? - ANSWER - behavior modification a client diagnosed with dissociative disorder suddenly begins to speak with a childs vocabulary and voice. What interpretation should the nurse make about this behavior? - ANS WER - a state of depersonalization The nurse is assessing the client in a fugue state. What information would the nurse be most beneficial? - ANSWER - recent history of severe trauma 7 year old male client has severe bruising on his arms and injury to his abdomen. The nurse should consider child abuse if the parents act in what manner? - ANSWER - the parents delayed seeking treatment A 4 yo child states to the nurse, "If i can make a big enough wish, my dad wont be dead anymore!" What is the conclusion made by the nurse? - ANSWER - the child is voicing thoughts that are normal for children this age A female adolescent client says to the nurse, "Hey, you stupid blonde, what are you looking at? Which of the following responses would be inappropriate for the nu rse to make? - ANSWER - state, "Dont you ever talk to me like that again" a nursing peer states, "this client always disrupts the unit and then she sings out against medical advice. She is a pain and a typical borderline.: What is the nurses best response to this comment? - ANSWER - I wish we could identify what she needs and hel p her before she signs out Which of the following statements by the nurse, who cares for children with psychiatric disorders, is the reason for concern? - ANSWER - I know exactly how the child feels since I went through the same thing What are symptoms of prolonged grief one year after the loss? - ANSWER - anhedonia The nurse observes a client diagnosed with anorexia nervosa doing repeated, vigorous sit -ups in her room. What is the most therapeutic intervention by the nurse? - ANSWER - interrupt the routine and offer to walk her
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