Exam 2: NUR208/ NUR 208 (New 2024/ 2025 Update) Mental Health Nursing| Q&A, Exams of Nursing

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Exam 2: NUR20 8 / NUR 20 8 (New 2024/ 2025

Update) Mental Health Nursing| Questions

and Verified Answers| 100% Correct| A

Grade – Fortis

QUESTION

A 15 year old client is diagnosed with schizophrenia spectrum disorder states he is feeling bugs crawling on him. The nurse recognize that the patient is experiencing which of the following Answer: Tactile hallucinations

QUESTION

Cortisol is released in prolonged to a patient's prolonged stress. Which initial effect would the nurse expect to results from the increased cortisol level? Answer: Focused an alert mental status

QUESTION

Which is a priority nursing intervention when caring for a client displaying manipulative behavior Answer: discuss concerns about behavior

QUESTION

Which extrapyramidal side effect (EPS) will the nurse monitor a client for receiving a first- generation antipsychotic? SATA

Answer: Akathisia Tardative dyskinesia pseudoparkinoism acute dystonia

QUESTION

An acutely violent patient diagnosed with schizophrenia receives several doses of haloperidol (Haldol). Two hours later the nurse notices the patient's head rotated to one side in a stiffly fixed position, the lower jaw thrust forward, and drooling. Which intervention by the nurse is indicated? Answer: Administer diphen- hydramine (Benadryl) 50 mg IM from the PRN medication administration record.

QUESTION

During a group therapy, a client sharing about the loss of their child was interrupted by another client. The client that interrupted the session monopo- lized the therapy session without any regard to others. When confronted, the client was calloused and unbothered. Which disorder is associated with this behavior? Answer: Antisocial personality disorder

QUESTION

The client has been prescribed 1.5 grams of an antibiotic 150mL D5W that needs to infuse over 45 minutes. The nurse will set the infusion rate to mL/hour Answer: 200

QUESTION

NItro 4mcg/kg/min Procided 50mg in 250 ml client weighs 143 pounds Answer: 78ml

QUESTION

The nurse is admitting a client with pedophilic disorder. Which of the following assessment is a priority for this client? Answer: Assess for potential self-harm and suicide

QUESTION

The nurse is discussing discharge planning with a client diagnosed with pedophilic disorder. The client has not acted on these urges but feels shame. Which findings best indicates that this adult is making progress in treatment?- Answer: states they will avoid local parks and playgrounds

QUESTION

A client diagnosed with schizophrenia spectrum disorder lies in bed all day expresses feelings of rejection and loneliness. which is a priority nursing diagnosis to include in the clients plan of care? Answer: Risk for violence directed towards self

QUESTION

A patient has taken haloperidol (haldol) orally for 2 years. The patient grimaces and constantly smacks both lips. Which problem would the nurse suspect? Answer: tardive dyskinesia

QUESTION

which lab value is a priority for the nurse to assess in a client who is restless, disoriented and experiencing delirium Answer: sodium level

QUESTION

Which of the following clients most struggles with feelings of inadequacy and is extremely sensitive to rejection? Answer: A client diagnosed with avoidant per- sonality disorder

QUESTION

Which is considered standard treatment for a client with paraphilic disor- der? Answer: Cognitive-behavioral therapy

QUESTION

Which behavior would the nurse expect to observe in a client diagnosed with boarderline personality disorder? Answer: sensitive to personal rejection

QUESTION

A female client states having lack of interest in sex although she engages in sex with her husband. The client states, "I just do it for him" The client tells the nurse she has not had an orgasm in 2 years. Which of the following conditions is this related to? Answer: Female orgasmic disorder

QUESTION

A patient diagnose with borderline personality disorder has self-inflicted wrist lacerations. The healthcare provider prescribed daily dressing changes. The nurse is performing this care should? Answer: Provide care in a kind mat- ter-of-fact-manner

QUESTION

An outpatient with anorexia nervosa has begun refeeding. Between the first and second weekly appointments, the client has gained 10 pounds. What are the priority nursing actions? SATA Answer: assess heart and lung sounds assess for peripheral edema

QUESTION

A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should Answer: use congruent communication strategies.

