NR 326 Mental Health Final Exam Study Set Chapters 32,
33, 34, & 35 Questions With Complete Solutions
A 6-year-old client is prescribed methylphenidate (Ritalin) for a
diagnosis of attention deficit-hyperactivity disorder (ADHD).
When teaching the parents about this medication, which nursing
statement explains how Ritalin works?
A. Ritalins sedation side effect assists children by decreasing
their energy level.
B. How Ritalin works is unknown. Although it is a stimulant, it
does combat the symptoms of ADHD.
C. Ritalin helps the child focus by decreasing the amount of
dopamine in the basal ganglia and neuron synapse.
D. Ritalin decreases hyperactivity by increasing serotonin levels.
Correct Answer B
A child diagnosed with ADHD had this nursing diagnosis:
Impaired social interaction related to excessive neuronal activity
as evidence by aggression and demanding behavior with peers.
Which finding indicates the plan for care was effective?
A. The child has improved ability to identity anxiety inducing
situations
B. The child has increases expressiveness in communication
with others.
C. The child shows increased responsiveness to authority
figures.
D. The child engages in cooperative play with other children
Correct Answer D
,A child diagnosed with attention deficit-hyperactivity disorder
(ADHD) is having difficulty completing homework
assignments. What information should the nurse include when
teaching the parents about task performance improvement?
A. The parents should isolate the child when completing
homework to improve focus.
B. The parents should withhold privileges if homework is not
completed within a 2-hour period.
C. The parents should divide the homework task into smaller
steps and provide an activity break.
D. The parents should administer an extra dose of
methylphenidate (Ritalin) prior to homework. Correct Answer
C
A child diagnosed with autism spectrum disorder has the nursing
diagnosis of disturbed personal identity. Which outcome would
best address this clients diagnosis?
A. The client will name own body parts as separate from others
by day 5.
B. The client will establish a means of communicating personal
needs by discharge.
C. The client will initiate social interactions with caregivers by
day 4.
D. The client will not harm self or others by discharge. Correct
Answer A
A child has been diagnosed with autism spectrum disorder. The
distraught mother cries out, Im such a terrible mother. What did
I do to cause this? Which nursing reply is most appropriate?
,A. Researchers really dont know what causes autistic disorder,
but the relationship between autistic disorder and fetal alcohol
syndrome is being explored.
B. Poor parenting doesnt cause autism. Research has shown that
abnormalities in brain structure and/or function are to blame.
This is beyond your control.
C. Research has shown that the mother appears to play a greater
role in the development of this disorder than the father.
D. Lack of early infant bonding with the mother has shown to be
a cause of autistic disorder. Did you breastfeed or bottle-feed?
Correct Answer B
A client at the mental health clinic tells the case manager, "I
can't think about living another day, but don't tell anyone about
the way I feel. I know you are obligated to protect my
confidentiality." Which case manager response is most
appropriate?
A. "The treatment team is composed of many specialists who are
working to improve your ability to function. Sharing this
information with the team is critical to your care."
B. "Let's discuss steps that will resolve negative lifestyle choices
that may have increased your suicidal risk."
C. "You seem to be preoccupied with self. You should
concentrate on hope for the future."
D. "This information is secure with me because of client
confidentiality." Correct Answer A
A client diagnosed with schizophrenia is hospitalized owing to
an exacerbation of psychosis related to non-adherence with
, antipsychotic medications. Which level of care does the client's
hospitalization reflect?
A. Primary prevention level of care
B. Secondary prevention level of care
C. Tertiary prevention level of care
D. Case management level of care Correct Answer B
A client who has been raped is crying, pacing, and cursing her
attacker in an emergency department. Which behavioral defense
should a nurse recognize?
A. Controlled response pattern.
B. Compounded rape reaction.
C. Expressed response pattern.
D. Silent rape reaction. Correct Answer C
A client who is in a severely abusive relationship is admitted to
a psychiatric inpatient unit. The client fears for her life. A staff
nurse asks, Why doesn't she just leave him? Which is the
nursing supervisors most appropriate reply?
A. These clients don't know life any other way, and change is
not an option until they have improved insight.
B. These clients have limited skills and few vocational abilities
to be able to make it on their own.
C. These clients often have a lack of financial independence to
support themselves and their children, and most have religious
beliefs prohibiting divorce and separation.
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