NR 326 EXAM 1 MENTAL HEALTH LATEST EXAM 2023-2024 REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE| BRAND NEW!!<\/p>\n\n\n\n
D. A client who eats waste out of a garbage can
Townsend, M. C. and Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in evidence-based practice (9th ed.). F.A. Davis.<\/p>\n\n\n\n
NR 326 CMS FINAL EXAM 2023-2024 ACTUAL EXAM
100 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|ALREADY GRADED
A+||CHAMBERLAINE
The nurse is assessing a client who has just been admitted to the emergency
department. Which signs would suggest an overdose of an antianxiety agent?
A. Combativeness, sweating, and confusion
B. Agitation, hyperactivity, and grandiose ideation
C. Emotional lability, euphoria, and impaired memory
D. Suspiciousness, dilated pupils, and increased blood pressure
CORRECT – Option C: Signs of antianxiety agent overdose include emotional
lability, euphoria, and impaired memory.
Option A: Phencyclidine (PCP) overdose can cause combativeness, sweating, and
confusion.
Option B: Amphetamine overdose can result in agitation, hyperactivity, and
grandiose ideation.<\/p>\n\n\n\n
Option D: Hallucinogen overdose can produce suspiciousness, dilated pupils, and
increased blood pressure.
Nurse Amy is providing care for a male client undergoing opiate withdrawal.
Opiate withdrawal causes severe physical discomfort and can be life-threatening.
To minimize these effects, opiate users are commonly detoxified with:
A. Barbiturates
B. Amphetamines
C. Methadone
D. Benzodiazepines
CORRECT – Option C: Methadone is used to detoxify opiate users because it binds
with opioid receptors at many sites in the central nervous system but doesn\u2019t have
the same deleterious effects as other opiates, such as cocaine, heroin, and
morphine.
Options A, B, and D: Barbiturates, amphetamines, and benzodiazepines are highly
addictive and would require detoxification treatment.<\/p>\n\n\n\n
Nurse Marco is developing a plan of care for a client with anorexia nervosa. Which
action should the nurse include in the plan?
A. Restrict visits with the family and friends until the client begins to eat
B. Provide privacy during meals
C. Set up a strict eating plan for the client
D. Encourage the client to exercise, which will reduce her anxiety
CORRECT – Option C: Establishing a consistent eating plan and monitoring the
client\u2019s weight are very important in this disorder.
Option A: The family and friends should be included in the client\u2019s care.
Option B: The client should be monitored during meals-not given privacy.
Option D: Exercise must be limited and supervised.
Mickey is caring for a client diagnosed with bulimia. The most appropriate initial
goal for a client diagnosed with bulimia is to:
A. Avoid shopping for large amounts of food<\/p>\n\n\n\n
B. Control eating impulses
C. Identify anxiety-causing situations
D. Eat only three meals per day
CORRECT – Option C: Bulimic behavior is generally a maladaptive coping
response to stress and underlying issues. The client must identify anxiety-causing
situations that stimulate the bulimic behavior and then learn new ways of coping
with the anxiety.
Nicolas is experiencing hallucinations tells the nurse, \u201cThe voices are telling me
I\u2019m no good.\u201d The client asks if the nurse hears the voices. The most appropriate
response by the nurse would be:
A. \u201cIt is the voice of your conscience which only you can control.\u201d
B. \u201cNo, I don\u2019t hear your voices, but I believe you can hear them.\u201d
C. \u201cThe voices are coming from within you and only you can hear them.\u201d
D. \u201cOh, the voices are a symptom of your illness, don\u2019t pay attention to them.\u201d<\/p>\n\n\n\n
NR 326 MENTAL HEALTH EXAM 1 LATEST VERSION 2023-2024
\/NUR 326 MENTAL HEALTH EXAM 1 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES| ALREADY GRADED A+|| CHAMBERLAINE<\/p>\n\n\n\n
d. Distance
e. Intensity – ANSWER- a. Territoriality
b. Density
d. Distance
. The nurse says to a client, “You are being readmitted to the hospital. Why did you
stop taking your medication?” What communication technique does this represent?
