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Mental health nursing Exam 2, Exams of Nursing

Comprehensive Mental health nursing Exam 2 question with verified correct answers for 2025/2026 graded A+ ,exams

Typology: Exams

2024/2025

Available from 07/02/2025

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Mental health nursing Exam 2
Periods of mental illness or dysfunction marked by an increase in the signs, symptoms,
and seriousness are called:
1.chronicity
2.Acute episodes
3.Remissions
4.Exacerbations
- 4.Exacerbations
The sexual practices of many people with chronic mental illness place them at
increased risk for contracting and transmitting:
1.Pregnancy
2.Tuberculosis
3.The common cold
4.Sexually transmitted diseases
- 4.Sexually transmitted diseases
when anxiety is a maladaptive response in an individual, it has the characteristic of:
1.effective adaptation to stressors
2.ineffective coping
3.helping an individual learn and grow from experiences
4.eliminating uneasy feelings
- 2.ineffective coping
A male client with an anxiety disorder sometimes experiences panic attacks following
high levels of anxiety. The nurse would expect his physiologic responses to include:
1.Normal vital signs and little to no muscle tension
2.increased vial signs, urinary urgency and frequency, diaphoresis, and rigid and tense
muscles
3.increased vital signs, followed by a drop in vital signs, and poor muscle coordination
4.Slight elevation in vital signs and some tension
- 2.increased vial signs, urinary urgency and frequency, diaphoresis, and rigid and tense
muscles
a married couple who has separated and is planning to divorce seeks counseling for
their 9 year old daughter. the daughter has been experiencing symptoms of severe
anxiety during insignificant situations and refuses to discuss the divorce with her
parents. What type of childhood anxiety is the child most likely experiencing?
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Mental health nursing Exam 2

Periods of mental illness or dysfunction marked by an increase in the signs, symptoms, and seriousness are called: 1.chronicity 2.Acute episodes 3.Remissions 4.Exacerbations

  • 4.Exacerbations The sexual practices of many people with chronic mental illness place them at increased risk for contracting and transmitting: 1.Pregnancy 2.Tuberculosis 3.The common cold 4.Sexually transmitted diseases
  • 4.Sexually transmitted diseases when anxiety is a maladaptive response in an individual, it has the characteristic of: 1.effective adaptation to stressors 2.ineffective coping 3.helping an individual learn and grow from experiences 4.eliminating uneasy feelings
  • 2.ineffective coping A male client with an anxiety disorder sometimes experiences panic attacks following high levels of anxiety. The nurse would expect his physiologic responses to include: 1.Normal vital signs and little to no muscle tension 2.increased vial signs, urinary urgency and frequency, diaphoresis, and rigid and tense muscles 3.increased vital signs, followed by a drop in vital signs, and poor muscle coordination 4.Slight elevation in vital signs and some tension
  • 2.increased vial signs, urinary urgency and frequency, diaphoresis, and rigid and tense muscles a married couple who has separated and is planning to divorce seeks counseling for their 9 year old daughter. the daughter has been experiencing symptoms of severe anxiety during insignificant situations and refuses to discuss the divorce with her parents. What type of childhood anxiety is the child most likely experiencing?

1.Separation anxiety disorder 2.Overanxious disorder 3.Avoidance behaviors 4.phobia

  • 3.Avoidance behaviors A female client tells her care provider that she is terrified to go to the grocery store. The care provider is aware that this client most likely has: 1.Posttraumatic stress disorder 2.Behavioral addiction 3.Phobic disorder 4.Agoraphobia
  • 4.agoraphobia THe legal term that describes any behavior that presents an immediate threat to another person is: 1.anger 2.assault 3.acting out 4.aggression
  • 2.assault in today's society, violence is: 1.a nuisance 2.not a problem 3.of minor concern 4.a serious problem
  • 4.a serious problem the client had a terrible argument with his wife during which he hit her several times. Today, he arrives from work with flowers and an expensive necklace "to make up." His behavior is characteristic of the stage in the assault cycle known as the ____________stage. 1.Crisis 2.Trigger 3.Depression 4.Escalation
  • 3.Depression To assess a client's potential for engaging in inappropriate behaviors, the caregiver should perform as soon as possible after admission a:

