NUR 2488 Exam 3 Latest 2023-2024 Mental Health Nursing Rasmussen Complete Exam
NUR 2488 EXAM 3
LATEST 2023-2024
(50 QS AND ANS)
MENTAL HEALTH
NURSING –
RASMUSSEN|
COMPLETE EXAM
• Question 1
NUR2488 Mental Health Nursing Exam 3
A patient with a history of cocaine use reports a concurrent history
of using other drugs in order to counteract the effects of cocaine.
Which drug is this patient likely to have abused?
Selecte
d
Answer
:
Answers:
Respons
e
Feedbac
k:
• Question 2
Alcohol
PCP
Alcoh
ol
Methylphen
i date
Caffeine
Alcohol is a depressant which can neutralize the effects of
cocaine, which is a stimulant. Caffeine, methylphenidate
(used to treat ADHD) and the illegal drug PCP are also
stimulating and would only exacerbate the effects of
cocaine.
A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp
96.8 and pinpoint pupils. Based on these clinical manifestations,
what substance did this patient most likely overdose on?
Selecte
d
Answer
:
Answers:
Respons
e
Feedbac
k:
• Question 3
Marijuana
Opioids
Alcohol
Marijuan
a
Amphetam
ine
Opioids include prescribed medications such as
oxycodone and morphine, and the illegal substance
heroin. The above symptoms are typical of opioid
overdose, but are not typically seen with marijuana,
alcohol or amphetamines.
An elderly client with cognitive impairment is combative and pulled
out a nasogastric tube, intravenous line, and indwelling urinary
catheter. What can the nurse anticipate that the health care
provider will most likely prescribe?
Selected Answer:
A
s
m
a
l
l
d
o
s
e
o
f
a selective serotonin reuptake
inhibitor
Answers:
Respons
e
Feedbac
k
:
NUR2488 Mental Health Nursing Exam 3
A small dose of a selective
serotonin reuptake inhibitor
A large dose of a
benzodiazepine A
maintenance dose of
buspirone
A small dose of an atypical antipsychotic
Aggressive behavior can be safely managed by
antipsychotic medication. Initial dosing should be small
and raised cautiously until behavior is controlled. Selective
serotonin reuptake inhibitors are not indicated for
aggressive behavior. If a benzodiazepine is used, the initial
dose should be low. Buspirone is not effective if given on
an as-needed basis. It is administered in small divided
doses daily to control agitation.
• Question 4
A nursing care plan contains the intervention “monitor for
complications of refeeding syndrome.” Which body system should a
nurse most closely monitor for clinical manifestations of dysfunction?
Selecte
d
Answer
:
Answers:
Respons
e
Feedbac
k:
Centra
l
nervou
s
Renal
Centra
l
nervou
s
Endocrine
Cardiovasc
u lar
Refeeding resulting in too-rapid weight gain can
overwhelm the heart, resulting in cardiovascular collapse;
thus focused assessment becomes a necessity to ensure
patient physiological integrity. The other body systems are
not initially involved in the refeeding syndrome.
• Question 5
Which of the following is the best example of all-or-nothing
thinking, a common cognitive distortion of patients with an eating
disorder?
Selected Answer:
“If I
gain
any
weigh
t, I’ll
keep
going
until
I’m
huge.
”
Answers:
“If I gain any weight, I’ll keep going until I’m huge.”
“When people tell me I’m looking better, they
really mean I’m fatter.”
Respons
e
Feedbac
k:
• Question 6
NUR2488 Mental Health Nursing Exam 3
“No one likes me because I’m
fat.” “When I’m thin, I’m
perfect.”
In all-or-nothing thinking, the person cannot see any
middle ground between extremes; a person with an eating
disorder will see themselves as either thin or immense.
The other comments are common in eating disorders but
are not examples of all-or- nothing thinking.
A nurse reports to the interdisciplinary team that a patient with an
antisocial personality disorder lies to other patients, verbally
abuses a patient with Alzheimer’s disease, and flatters the primary
nurse. This patient is detached and superficial during counseling
sessions. Which behavior most clearly warrants limit setting?
Selecte
d
Answer
:
Answers:
Respons
e
Feedbac
k:
• Question 7
Flattering the nurse
Lying to other patients
Flattering the nurse
Verbal abuse of another patient
Detached superficiality during
counseling
Limits must be set in areas in which the patient’s
behavior affects the rights of others. Limiting verbal
abuse of another patient is a priority intervention. The
other concerns should be addressed during therapeutic
encounters.
Which of the following are primary characteristics of a person with
borderline personality disorder?