a. Disapproving
b. Requesting an explanation
c. Disagreeing
d. Probing – ANSWER- b. Requesting an explanation
A client who has been in rehabilitation for alcohol dependence returns from a visit
to his home and tells the nurse, “We were having a celebration and I did have one
drink, but it really wasn’t a problem.” The nurse notices that his breath smells of
alcohol. Which of the following responses by the nurse demonstrates a
motivational interviewing style of communication?
a. “You are obviously not motivated to change, so perhaps we should discuss your
discharge from the treatment program.”
b. “You need to abstain from alcohol in order to recover, so let me talk to the
doctor about the consequences of your behavior.”
c. “Why would you destroy everything you’ve worked so hard to achieve?”
d. “What do you mean when you say, ‘It really wasn’t a problem’?” – ANSWER- d.
“What do you mean when you say, ‘It really wasn’t a problem’?”
A client who has been diagnosed with schizophrenia and has been on medication
for several months states, “I’m not taking that stupid medication anymore.” Which
of the following responses by the nurse demonstrates a motivational interviewing
style of communication?<\/p>\n\n\n\n
a. “Don’t you know that if you don’t take your medication you will never recover?”
b. “Why won’t you cooperate with the treatment your doctor prescribed?”
c. “Bill, the medication is not stupid.”
d. “Tell me more about why you don’t want to take the medication.” – ANSWERd. “Tell me more about why you don’t want to take the medication.”
A client states, “I refuse to shower in this room. I must be very cautious. The FBI
has placed a camera in here to monitor my every move.” Which of the following is
the most therapeutic response?
a. “That’s not true.”
b. “I have a hard time believing that is true.”
c. “Surely you don’t really believe that.”
d. “I will help you search this room so that you can see there is no camera.” –
ANSWER- b. “I have a hard time believing that is true.”
A depressed client who has been unkempt and untidy for weeks comes to group
therapy today wearing makeup and a clean dress with hair washed and combed.
Which of the following responses by the nurse is most appropriate?
a. “I see you have put on a clean dress and combed your hair.”
b. “You look wonderful today!”
c. “I’m sure everyone will appreciate that you have cleaned up for the group today.”
d. “Now that you see how important it is, I hope you will do this every day.” –
ANSWER- a. “I see you have put on a clean dress and combed your hair.”
A client was involved in an automobile accident while under the influence of
alcohol. She swerved her car into a tree and narrowly missed hitting a child on a
bicycle. She is in the hospital with multiple abrasions and contusions. She is
talking about the accident with the nurse. Which of the following statements by the
nurse is most appropriate?<\/p>\n\n\n\n
a. “Now that you know what can happen when you drink and drive, I’m sure you
won’t let it happen again.”
b. “You know that was a terrible thing you did. That child could have been killed.”
c. “I’m sure everything is going to be okay now that you understand the possible
consequences of such behavior.”
d. “How are you feeling about what happened?” – ANSWER- d. “How are you
feeling about what happened?”
A client, who has been in the hospital for 3 weeks, has used Valium “to settle her
nerves” for the past 15 years. She was admitted by her psychiatrist for safe
withdrawal from the drug. She has passed the physical symptoms of withdrawal at
this time but states to the nurse, “I don’t know if I will be able to make it without
Valium after I go home. I’m already starting to feel nervous. I have so many
personal problems.” Which is the most appropriate response by the nurse?
a. “Why do you think you need drugs to deal with your problems?”
b. “Everybody has problems, but not everybody uses drugs to deal with them.
You’ll just have to do the best that you can.”
c. “Let’s explore some things you can do to decrease your anxiety without resorting
to drugs.”
d. “Just hang in there. I’m sure everything is going to be okay.” – ANSWER- c.
“Let’s explore some things you can do to decrease your anxiety without resorting to
drugs.”
A client asks the nurse, “Do you think I should tell my husband about my affair
with my boss?” Which is the most appropriate response by the nurse?
a. “What do you think would be best for you to do?”
b. “Of course you should. Marriage has to be based on truth.”
c. “Of course not. That would only make things worse.”
d. “I can’t tell you what to do. You have to decide for yourself.” – ANSWER- a.
“What do you think would be best for you to do?”<\/p>\n\n\n\n
lOMoAR cPSD|19500986
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.