4.Ensure an examination for possible evidence

  • 1.Ensure the client's safety The nurse suspects a mother of abusing her child. which behavior is the most likely cause? 1.the mother is concerned about the child's health. 2.the child relates well to the nursing staff with appropriate interaction for age. 3.The child appears overly compliant, passive and undemanding with the mother and staff. 4.the child is at a normal level of physical, emotional, and intellectual development for his or her age.
  • 3.The child appears overly compliant, passive and undemanding with the mother and staff. Most depressive responses in children are tied to: 1.their moods 2.their environment 3.general events or situations 4.a specific event or situation
  • 4.a specific event or situation Clients with bipolar 1, bipolar 2, or cyclothymic disorders exhibit different types of: 1.Mania 2.Anxiety 3.Dysthymia 4.Regression
  • 1.Mania Feelings of worthlessness, guilt, and despair are expressed in a female client's every thought, movement, and activity. Her physical appearance has declined, and she is commonly unable to eat. What is the client experiencing? 1.Mild depression 2.Severe depression 3.Moderate depression 4.A normal emotional state
  • 2.Severe depression The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse's priority action? 1.Notify the physician immediately

2.Notify the physician when convenient 3.Give the client two aspirin tablets and monitor his headache and heart rate 4.Reassure the client that these are common side effects of his medication

  • 1.Notify the physician immediately Clients who are taking lithium must monitor their water and salt intake because: 1.Lithium competes with water in the body 2.Large amounts of water concentrate lithium in the blood 3.Lithium is excreted by the kidneys more rapidly than sodium 4.Sodium is excreted by the kidneys more rapidly than lithium
  • 3.Lithium is excreted by the kidneys more rapidly than sodium chemical restraint
  • antipsychotic medication; a medication that reduces or eliminates psychotic symptoms and quiets behavior chronic mental illness
  • the presence of one or more recurring psychiatric disorders that result in significantly impaired functional abilities... comorbidity
  • two medical or psychiatric disorders present at the same time... exacerbations
  • periods marked by an increase in the signs and symptoms and seriousness of a problem or disorder... psychiatric rehabilitation
  • multidisciplinary services that assist people with mental health problems to readjust and adapt to life in the community as actively and independently as possible; includes personal adjustment and social, residential, educational, and vocational services... remissions
  • in chronic mental illness, times of partial or complete disappearance of symtoms... addictive behaviors
  • obsessive-compulsive activities that take the form of certain repetitive behaviors, such as gambling, shopping, working, and engaging in excessive sexual activity... agoraphobia
  • anxiety about possible situations (especially open or public places) in which a panic attack may occur... anxiety
  • use of inappropriate, detrimental, or destructive behaviors to express current or past emotions... aggression
  • forceful attitude or action that is expressed physically, symbolically or verbally... anger
  • normal emotional response to a perceived threat, frustration, or distressing event; occurs in response to an individual's frustration level or feelings of being threatened or losing control... assault
  • any behavior that presents an immediate threat to another person... assertiveness
  • ability to directly express one's feelings or needs in a way that respects the rights of other people and retains the individuals dignity... battery
  • unlawful use of force on a person... impulse control
  • ability to express one's emotions in appropriate or effective ways... intermittent explosive disorder
  • have a pattern of behavior outburst - failure to resist aggressive impulses that result in the destruction of property or assault of another living being, person is 18yrs old or older, have a pattern of being upset to being remorseful. passive aggression
  • indirect expressions of anger through subtle, evasive, or manipulative behaviors... violence
  • any behavior that threatens or harms another person or his or her property... abuse
  • process of causing an individual harm... agitation
  • behavior that is verbally or physically offensive battering
  • repeated abuse of someone, usually a woman, child or older person... domestic violence
  • aggressive behaviors directed toward significant others...