Selecte
d
Answer
:
Answers:
Demonstrated a self-defeating cycle
of behavior
Demonstrates flexibility and
compromise
Demonstrates socially
appropriate behaviors
Demonstrates eagerness to
learn new coping skills
Demonstrated a self-defeating cycle
of behavior
Respons
e
Feedbac
k
:
NUR2488 Mental Health Nursing Exam 3
A self-defeating cycle of behavior is a hallmark of
borderline personality disorder, creating difficulties is
work, social and family relationships. Individuals with a
borderline personality are inflexible and do not
compromise easily. Socially inappropriate behavior is
common in borderline personality, as is an unwillingness
to change and learn new coping skills
• Question 8
A nurse is working with a patient with a histrionic personality
disorder. Which of the following nursing interventions must be
implemented throughout the inpatient stay?
Selecte
d
Answer
:
Answers:
Respons
e
Feedbac
k
:
Setting appropriate limits on maladaptive behaviors
Setting appropriate limits on maladaptive
behaviors Offering relationship advice
Providing multiple options when the patient makes
frequent requests
Having the patient approach different staff members for
interpretation of unit rules
Setting firm limits and maintaining consistency are
essential elements in working with people with
personality disorders. Flexibility and providing too many
choices does not help the individual with boundaries and
limits. Offering relationship advice is not professional
behavior and can have a negative effect on the nurseclient
relationship.
Encouraging
the
patient
to
attend
daily
activities
may
be
a
part
of
the
care
plan,
but
is
not
as
high
of
a
priority
as
setting
limits
• Question 9
A patient has blindness related to conversion disorder. In order to
assist the patient with eating, which of the following interventions
should the nurse implement?
Selecte
d
Answer
:
Answers:
Expect the patient to feed himself after
explaining arrangement of the food on the
tray.
Establish a “buddy” system with other patients who
can feed this patient at each meal.
Expect the patient to feed himself after
explaining arrangement of the food on the
tray.
Address the needs of other patients in the dining room,
then feed this patient.
Respons
e
Feedbac
k:
NUR2488 Mental Health Nursing Exam 3
Direct the patient to locate items on the tray
independently and feed himself unassisted.
The patient is expected to maintain some level of
independence by feeding self, while the nurse is
supportive in a matter-of-fact way. The distracters
support dependency or offer little support.
• Question 10
A patient is admitted for psychiatric observation after being
arrested for breaking windows in the home of a former girlfriend
who had refused to see him. His history reveals childhood abuse by
a punitive father, torturing family pets, and an arrest for disorderly
conduct. Which nursing diagnosis has priority in the plan of care?
Selecte
d
Answer
:
Answers:
Respons
e
Feedbac
k:
Post-trauma syndrome
Risk for injury
Post-trauma syndrome
Disturbed thought
processes
Risk for other-
directed violence
The defining characteristics for Risk for other-directed
violence include a history of being abused as a child,
having committed other violent acts, and demonstrating
poor impulse control. The defining characteristics for the
other diagnoses are not present in the scenario
• Question 11
A patient is referred to the mental health center by the family
health care provider. Over the past year, the patient has cooked
gourmet meals for family members, but eats only tiny portions of
the food. The patient wears layers of loose clothing, saying, “It’s
just my style.” The patient’s weight has dropped from 130 to 95
pounds. The patient has amenorrhea. Which medical diagnosis are
the history and symptoms are most consistent with?
Selecte
d
Answer
:
Answers:
Anorexia nervosa
Anorexia nervosa
Bulimia
nervosa
Binge eating
Eating disorder not otherwise
specified
Respons
e
Feedbac
k
:
NUR2488 Mental Health Nursing Exam 3
Overly controlled eating behaviors, extreme weight loss,
amenorrhea, preoccupation with food, and wearing
several layers of loose clothing to appear larger are part
of the clinical picture of an individual with anorexia
nervosa. The individual with bulimia usually is near
normal weight. The binge eater is often overweight. The
patient with eating disorder not otherwise specified may
be obese.
• Question 12
A patient sat in silence for 20 minutes after a therapy
appointment. The patient appeared tense and vigilant. The patient
abruptly stood up and paced back and forth across the day room,
clenching and unclenching his fists. Next, he stopped and stared
intently into the face of a psychiatric technician. Which of the
following best explains the nurse’s observations of this patient?
Selecte
d
Answer
:
Answers:
Respons
e
Feedbac
k:
• Question 13
The patient is exhibiting clues to
potential aggression.
The patient is demonstrating
withdrawal The patient is working off
angry feelings.
The patient is using relaxation
strategies effectively.
The patient is exhibiting clues to
potential aggression.
The description of the patient’s behavior shows the
classic signs of someone whose potential for
aggression is increasing.
A patient referred to the eating disorders clinic has lost 35 pounds
during one summer. Which of the following questions would be
best if the nurse wished to assess the patient’s eating patterns?
Selecte
d
Answer
:
Answers:
“What do you think about
your present weight?”
“Do you often feel fat?”
“Who plans the family meals?”
“What do you eat in a typical
day?”
“What do you think about
your present weight?”
Respons
e
Feedbac
k
Although all the questions might be appropriate to ask,
only “What do you eat in a typical day?” focuses on the
patient’s