RASMUSSEN MENTAL HEALTH FINAL EXAM TEST
BANK LATEST 2023-2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT 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 would 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 following 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 states, "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 factors 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 is the difference?" What is the nurses best response? - ANSWERIn 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, the 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? - ANSWER- 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 nurse
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 help 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? - ANSWERanhedonia
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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