emotional abuse

  • the rejection, criticism, terrorizing, and isolation of a significant other... exploitation
  • use of another individual for selfish purposes, profit, or gain... incest
  • inappropriate sexual activities with one or more members of one's family... machismo
  • compulsive masculinity evidenced by preoccupation with physical strength and athletic prowess, attempts to demonstrate daring, or violent and aggressive behaviors... neglect
  • lack of meeting a dependent person's basic needs for food, clothing, shelter, love, and belonging... physical abuse
  • inflicted injury to a child, ranging from minor bruises and lacerations to severe trauma and death pornography
  • writings, pictures, or other messages that are intended to sexually abuse... prostitution
  • the selling of sexual favors... rape
  • forced sexual assault... sexual abuse
  • intentional engaging of children or others in inappropriate or illegal sexual activities... shaken baby syndrome
  • vigorous manual shaking of an infant who is being held by the extremities or shoulders, leading to whiplash-induced intracranial and intraocular bleeding and no external signs of head trauma... violence
  • any behavior that threatens or harms another person or his or her property... affect
  • outward manifestation of a person's feelings or emotions... bipolar disorder

Anxiety Level

  • Mild - breathing and awake Moderate - attentive learning Severe - Fixing to take a test, focus is narrowed, problem solving becomes difficult - pupils are dialated, dry mouth, diarrhea Panic - full sympathetic release, unable to solve a problem, no logical thinking, disorganized BP is down.. pg 203 Which of the following theoretical models focuses on depression as a group of learned responses? A. Interpersonal model B. Psychoanalytical model C. Social model D. Behavioral model
  • D. Behavioral model Depression in adolescence usually is related to loneliness, family strengths, self- esteem, and which of the following? A. Parent-teen communication B. Peer relationships C. Academic issues D. Teacher-teen communication
  • A. Parent-teen communication Which of the following individuals is more likely to experience depression? A. Older adult with pet B. Male older adult C. Medically ill older adult D. Older adult living alone
  • C. Medically ill older adult A middle-aged man has lost all sources of income. He is unable to function, cares about nothing, and feels powerless. His feelings of worthlessness and despair have lasted 3 weeks. He is suffering from which of the following? A. Dysthymia B. Mild depression C. Moderate depression D. Major depressive episode
  • D. Major depressive episode Assessment of a client reveals severe and sudden mood swings from mania to depression. Which diagnosis should the nurse suspect? A. Dysthymic disorder

B. Bipolar disorder C. Major depressive disorder D. Personality disorder

  • B. Bipolar disorder A client characteristically experiences fatigue, gloom, and loss of energy during the winter months. Which diagnosis should the nurse suspect? A. Cyclothymic disorder B. Mild depressive disorder C. Mood disorder D. Seasonal affective disorder
  • D. Seasonal affective disorder Which client would the nurse expect to prepare for electroconvulsive therapy (ECT)? A. A female client with dysthymic disorder B. A male client with major depressive disorder and history of heart disease C. A male client with major depression and at risk for suicide D. A female client with major depression and brain metastasis
  • C. A male client with major depression and at risk for suicide Which instruction should the nurse give a client who is prescribed lithium carbonate (lithium)? A. Maintain stable fluid intake. B. Exercise in hot weather. C. Restrict fluid. D. Restrict salt.
  • A. Maintain stable fluid intake A depressed client has been prescribed a selective serotonin reuptake inhibitor. Which medication may have been prescribed? A. Amitriptyline (Elavil) B. Clonazepam (Klonopin) C. Sertraline (Zoloft) D. Lorazepam (Ativan)
  • C. Sertraline (Zoloft) A client comes in demonstrating increased activity and agitation and gives much more importance to thoughts and ideas. This client is demonstrating ________.
  • Mania Which theory states that males are socialized throughout childhood to behave more aggressively and violently? A.Anthropological theory B.Feminist theory C.Social learning theory D.Sociological theory
  • A. Neglect An abuser with severe aggression is prescribed medication for his condition. Which of the following may be prescribed? A. Antabuse B. Atypical antipsychotic C. Hypnotic D. Antipyretics
  • B. Atypical antipsychotic An elderly client admits that her daughter regularly abuses her. She is a victim of ________.
  • Battery
  1. Which theorist states that when basic needs are threatened, a person may react with anger? A. Skinner B. Maslow C. Freud D. Peplau
  • B. Maslow A psychosocial theory of aggression is defined by which of the following statements? A. Aggressive acts are a product of cultural values, beliefs, norms, and rituals. B. Aggression is the result of having power and many resources. C. Aggressive behaviors are learned responses. D. Aggression is a natural part of all human interactions.
  • C. Aggressive behaviors are learned responses. A husband is yelling and swearing at his wife during an argument. He also is pacing and pounding his fist. This pattern of behavior is consistent with which stage in the assault cycle? A. Trigger stage B. Escalation stage C. Crisis stage D. Recovery stage
  • B. Escalation stage A person yells, curses, and strikes a bank teller for making her wait in line too long. This behavior is consistent with which of the following? A. Conduct disorder B. Oppositional defiant disorder C. Intermittent explosive disorder D. Adjustment disorder
  • C. Intermittent explosive disorder

