Question 27
Behavioral Health Final Exam. A patient with obsessive-compulsive disorder and sexual preoccupation is repeatedly washing his hands. How should the nurse interpret this behavior?
- Compulsion reduces anxiety or distress
- Hand washing is a common individual defense mechanism
- The patient is attempting to control others
- The patient has a skin disorder. Behavioral Health Final Exam
Question 28
The husband of a patient who has been diagnosed with dissociative identity disorder asks the nurse if he is in any way at fault for his wife’s illness. The nurse’s reply should be based on the knowledge that dissociative identity disorder is thought to be related to which factor?
- Genetic predisposition
- Severe childhood trauma
- Faulty family dynamics
- A dopamine imbalance
Question 29
An elderly patient who lives with a caregiver is admitted to an emergency department for a fractured arm. The patient is soaked in urine and has dried fecal matter on lower extremities. The patient is 6 feet tall and weighs 120 pounds. Which condition should the nurse suspect?
- Self-care deficit
- Caregiver stress
- Abuse, neglect, or both
- Inadequate nursing home care
Question 30
A patient comes to her outpatient therapy appointment intoxicated. Her husband tells the nurse, “There wasn’t anything I could do to stop her when she started drinking this morning.” What should the nurse do next?
- Escort the patient to a detoxification unit
- Arrange for the husband to take the patient home
- Tell the patient that therapy cannot take place while she is intoxicated
- Ask the husband why he didn’t call to cancel the appointment
Question 31
An adult patient comes to the emergency room with a broken wrist and severe bruises inflicted by a beating by the intimate partner. The patient states an intention to remain in the relationship at this time. What is the most appropriate response by the nurse?
- “I can report this to the authorities if you feel uncomfortable.”
- “You need to leave this relationship if you want to survive.”
- “Let’s develop a safety plan for repeated violence.”
- “I would be happy to call a lawyer for you, if you wish.”
Question 32
A patient who is a wife and mother has been diagnosed as having somatic symptom disorder. She tells the nurse that the family has gotten along over the years by “pulling together.” Her husband cooks the meals and the children clean the house. The nurse can base interventions on the hypothesis that the patient:
- has problems with disturbed body image.
- will be resistant to developing a relationship.
- receives secondary gains from her symptoms.
- has planned well for family survival.
Question 33
The nurse is meeting with a concerned parent about a 12-year-old boy who has been exhibiting concerning behavior at school. He frequently argues with his teachers, refuses to follow rules, and appears to deliberately annoy his peers. He has been sent to the principal’s office 3 times this year. In the most recent event the boy shouted, “you don’t get to tell me what to do just because you’re my teacher!” Which of the following statements from the nurse is appropriate?
- “We can support your son in improving his behavior. The best approach is to include the entire family in the solution.”
- “Your son may be a candidate for stimulant medications to help regulate his behavior.”
- “We should proceed with screening your son for Conduct Disorder because he appears to be a threat to other children.”
- “While your child’s behavior is disruptive, there are therapies available to support him to be a better child.”
Question 34
A patient on an inpatient psychiatric unit is to be observed while withdrawing from amphetamines. The nurse should be on alert to assess for which symptoms? Select all that apply.
- Slurred speech
- Anorexia
- Depression
- Increased appetite
- Fatigue
- Nightmares
- Suicidal Ideations
Question 35
The nurse should include which nutritional teaching for a patient with alcohol dependence?
- Encourage multivitamin supplementation, including thiamine and folate
- Encourage a high-protein, low-carbohydrate diet to promote lean muscle mass
- Increase fluid intake to help support the kidneys
- Increase sodium-rich foods to prevent a decrease in iodine levels
Question 36
The nurse is working with a patient who abuses substances. Which fact should the nurse communicate to the patient? Behavioral Health Final Exam
- Family support is essential for success in recovery.
- Abstinence is the basis for successful treatment.
- Attendance at 12 step meetings will help decrease cravings.
- Social drinking can be managed strictly by the individual.
Question 37
A patient who is 5 feet 7 inches tall and weighs 160 pounds believes that her size 9 feet are enormous compared with the rest of her body. She has visited orthopedic surgeons to see if surgery to reduce the length of her feet is possible. She spends hours trying to buy shoes that make her feet look smaller, and she prefers social interactions where she can sit with her feet concealed under a table. The nurse’s assessment of the patient’s symptoms is consistent with which disorder?