\u201cTell me more about that situation.\u201d
\u201cI notice you are pacing a lot.\u201d
\u201cI\u2019ll stay with you a while.\u201d
3 A married couple has two biologic children who live with them as well as a child
from the wife\u2019s 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, \u201cSchizophrenia\u2026schizotypal! What\u2019s the
difference?\u201d The nurse\u2019s response should include which information?
With schizotypal personality disorder, the person can be made aware of<\/p>\n\n\n\n
lOMoAR cPSD|19500986
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?<\/p>\n\n\n\n
lOMoAR cPSD|19500986
Prescribe psychotropic medication
10 A patient\u2019s 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, \u201cIt\u2019s beat. Time to eat. No room for
the cat.\u201d What type of verbalization is evident?
Associative looseness
13 A nurse uses Maslow\u2019s 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\u2019s best action?
Recognize the effectiveness of the relationship and patient\u2019s 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 \u201coffering self”?
\u201cI\u2019d like to sit with you for a while to help you get comfortable talking to me.\u201d
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<\/p>\n\n\n\n
lOMoAR cPSD|19500986
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\u2019s 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?
\u201cDo you find it difficult to control your worrying?\u201d
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\u2019s 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, \u201cNobody can tell me what to do.\u201d
After receiving a poor grade on a science project, this child secretly loaded a virus on
the teacher\u2019s 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<\/p>\n\n\n\n
NR 326 EXAM 2 MENTAL HEALTH 2023-2024 ACTUAL EXAM
TEST BANK 250 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES|ALREADY GRADED
A+||CHAMBERLAINE UNIVERSITY
The nurse reviews the following during an assessment for suicide risk (SATA):
a. Assess the patient\u2019s thoughts
b. Assess the patient\u2019s ability
c. Assess the patient\u2019s plan
d. Assess the patient\u2019s patterns of speech
a. Assess the patient’s thoughts
b. Assess the patient’s ability
c. Assess the patient’s plan
Which question is most important for the nurse to assess suicide risk in a client?
a. “Has anyone in your family committed suicide?”<\/p>\n\n\n\n
b. “Why do you want to hurt yourself?”
c. “Do you have a plan to hurt yourself?”
d. “Can you describe how you are feeling right now?”
c. “Do you have a plan to hurt yourself?”
A charge nurse reviews one of the 5 stages of grief according to Kubler-Ross:
a. Disequilibrium
b. Developing awareness
c. Restitution
d. Anger
d. Anger
Which of the following statements by a client dx w\/Bipolar Disorder indicate
adaptive coping?(SATA)
a. \u201cI think about being on my favorite beach vacation when I get anxious.\u201d<\/p>\n\n\n\n
b. \u201cI tense and release my muscles, starting with my feet.\u201d
c. \u201cI exercise aerobically three times a day for 30 minutes at a time.\u201d
d. “I get about 2-3 hours of sleep because I don’t need sleep.”
a. “I think about being on my favorite beach vacation when I get anxious.”
b. “I tense and release my muscles, starting with my feet.”
Which of the following medications should the nurse anticipate administering prior
to ECT procedure?
a. Diphenhydramine
b. Epinephrine
c. Fluoxetine
d. Atropine
d. Atropine<\/p>\n\n\n\n
Preoccupation > 6 months w\/excessive anxiety thinking a serious illness is present
or will be acquired.
a. Illness anxiety disorder
b. Somatic symptom disorder
c. Conversion disorder
d. Factitious disorder
a. Illness anxiety disorder
A nurse is going to implement cognitive reframing techniques for a client who has
an anxiety disorder. Which of the following techniques should the nurse prepare to
include in the plan of care? (Mark all that apply):
a. Priority restructuring
b. Monitoring thoughts
c. Diaphragmatic breathing
d. Journal keeping<\/p>\n","protected":false},"excerpt":{"rendered":"
NR 326 EXAM 1 MENTAL HEALTH LATEST EXAM 2023-2024 REAL EXAM QUESTIONS AND CORRECTANSWERS|AGRADE| BRAND NEW!! D. A client who eats waste out of a garbage canTownsend, M. C. and Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in evidence-based practice (9th ed.). F.A. Davis. NR 326 CMS FINAL EXAM 2023-2024 ACTUAL […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117732","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117732","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117732"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117732\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117732"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117732"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117732"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}