The most therapeutic caregiver intervention for a client with anger and aggression is which of the following? A. Establish and maintain a trusting relationship. B. Share findings with other caregivers. C. Set limits on client behaviors. D. Offer prn medication.

  • A. Establish and maintain a trusting relationship. An out-of-control client is verbally abusive and physically aggressive with staff members who are at increased risk for injury. Which intervention is most appropriate? A. Apply restraints. B. Administer oral medication. C. Take a time-out. D. Call a family member or friend.
  • A. Apply restraints. Which of the following is an impulse control disorder? A. Aggressive conduct B. Deceitfulness C. Serious rule violations D. Pyromania
  • D. Pyromania The term used for the unlawful use of force on a person without his or her consent is which of the following? A. Battery B. Assault C. Acting out D. Violence
  • A. Battery A client threatens the nurse and smacks the attending physician. Both actions are examples of ________.
  • Violence
  1. A teenager reacts with anxiety in relatively low-stress situations and gives reasons for the behavior, even when not requested. What is the teenager exhibiting? A. Signal anxiety B. Anxiety trait C. Anxiety state D. Mild anxiety
  • B. Anxiety trait A child develops anxiety when his father continually disapproves of his friends and interests. This situation is consistent with which model related to anxiety? A. Interpersonal model

A client with generalized anxiety disorder (GAD) is prescribed buspirone (BuSpar). Which information should be given to the client? A. The risk of sedation is increased with this medication. B. It treats the worry associated with GAD. C. The medication begins to work in 7 days. D. The medication is taken 3 days per week.

  • B. It treats the worry associated with GAD. A client appears tense and expresses feelings of dread regarding test results. This client is demonstrating ________.
  • anxiety
  1. The process of deinstitutionalization of long-term patients into the community occurred because of what change in the 1960s? A. Closure of long-term mental health facilities B. Antianxiety medication C. Antipsychotic medication D. Establishment of group homes
  • C. Antipsychotic medication A young seriously mental ill client has a mood disorder. Which drug is the client likely to abuse? A. Alcohol B. Marijuana C. Heroin D. Cocaine
  • D. Cocaine Which of the following is a common psychological characteristic of seriously mental ill individuals? A. Depression B. Anxiety C. Sociability D. Trust
  • A. Depression Which of the following disorders describes a child who does not develop the ability to respond to and communicate his or her needs and remains dependent on others? A. Conduct disorder B. Autism C. Major depression D. Mental retardation
  • B. Autism Children at risk for developing chronic mental health problems are described in which of the following groups?

A. Those who have witnessed violence B. Those with low birth weight C. Those whose mothers used illicit drugs while they were in utero D. Those with a family history of mental health problems

  • A. Those who have witnessed violence Which of the following chronic mental health problems may begin in adolescence? A. Obsessive-compulsive disorder B. Hypochondriasis C. Conduct disorder D. Personality disorder
  • D. Personality disorder Which of the following is a common trigger of an acute psychotic episode? A. Mild anxiety B. Infection C. Subordinate behavior D. Intense exercise
  • B. Infection The period in a chronic mental illness in which the dysfunction is more pronounced would be considered the ________.
  • exacerbation Characteristics of oppositional defiant disorders..
  • childhood disorder repeated and presistant pattern of anger and irritable mood defiant and vindictive behavior for at least 6 months blames others for his/ her mistakes difficult attending school predictive of emotional disorder in young adulthood Conduct disorder
  • abnormally aggressive behavior violates rights of other and societal norms or rules are disregarded most frequently diagnosed disorder in childhood and adolescents people affected by this disorder have normal intelligence but have academic failure, school suspensions, juvenile delinquency, drug/ alcohol abuse Provoking effects of intermittent conduct disorder can lead to
  • HTN, CVD, and elevated glucose levels Pharmacological interventions for intermittent explosive disorder are
  • SSRI- Prozac ( reduce outburst) mood stabilizer- lithium( reduce outburst Anticonvulsant- neurontin( reduce outburst)

