NUR 190 Mental Health Nursing
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Free NUR 190 Mental Health Nursing Questions
A nurse is monitoring a child who has recently started taking stimulant medication for Attention-Deficit/Hyperactivity Disorder (ADHD). Which potential side effect should the nurse closely assess for during follow-up visits?
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Cognitive impairment
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Weight gain
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Growth suppression
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Drowsiness
Explanation
The Correct Answer is:
C. Growth suppression
Detailed Explanation:
Stimulant medications, such as methylphenidate or amphetamine-based drugs, may cause appetite suppression, leading to decreased calorie intake and, over time, growth suppression in children. The nurse should regularly monitor height, weight, and nutritional intake to detect early signs of slowed growth. Encouraging high-calorie meals and snacks outside medication peak times can help minimize this effect. The other options are not common adverse effects of stimulant therapy.
A nurse is assessing a client with schizophrenia who reports having no interest in previously enjoyed activities, such as listening to music or painting. The nurse recognizes this symptom as which of the following?
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Apathy
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Anhedonia
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Alogia
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Asociality
Explanation
The Correct Answer is:
B. Anhedonia
Detailed Explanation:
Anhedonia refers to the inability to experience pleasure or interest in activities that were once enjoyable. It is a negative symptom of schizophrenia and contributes to social withdrawal and reduced motivation. The client’s loss of enjoyment in hobbies reflects this feature. Apathy involves lack of motivation or concern, alogia is poverty of speech, and asociality refers to lack of interest in forming social relationships.
A young woman has stopped attending classes and withdrawn from friends and family, spending most of her time in her room without speaking to anyone. Which of the following is the highest priority for this client?
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Obtaining more data about her college experiences
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Assessing fluid intake and outpu
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Completing an assessment of mental status
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Providing for adequate rest
Explanation
The Correct Answer is:
C. Completing an assessment of mental status
Detailed Explanation:
The highest priority for a client showing signs of social withdrawal, isolation, and possible depression is to complete a thorough mental status assessment. This helps determine the client’s level of functioning, mood, thought processes, and risk for self-harm or suicidal ideation. Understanding the client’s mental state ensures appropriate interventions and safety measures are implemented. While rest, nutrition, and history are important, mental status evaluation directly addresses potential psychiatric risk.
A hyperactive, distractible child who was removed from preschool has been referred to the mental health clinic. The healthcare provider mentions to the nurse that a trial of medication might be helpful. What medication is the physician most likely to prescribe to treat this child’s health alteration?
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Methylphenidate (Ritalin)
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Haloperidol (Haldol)
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Imipramine (Tofranil)
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Fluphenazine (Prolixin)
Explanation
The Correct Answer is:
A. Methylphenidate (Ritalin)
Detailed Explanation:
Methylphenidate (Ritalin) is a central nervous system stimulant commonly prescribed for children with Attention-Deficit/Hyperactivity Disorder (ADHD). It improves focus, attention span, and impulse control while reducing hyperactivity. The medication works by increasing dopamine and norepinephrine levels in the brain, which enhances attention and behavioral regulation. The other drugs listed—Haloperidol, Imipramine, and Fluphenazine—are used for psychotic or depressive disorders, not for ADHD management.
A nurse is caring for a child in a family situation where conflict and neglect have been observed. Which nursing action best demonstrates the nurse’s role as a client advocate?
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Reinforce the parents’ expectations of the child’s behavior
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Interpret the child’s thoughts and feelings to the parent
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Teach the parents age-appropriate expectations of the child
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Support transferring the child to a healthy living environment
Explanation
The Correct Answer is:
D. Support transferring the child to a healthy living environment
Detailed Explanation:
Acting as a client advocate means protecting the client’s rights, safety, and well-being. When a child is in an unsafe or neglectful home, the nurse’s duty is to support intervention and placement in a safe environment. Options A, B, and C involve education and communication but do not prioritize immediate safety, which is the nurse’s foremost responsibility when abuse or neglect is suspected.
A hyperactive, distractible child who was removed from preschool and referred to the mental health clinic. J's healthcare provider mentions to the nurse that a trial on ________ will be initiated.
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Mood
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Self-efficacy
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Resilience
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Abstract thinking
Explanation
The Correct Answer is:
A. Mood
Detailed Explanation:
In a hyperactive and distractible child, the healthcare provider would first evaluate or initiate a trial on mood to determine whether the behaviors are related to a mood disorder such as bipolar disorder or attention-deficit/hyperactivity disorder (ADHD) with emotional dysregulation. Assessing mood helps differentiate between behavioral and emotional causes of hyperactivity. Abstract thinking, resilience, and self-efficacy are developmental or psychological traits—not primary clinical focus areas in early behavioral assessment.
A nurse is caring for a client who is experiencing severe anxiety and agitation on the psychiatric unit. Which of the following nursing actions are most appropriate? (Select all that apply.)
A. Provide a safe environment
B. Request a prescription for an antianxiety agent
C. Offer the client therapy to calm down
D. Ensure the client’s privacy
E. Engage the client in recreational activities
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A, D
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A, B, C, D, E
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A, B, C, D
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A, D, E
Explanation
The Correct Answer is:
A, D
A. Provide a safe environment
Ensuring safety is always the top priority for clients experiencing severe anxiety. The nurse must protect the client from harm and reduce environmental stimuli to promote calmness and control.
D. Ensure the client’s privacy
Allowing privacy helps reduce external stressors and gives the client space to regain emotional control. It minimizes overstimulation, which can worsen anxiety.
Transferring an emotion to someone or something
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Replacement
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Rationalization
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Displacement
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Reaction formation
Explanation
The Correct Answer is:
C. Displacement
Detailed Explanation:
Displacement is a defense mechanism in which an individual redirects emotions or impulses from a threatening target to a safer substitute. For example, a person angry at their boss may come home and yell at their family instead. This unconscious shift helps the person release emotional tension without confronting the true source of distress. It is a common but maladaptive way of coping with frustration or anxiety.
A client with histrionic personality disorder frequently seeks attention by exaggerating emotional responses and displaying dramatic behavior. Which nursing intervention is most appropriate for this client?
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Assist the client to eliminate passive behavior
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Set limits on attention-seeking behavior
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Accept the client’s behavior
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Try to meet the client’s needs for attention
Explanation
The Correct Answer is:
B. Set limits on attention-seeking behavior
Detailed Explanation:
Clients with histrionic personality disorder often display excessive emotionality and attention-seeking behaviors. The nurse’s role is to set clear, consistent limits while maintaining a supportive but professional relationship. This approach prevents reinforcement of manipulative or dramatic behavior and encourages more appropriate ways of gaining attention. Accepting or catering to such behaviors reinforces dependency, while focusing on eliminating “passive behavior” misses the core issue—managing attention-seeking patterns.
A client is pacing in the hallway with clenched fists and a flushed face. He is yelling and swearing. Which phase of the aggression cycle is he in?
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Triggering
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Anger
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Crisis
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Escalation
Explanation
The Correct Answer is:
D. Escalation
Detailed Explanation:
During the escalation phase of the aggression cycle, the client’s behavior intensifies and becomes more threatening. Signs include pacing, yelling, swearing, clenched fists, and a flushed face, indicating a loss of emotional control. Immediate intervention is crucial at this stage to de-escalate the situation, such as using calm communication, setting limits, and ensuring safety. If not managed, this phase may progress to the crisis phase, where physical aggression can occur.
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