Final Exam: NUR 2459 / NUR2459 (Latest
2023/ 2024) Mental and Behavioral Health
Nursing Exam | Grade A| Questions and
Verified Answers| Rasmussen
❖ A client diagnosed with Paranoid Personality Disorder becomes violent on a unit. Which
nursing intervention is most appropriate?
a. Provide objective evidence that violence is unwarranted.
b. Initially restrain the client to maintain safety.
c. Use clear, calm statements and a confident physical stance.
d. Empathize with the client’s paranoid perceptions.
✓ Answer: c. Use clear, calm statements and a confident physical stance.
❖ A highly emotional client presents at an outpatient clinic appointment wearing
flamboyant attire, spiked heels, and theatrical makeup. Which personality disorder should
the nurse associate with these assessment data?
a. Compulsive personality disorder
b. Schizotypal personality disorder
c. Histrionic personality disorder (HPD)
d. Manic personality disorder
✓ Answer: c. Histrionic personality disorder (HPD)
❖ A client diagnosed with Borderline Personality Disorder (BPD) brings up a conflict with
the staff in a community meeting and develops a following of clients who unreasonably
demand modification of unit rules. Which approach is best for the nursing staff to
implement?
a. Allow the clients to apply the democratic process when developing unit rules.
b. Maintain consistency of care by open communication to avoid staff manipulation.
c. Allow the client spokesperson to verbalize concerns during a unit staff meeting.
d. Maintain unit order by the application of autocratic leadership.
✓ Answer: b. Maintain consistency of care by open communication to
avoid staff manipulation.
❖ Which adult client should the nurse recognize as exhibiting the characteristics of a
dependent personality disorder?
a. A physically healthy client who is dependent on meeting social needs by having
contact with 15 cats
b. A physically healthy client who has a history of depending on intense
relationships to meet basic needs
c. A physically healthy client who lives with parents and relies on public
transportation
d. A physically healthy client who is serious, inflexible, perfectionistic, and depends
on rules to provide security
✓ Answer: c. A physically healthy client who lives with parents and relies
on public transportation
❖ A home health nurse makes weekly visits to an older adult client who lives with an adult
child. The client has bruises from “bumping into things” and a weight loss of 10 pounds
in the past month. How does the nurse proceed?
a. Ask the client about any concerns about his or her living situation with the child
in the room.
b. Report suspected abuse to Adult Protective Services so an investigation can be
performed.
c. Question the client’s child privately about suspicions of possible abuse or neglect.
d. Confront the child about the abuse, and demand that the child seek help for the
abusive behavior.
✓ Answer: b. Report suspected abuse to Adult Protective Services so an
investigation can be performed
❖ A nurse cares for a client admitted to the hospital after being assaulted by his or her
spouse. The nurse is paged for a phone call. The caller requests information on the status
of the client. Which action does the nurse take?
a. Request that the caller come to the hospital in person to discuss the client’s status.
b. Explain to the caller that there is no client admitted matching the description.
c. Inform the caller that the client is “stable” with no further elaboration.
d. Inform the caller of the client room number and anticipated discharge date.
✓ Answer: b. Explain to the caller that there is no client admitted
matching the description.
❖ An older client, cared for by family, appears dirty and malnourished. What type of abuse
might the nurse suspect?
a. Sexual
b. Physical
c. Neglect
d. Emotional
✓ Answer: c. Neglect
❖ An adolescent client is prescribed methylphenidate. The client’s medical history includes
attention deficit hyperactivity disorder and atrial septal defect. Which action does the
nurse take?
a. Obtain the client’s surgical history.
b. Teach the client how to take their heart rate.
c. Ask the client whether the medication is working.
d. Notify the health care provider immediately.
✓ Answer: d. Notify the health care provider immediately.
❖ A child with attention deficit hyperactivity disorder (ADHD) takes methylphenidate.
Which client statement most concerns the nurse?
a. “My heart feels like it’s racing.”
b. “Sometimes I am not hungry.”
c. “I feel like I stopped growing.”
d. “I have gained a few pounds.”
✓ Answer: c. “I feel like I stopped growing.”
❖ A nurse in an emergency Department is assessing a client who experienced a sexual
assault. Which of the following findings should the nurse identify as dissociative
manifestations of acute distress disorder? Select all that apply.
a. the client reports feelings of anger about the assault
b. the client is unable to recall the details of the assault.
c. the client reports a sudden inability to make their hands move.
d. the client has frequented angry outbursts.
e. the client has difficulty concentrating on the nurse’s assessment.
✓ Answer: b. the client is unable to recall the details of the assault.
✓ c. the client reports a sudden inability to make their hands move.
❖ A nurse is caring for a school age child who reports being physically abused by his
guardian period which of the Following statements should the nurse make?
a. I promise I won’t tell anybody about this.
b. let’s discuss this with your Guardian.
c. your Guardian is wrong for doing this to you.
d. it’s not your fault this happened.
✓ Answer: d. it’s not your fault this happened.
❖ The parents of a 2-year-old child who died of leukemia are experiencing intense grief in
the months following the death. Which of the following is a factor that would affect how
these parents experience grief?
a. The life history of the person who died.
b. The gender of the deceased person
c. The illness of the person who died.
d. The personality of the grieving person
✓ Answer: d. The personality of the grieving person