C. staff telling him he is "inappropriate." D. staff asking how to be helpful.

  • c. staff telling him he is "inappropriate." Which item of assessment data is the best predictor of violence for a newly admitted client? A. A recent assault on a drinking companion. B. A family history of bipolar disorder. C. The nurse's subjective feeling that client is cooperative. D. A childhood history of being quick to anger.
  • a. A recent assault on a drinking companion. When analyzing assessment data to arrive at nursing diagnoses for a nonpsychotic client who displays much anger and occasional aggression, which nursing diagnosis would receive the least initial consideration? A. Social isolation B. Risk for other-directed violence C. Ineffective coping: overwhelmed D. Ineffective coping: maladaptive
  • A. Social isolation Which neurotransmitter imbalance has been shown to have a relation to impulsive aggression? A. Low levels of γ-aminobutyric acid B. Low levels of serotonin C. High levels of dopamine D. High levels of acetylcholine
  • B. Low levels of serotonin When working with an angry client it is best to A. encourage the client to fully explore and express his anger. B. help the client deny and repress the feelings of anger. C. help the client reframe the anger-producing situation. D. ignore the client's anger and change the subject.
  • C. help the client reframe the anger-producing situation. Which of the following would be the most appropriate response by the nurse to help a client who is demonstrating escalating anger? A. Walk the client to his room and help him practice stress-reduction techniques such as deep breathing or muscle relaxation. B. Suggest the client spend some time in the gym with a punching bag to relieve his stress. C. Suggest the client spend some time pacing rapidly in the hallway until he feels less stressed. D. Sit with the client in the day room so he can vent his anger and not isolate.
  • a. Walk the client to his room and help him practice stress-reduction techniques such as deep breathing or muscle relaxation. The more a nurse's intervention is prompted by emotion, the A. less likely it is to be therapeutic. B. less likely it is to be aggressive. C. more likely it is to be effective. D. more likely it is to be empathetic.
  • A. less likely it is to be therapeutic. The most restrictive method for dealing with an aggressive client who is out of control is A. seclusion. B. a show of force. C. verbal intervention. D. antipsychotic medication.
  • a. seclusion. Which client on the mental health unit is at highest risk for violence directed at others? A. Mr. A, who has a history of recurrent severe depression B. Mr. B, who is in an alcohol rehabilitation program C. Mr. C, who has delusions of persecution and has assaulted his brother D. Mr. D, who has somatic symptoms for which no organic basis is found
  • C. Mr. C, who has delusions of persecution and has assaulted his brother A client is experiencing manic hyperactivity. In the dining room she stands up and shouts "This food is garbage! I'll fight anyone who says it's not! I can fight all of you at one time and win with one hand tied behind my back!" She is flushed, her fists are clenched, and she glares challengingly at clients and staff. The nurse's most relevant assessment is that the client A. is upset with the quality of the food. B. is getting rid of tension in a harmless way. C. is frustrated by limits imposed by hospitalization. D. has a high potential for other-directed violence.
  • d. has a high potential for other-directed violence. The client's offers to fight are suggestive of a high potential for violence. Clients may have coping skills that are adequate for day-to-day events in their lives but are overwhelmed by the stresses of illness or hospitalization. Other clients may have a pattern of maladaptive coping, which is marginally effective and consists of a set of coping strategies that have been developed to meet unusual or extraordinary situations. Page 516- 517 Which intervention strategy should be avoided by staff working with a client who is shouting and flailing his arms? A. Defusing the situation by laughing or making a joke of the challenge B. Saying "Let's go to your room to talk about this"