Exam 2: NUR 2459 NUR2459

Exam 2: NUR 2459 / NUR2459

(Latest Update 2025 / 2026) Mental and Behavioral Health Nursing | Test Questions and Answers | 100% Correct | Grade A - Rasmussen

Question:

What are common types of delusions?

Answer:

Grandiosity: Belief in one's exceptional abilities or importance.

Somatic: Belief something is wrong with one's body.

Reference: Belief events or comments are directed at them.

Persecutory: Belief one is being targeted or harmed.

Question:

Why should thyroid levels (TSH, T3, T4) be checked before starting antidepressants?

Answer:

Thyroid problems can mimic depression symptoms and must be ruled out first. 1 / 4

Question:

What should you know about mood stabilizers?

Answer:

Many are also seizure medications.Used cautiously in children due to teratogenic risks.Examples include lithium and lamotrigine.

Question:

What are examples of benzodiazepines?

Answer:

Diazepam (Valium), Alprazolam (Xanax), Clonazepam (Klonopin), Lorazepam (Ativan).

Question:

What is the difference between Naloxone and Naltrexone?

Answer:

Naloxone (Narcan): Reverses opioid overdose.

Naltrexone: Reduces alcohol cravings, not for withdrawal.

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Question:

What is confabulation?

Answer:

A defense mechanism where a person fills memory gaps with fabricated or distorted memories.

-May seem like lying, but unconscious attempt to save self-esteem and prevent admitting the inability to remember the occasion

Commonly seen in clients with neurocognitive disorders (e.g., dementia).

Question:

What is denial?

Answer:

A defense mechanism where an individual refuses to acknowledge reality or facts to avoid painful emotions.

Example: A client with substance abuse insisting they don't have a problem.

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Question:

What cognitive support strategies can help clients with neurocognitive disorders (e.g., dementia)? (3)

Answer:

-Use memory aids like calendars and clocks.-Keep familiar objects and photos nearby.-Maintain a structured routine.

Question:

What are physical needs to monitor for clients with dementia? (3)

Answer:

Skin Integrity: Prevent pressure injuries.

Nutrition: Encourage adequate food and fluid intake.

Fall Risk: Use fall precautions like bed alarms and non-slip footwear.

Question:

What is validation therapy, and why is it important for dementia patients?

Answer:

Validation therapy meets patients in their perceived reality to reduce frustration. For example, agree with or gently redirect delusions.

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