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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
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
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?
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 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)
