NUR2488: Mental Health Nursing Exam 2

1) What is the short-term goal for a client diagnosed with Alzheimer’s disease who has lost 5 lb in

the last month?

The client will eat 25% of each meal for the next 24 hours.

The client will eat more at eat meal.

The client will eat higher caloric meals for every meal.

The client will increase oral intake at every meal.

2) Which statement by the client indicates a lack of understanding of the nurses teaching regarding

antipsychotic medications?

These medications may cause negative side effects.

These drugs may cause me to gain weight.

My symptoms may return if I don’t take these medications.

One day I won’t have to take these medications.

3) After assessing a client and determining the impact of his alcohol addiction on the family

members, the nurse suggests family therapy. The client states my son doesn’t need to attend he

is only 13, he has never seen me drunk. What is the nurses best response?

I’m sure your son knows you’re an alcoholic.

You know your son has seen you drinking.

It is important that all family members who would be impacted are present.

It is good that you have these concerns for your son.

4) Which assessment finding by the nurse would indicate that the client diagnosed with

schizophrenia is not tolerating the stimulation on the unit?

Increasing in demands for attention.

Creating a disorganized project in the art group

An increase in pacing and hallucinations.

Using confabulation when asked a question.

5) A client diagnosed with Bipolar I disorder in a manic state rushing about the unit and talking

regularly with a flight of ideas. What is the most therapeutic intervention?

Have the client go to his room until he is calm.

Politely ask the client to stop talking.

Speak slowing and in a quiet voice to help the client focus.

Encourage the client to talk more so you can determine what he is thinking.

6) Benotropine is ordered PRN for a client taking Haloperidol after being diagnosed with

schizoaffective disorder. Which of the following assessment findings by the nurse would indicate

a need for this medication?

The client has increasing aggression.

The client has elevated blood pressure.

The client complains of dizziness.

The client has extrapyramidal symptoms.

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