NR 326 FINAL EXAM 2 LATEST VERSIONS 2023-2024 /NUR 326 MENTAL HEALTH FINAL EXAM VERSION A AND VERSION B ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES| ALREADY GRADED A+|| CHAMBERLAINE

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NR 326 FINAL EXAM 2 LATEST VERSIONS 2023-2024 /NUR 326

MENTAL HEALTH FINAL EXAM VERSION A AND VERSION B

ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES| ALREADY GRADED A+||

CHAMBERLAINE

VERSION A

1 A nurse uses the SAD PERSONS scale to interview a patient. This tool provides

data relevant to which of the following concepts?

suicide potential.

2 A nurse is interacting with patients in a psychiatric unit. Which statements reflect

use of therapeutic communication? Select all that apply.

“Tell me more about that situation.”

“I notice you are pacing a lot.”

“I’ll stay with you a while.”

3 A married couple has two biologic children who live with them as well as a child

from the wife’s first marriage. What type of family is evident?

Blended

4 Which person would be most likely to experience sleep fragmentation?

An obese adult

5 A child diagnosed with attention deficit hyperactivity disorder will begin medication

therapy. The nurse should prepare a plan to teach the family about which classification

of medications?

Central nervous system stimulants

6 A child diagnosed with attention deficit hyperactivity disorder (ADHD) shows

hyperactivity, aggression, and impaired play. The health care provider prescribed

amphetamine salts (Adderall). The nurse should monitor for which desired behavior?

Improved abilities to participate in cooperative play with other children

7 A new psychiatric technician says, “Schizophrenia…schizotypal! What’s the

difference?” The nurse’s response should include which information?

With schizotypal personality disorder, the person can be made aware of

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misinterpretations of reality.

8 A nurse is caring for a patient taking a selective serotonin reuptake inhibitor (SSRI).

When care planning, outcome criteria related to which goal is most appropriate?

improvement in depression.

9 A staff nurse completes orientation to a psychiatric unit. This nurse may expect an

advanced practice nurse to perform which additional intervention?

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Prescribe psychotropic medication

10 A patient’s relationships are intense and unstable. The patient initially idealizes the

significant other and then devalues him or her, resulting in frequent feelings of

emptiness. This patient will benefit from interventions to develop which aspect of

mental health?

Fulfilling relationships

11 A nurse is discussing culturally competent care at a nursing staff inservice. Which

of the following information should the nurse include when discussing clients'

cultures?

Nurses should focus on clients' cultures, rather than their ethnicity, when

providing care.

12 A patient diagnosed with schizophrenia says, “It’s beat. Time to eat. No room for

the cat.” What type of verbalization is evident?

Associative looseness

13 A nurse uses Maslow’s hierarchy of needs to plan care for a patient with mental

illness. Which problem will receive priority?

The patient refuses to eat or bathe.

14 As a nurse discharges a patient, the patient gives the nurse a card of appreciation

made in an arts and crafts group. What is the nurse’s best action?

Recognize the effectiveness of the relationship and patient’s thoughtfulness.

Accept the card.

15 A nurse interacts with a newly hospitalized patient. Which of the following

comments is most demonstrative of the nurse utilizing the communication technique

of “offering self"?

“I’d like to sit with you for a while to help you get comfortable talking to me.”

16 Which prescription medication would the nurse expect to be prescribed for a

patient diagnosed with a somatic symptom disorder?

Antidepressant medications to treat underlying depression

17 A patient is fearful of riding on elevators. The therapist first rides an escalator with

the patient. The therapist and patient then stand in an elevator with the door open for

five minutes and later with the elevator door closed for five minutes. Which

technique has the therapist used?

Systematic desensitization

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18 A nurse cares for a group of patients receiving various medications, including an

MAO inhibitor, anti-convulsant, sedative-hypnotic, and 2nd generation anti-psychotic.

The nurse will order a special diet for the patient who takes which medication?

MAO Inhibitor

19 A Puerto Rican American patient uses dramatic body language when describing

emotional discomfort. Which analysis most likely explains the patient’s behavior?

The patient belongs to a culture in which dramatic body language is the norm.

20 A nurse assesses a patient with a tentative diagnosis of generalized anxiety

disorder. Which question would be most appropriate for the nurse to ask?

“Do you find it difficult to control your worrying?”

21 A nurse is leading a family therapy session for a mother, father, and two adolescent

siblings. Which of the following statements should the nurse recognize as an example

of effective communication among family members?

"Can you tell me the reason you get upset each time I go to the mall?"

.

22 The exact cause of bipolar disorder has not been determined; which of the

following provides the most accurate description of possible etiology?

Several factors, including genetics, are implicated.

23 A Mexican American patient puts a picture of the Virgin Mary on the bedside table.

What is the nurse’s best action?

Leave the picture where the patient placed it.

24 A nurse is caring for a client who has schizophrenia and is experiencing a variety

of hallucinations. Which of the following hallucinations is the priority for the nurse to

address?

Command hallucination

25 A child known as the neighborhood bully says, “Nobody can tell me what to do.”

After receiving a poor grade on a science project, this child secretly loaded a virus on

the teacher’s computer. Which diagnosis is best supported by this data?

oppositional defiant disorder.

26 Match the terms below with the appropriate description.

Anxiety-A feeling of apprehension, uncertainty, or dread resulting from a vague

unspecified or unknown danger