QUESTION

A female client admitted to an inpatient mental health unit walks into the common area during visiting hours wearing a see-through blouse and no undergarments. The nurse understands the client is exhibiting which of the following? Answer: Exhibitionist disorer

QUESTION

Which signs and symptoms are most commonly associated with the diag- nosis of anorexia nervosa? SATA Answer: fear of gaining weight rigorous exercise program peculiar handling of food use of laxatives

QUESTION

The nurse is complete a client's sexual history. The client states they are asexual. Which statement can be applied to this comment? Answer: Interested in cuddling, but not sex

QUESTION

Psychical assessment of a patient diagnosed with bulimia nervosa often reveals Answer: Prominent parotid glands

QUESTION

The nurse is admitting a client who dresses in the clothes of the opposite gender but states they are satisfied with their gender. The nurse recognizes this as being which of the following Answer: Transvestism

QUESTION

For which prescription will the nurse plan to provide education for a client diagnosed with erectile dysfunction? Answer: Taldalfil (cilias)

QUESTION

Hypoalbuminemia in a patient with an eating disorder would produce which assessment fining Answer: peripheral edema

QUESTION

Which of the following behavioral characteristics would the nurse identify as being due to (OCPD)? SATA

Answer: Limited emotional expression Preoccuption with orderliness Strong desire for control Perfectionist

QUESTION

The healthcare provider orders a bolus of 1 liter normal saline over 5 hours. The nurse will set the infusion rate for ml/hr Answer: 200 ml/hr

QUESTION

Which of the following should the nurse include in the plan of care for a client diagnosed with anorexia nervosa Answer: The client is able to attain a safe weight

QUESTION

The nurse observes a client group therapy expressing themselves in an overly dramatic and theatrical manner. The clients emotions change rapidly from one extreme to the next. This behavior is characteristic of which person- ality disorder? Answer: Histrionic personality disorder

QUESTION

When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol (Haldol) was prescribed. The patient now says, "I stopped tak- ing those pills. They made me feel like a robot." What are common side effects the nurse should validate with the patient?

Answer: Sedation and muscle stiffness

QUESTION

Which information will the nurse include when teaching a client about sleep hygiene? Answer: Maintain a regular sleep-wake cycle avoid heavy meals before bed reserve the bedroom for sleep and intimacy avoid daytime napping

QUESTION

The healthcare provider orders a continuous heparin IV infusion of 800units/hour. Heparin is supplied as 25,000 units in 500mL D5W. The nurse will set the infusion rate at mL/hour Answer: 16

QUESTION

a 15-year old client is brought to the school nurse after fainting during gym class. The nurse suspects anorexia nervosa. What would lead the nurse to this conclusion? Answer: wearing baggy clothes fine, downy hair on the face extremely dry skin grossly underweight

QUESTION

A patient diagnosed with borderline personality disorder has been hos- pitalized several times after self-inflicted lacerations. The patient remains impulsive. Dialectical behavior therapy starts on an outpatient basis. Which nursing diagnosis is the focus of this therapy? Answer: Risk for injury

QUESTION

The healthcare provider prescribed dopamine 6mcg/kg/minute for a client who weighs 242 pounds. Dopamine is provided as 1600mg in 500mL D5W. The nurse will set the infusion rate at mL/hour. Round your answer Answer: 12

QUESTION

The nurse notes a client has a document history of sexual masochism. From which of the following would the client derive sexual pleasure? Answer: By being humiliated by their sexual partners

QUESTION

Which statement made by a client indicates concern over their ability to perform sexually? Answer: I'm scared I will climax before she orgasms

QUESTION

Which of the following statements best described gender dysphoria?

Answer: When biological sex differs from gender identity

QUESTION

Which is the treatment priority for a client who weighs less than 75% of their ideal body weight? Answer: Provide immediate medical stabilization

QUESTION

During an interview, which client statement indicates to a nurse that a po- tential diagnosis of schizotypal personality disorder should be considered? Answer: "I am getting a message from the beyond that we have been involved with each other in a previous life."

QUESTION

Which is considered the first line of treatment for a client with paranoid personality disorder? Answer: Psychotherapy

QUESTION

During a therapy session, a male client shares that he enjoys secretly seeing other people in intimate situations. The nurse recognizes this behavior as which of the following conditions? Answer: Voyeruristic disorder

QUESTION

A patient diagnosed with scizophrenia ahs taken a first-generation antipsy- chotic medication for a year. Hallucinations are less intrusive but the patient continues to have apathy and social isolation. The nurse expects a change to which medication? Answer: Chlorpromazine (Thorazine)

QUESTION

Which testing usually involves one or two nights of sleep in a lab with electrodes and monitor place on head, chest and legs? Answer: Polysomonography

QUESTION

Which nursing diagnosis is establish when providing care to a client diagnosed with an avoidant personality disorder? Answer: Impaired social interaction

QUESTION

The nurse cares for a client with akathinisia. What symptoms would the nurse expect to see in this client? SATA Answer: repetitive movement inability to remain still pacing

QUESTION

A nurse works with a patient diagnosed with schizophrenia regarding the importance of medication management. The patient repeatedly says "I don't like taking pills" The healthcare provider orders the use of long-acting antipsy- chotic injections. The downside of this medication administration is Answer: Patient feels like they have less control

QUESTION

Which medication will the nurse be ready to administer to a client diag- nosed with binge eating disorder Answer: Lisdexamfetamine (Vyvanse)