Final Exam: NUR 2459 / NUR2459
(2023/2024) Mental and Behavioral
Health Nursing Exam |Grade A| 100
Questions and Verified Answers|
Rasmussen
❖ After threatening to jump off a bridge, a client is brought to an emergency department by
police. To assess for suicide potential, which question should a nurse ask first?
✓ Answer: are you currently thinking about harming yourself
❖ A client diagnosed with dementia wanders the halls of the locked nursing unit during the
day.which of the following would the nurse do first to ensure safe care is implemented?
✓ Answer: assess the client’s gait for steadiness
❖ A client who has major depressive disorder states to the nurse that he and his family
would be better off if he were gone. Which of the following is the nurse’s priority
response?
✓ Answer: are you thinking of harming youself
❖ A nurse is caring for a client who has anorexia nervosa and overexercises to avoid
gaining weight. Which of the following nusring actions should the nurse take?
✓ Answer: ask the client to agree to talk to a nurse whenever she feels the urge to
exercise
❖ As a nurse escorts a client being discharged after treatment for major depression, the
client gives the nurse a necklace with a heart pendant and says, thank you for helping
mend my broken heart, which is the nurse’s best response?
✓ Answer: i’m glad i could help you, but i can’t accept the gift. Seeing you improve
is the best gift you could give me.
❖ A highly emotional client presents at an outpatient clinic appointment weraing
flamboyant attire, spiked heels, and theatrical makeup. Which personality disorder should
a nurse associate with this behavior?
✓ Answer: histrionic
❖ A client diagnosed with schizophrenia tells the nurse, i eat skiller, tend to end, easter, it
blows away, get it? Which of the following is the best nursing response?
✓ Answer: i am having difficulty understanding what you are saying
❖ A nurse in the emergency department is assessing a client who has experienced intimate
partner abuse. The nurse should monitor the client for which of the following behavioral
findings?
✓ Answer: self-esteem disturbance
❖ A client with acute mania has exhausted the staff by noon. The client has joked,
manipulated, insulted, and argued all morning. Staff members are feeling defensive and
fatigued. Which is the best action?
✓ Answer: hold a staff meetng to discuss staff consistency and limit-setting
approaches.
❖ Which of the following co-morbid conditions is associated with anorexia nervosa?
✓ Answer: depression
❖ Mrs. J has a history of pernicious anemia and visits her physician’s office bi-monthly for
vitamin b12 injections
Order: vitamin b12 0.5mg im bi-monthly
Supply: vitamin b12 1000 mcg/ml
How many ml of vitamin b12 will mrs. J be receiving with each dose? (type the number
only, do not include the label. Record answer to the tenth, or one decimal place. Use a
leading zero if it applies, do not use a trailing zero)
✓ Answer: 0.5
❖ A nusre is observing a client’s nonverbal behavior. When evaluating this behavior, the
nurse should factor in which of the following principles influencing nonverbal
communication?
✓ Answer: the client’s sociocultural background influences nonverbal
communication
❖ A nurse on an inpatient mental health unit is admitting a client who has panic level
anxiety. After showing the client to his room, which of the following nursing actions is
most therapeutic at this time?
✓ Answer: remain with the client for a while
❖ What should be the priority nursing diagnosis for a client experiencing alcohol
withdrawal?
✓ Answer: risk for injury r/t delirium