- Somatization disorder
- Somatoform pain disorder
- Body dysmorphic disorder
- Hypochondriasis
Question 38
A patient admitted to the behavioral health hospital has a known opioid use disorder. The physician has prescribed a PRN order of __________ to help treat potential physical __________ symptoms. A priority nursing intervention would be to assess the patient’s __________ prior to the administration of this medication.
- Catapres (Clonidine)
- withdrawal
- blood pressure
Question 39
A patient with obsessive-compulsive disorder (OCD) is admitted to the behavioral health unit. The nurse learns that the patient requires 90 minutes to complete an elaborate ritual prior to leaving the house for work and is at risk for losing his job. Which of the following is the best initial action by the nurse?
- Ask the physician to prescribe a PRN dose of a benzodiazepine
- Explain to the patient that he should explore the fears that cause the ritual
- Educate the patient that the unit schedule is strict and must be followed.
- Encourage the patient to wake up earlier to ensure he makes it to work on time
Question 40
Which of these measures should be initiated first for a new patient being admitted with anorexia nervosa who displays malnutrition, extreme weight loss, weakness, and fatigue?
- Implementation of suicide precautions
- Determining electrolyte levels
- Provision of nutritious meals
- Placing the patient on bed rest. Behavioral Health Final Exam
Question 41
Which traits are typically found in female victims of IPV (Intimate Partner Violence)?
- High income and high level of education
- Aggressive personality and high self-esteem
- Low self-esteem and adherence to feminine sex-role stereotypes
- Lack of self-control and history of alcohol abuse
Question 42 (SATA)
Which 4 findings require follow-up?
- Pain level
- Recklessness
- Nutrition status
- Running around the exam room
- Talking nonstop
- Sleep
- Lack of focus
Question 43 (SATA)
What 3 problems should the nurse address?
- Behavioral management
- Pain management
- Nutrition counseling
- School performance
- Medication education
- Sleep patterns
- Hypertension prevention
Question 44
Which condition is the patient most likely experiencing?
- Conduct disorder
- Attention Deficit Hyperactivity Disorder (ADHD)
- Autism Spectrum Disorder
- Oppositional Defiant Disorder
Question 45
The parents agree to begin methylphenidate (Ritalin) dosing. Which additional interventions would the nurse anticipate? For the following, indicate if it is anticipated or not anticipated for this patient. All options should be used once.
- Anticipated:
- Nutritional counseling
- Sleep hygiene education
- Weight monitoring
- Behavioral therapy
- Not Anticipated:
- Child abuse screening
- Decrease physical activity
- Repeat suicide screening
Question 46
The nurse provides initial counseling. What should the nurse teach the client about the treatment plan? Select all that apply.
- Avoid eating before bedtime.
- Develop a consistent bed-time routine.
- Consider adding nutritional supplements.
- Medications should be given after breakfast.
- Utilize rewards systems for task completion.
- Remove electronics from the bedroom.
- Encourage napping after school.
- Offer high-calorie, nutrient-dense food choices.
Question 47
Based on these findings, the patient’s medication has been [Dropdown 1] in treating the ADHD symptoms. The nurse will need to follow up with [Dropdown 2] education and [Dropdown 3] to improve the child’s overall outcome.
- Dropdown 1: ineffective
- Dropdown 2: behavioral
- Dropdown 3: parent training
Question 48
When assessing a patient with delirium the nurse will expect to see? Select all that apply.
- Aphasia
- Mood Fluctuations
- Long term memory impairment
- Rapid onset of symptoms
- Confusion
- Impaired level of consciousness
- Illusions
Question 49
The nurse is caring for a patient diagnosed with bulimia. What is the most appropriate initial goal for this patient?
- The patient will eliminate between-meal snacks.
- The patient will demonstrate increased self-esteem.
- The patient will identify stressors which trigger binge eating.
- The patient will control purging impulses.
Question 50
A patient who has been abusing stimulants is involuntarily admitted to a substance abuse center. Which patient goal should take priority as part of their recovery?
- Identify triggers that increase risk of relapse.
- Develop a plan for outpatient twelve step therapy.
- Verbalize that she abuses stimulants.
- Discuss the risks of stimulant use in group
