NUR 190 Mental Health Nursing
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Free NUR 190 Mental Health Nursing Questions
When the client asks the nurse how long it will take before the SSRI antidepressant medication will be effective, which of the following replies is most accurate and therapeutic?
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You will have gradual improvement in symptoms over the next few weeks, but the changes may be subtle that you may not notice them for a while. It is important for you to keep taking the medication.
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If you believe it will work, then it will.
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It will probably take months for the medication to work. In the meantime, you should work on your attitude
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This is a good medication; it will be effective within 20 minutes of the first dose.
Explanation
The Correct Answer is:
A. You will have gradual improvement in symptoms over the next few weeks, but the changes may be subtle that you may not notice them for a while. It is important for you to keep taking the medication.
Detailed Explanation:
Selective serotonin reuptake inhibitors (SSRIs) typically require 2 to 4 weeks before therapeutic effects are noticeable. This response sets realistic expectations and encourages adherence despite delayed results. It also provides reassurance while emphasizing the importance of continuing the medication consistently. The other responses are nontherapeutic—either dismissive, inaccurate, or misleading about the medication’s onset of action.
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.
Nursing role that involves being a substitute for another such as a parent is called
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Counselor
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Resource person
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Surrogate
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Teacher
Explanation
The Correct Answer is:
C. Surrogate
Detailed Explanation:
The surrogate role in nursing, described by Hildegard Peplau’s Interpersonal Relations Theory, occurs when the nurse temporarily acts as a substitute figure, such as a parent, sibling, or other significant person, to meet the patient’s emotional needs. This role helps build trust and security, especially when patients are vulnerable or dependent. The nurse later helps the patient develop independence and healthy relationships outside of the therapeutic setting.
A nurse is assessing a client with schizophrenia who reports hearing voices that are not present, saying negative things about him. The nurse recognizes this symptom as which type of hallucination?
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Visual hallucinations
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Tactile hallucinations
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Auditory hallucinations
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Olfactory hallucinations
Explanation
The Correct Answer is:
C. Auditory hallucinations
Detailed Explanation:
Auditory hallucinations are the most common type of hallucination in schizophrenia and involve hearing sounds or voices that are not real. Clients often perceive voices commenting on their behavior, issuing commands, or insulting them. This symptom reflects a disturbance in sensory perception linked to altered brain function. Visual hallucinations involve seeing things, tactile involve sensations on the skin, and olfactory involve smelling odors that are not present.
What kind of question is an example of an open-ended one?
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Have you lost weight recently
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What is your address
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Who is the president of the US
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What concerns you most about your health
Explanation
The Correct Answer is:
D. What concerns you most about your health
Detailed Explanation:
An open-ended question invites the client to elaborate and share more about their thoughts, feelings, or experiences. “What concerns you most about your health” encourages discussion and allows the nurse to gather comprehensive information about the client’s perspective and priorities. The other options are closed-ended questions, which can be answered briefly with specific facts or “yes” or “no” responses, providing limited insight into the client’s overall condition or concerns.
A nurse is discussing the challenges of assessing and diagnosing psychiatric disorders in children with a group of nursing students. Which of the following statements by the nurse accurately describe why mental health evaluation in children is often difficult? (Select all that apply.)
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"Adults need to understand that children need to be children. It's not that hard to understand."
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"Children have an overwhelming sense of overreacting to everything."
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"Some behaviors such as tantrums are not always abnormal, so it makes it harder to evaluate the child."
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"Children are harder to evaluate because they usually have poor parental support."
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"Children struggle in describing their thoughts, making it difficult to apply diagnostic assessment measures."
Explanation
The Correct Answers are:
C and E
C. "Some behaviors such as tantrums are not always abnormal, so it makes it harder to evaluate the child."
Many behaviors that might appear problematic in adults—such as tantrums or restlessness—can be developmentally normal in children, making it difficult to distinguish between typical behavior and signs of a psychiatric disorder.
E. "Children struggle in describing their thoughts, making it difficult to apply diagnostic assessment measures."
Children often lack the verbal skills and emotional awareness needed to accurately describe their internal experiences. This limits the effectiveness of traditional assessment tools and requires clinicians to rely on observation and input from caregivers to form accurate diagnoses.
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’s ideas about what is right, worthwhile, or important in life are best described as:
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Values
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Attitude
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Beliefs
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Personal philosophy
Explanation
The Correct Answer is:
A. Values
Detailed Explanation:
Values are deeply held principles or standards that guide a person’s behavior, decisions, and interactions. They reflect what an individual considers morally right, meaningful, or important—such as honesty, compassion, or respect. In nursing, understanding one’s own values helps maintain professionalism and ethical care. Attitudes are feelings or opinions about something, while beliefs are convictions accepted as true. A personal philosophy is the broader framework shaped by one’s values and beliefs.
The nurse knows child abuse is defined as: (Select all that apply)
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Physical abuse or injuries
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Abandonment
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Neglect or failure to prevent from harm
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Sexual assault
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Overt torture or maiming
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Nurturing and loving
Explanation
The Correct Answer is:
A, B, C, D, E
A. Physical abuse or injuries
Explanation: Physical abuse involves the intentional infliction of bodily harm on a child. This includes actions such as hitting, kicking, burning, or any physical act that results in injury or pain. Visible marks, bruises, or fractures may indicate physical abuse.
B. Abandonment
Explanation: Abandonment occurs when a parent or caregiver deserts or fails to provide supervision or basic needs for the child. Leaving a child without appropriate care or support constitutes a form of abuse because it endangers the child’s safety and well-being.
C. Neglect or failure to prevent from harm
Explanation: Neglect is the most common form of child abuse and involves failure to provide food, shelter, medical care, education, or protection from harm. It can be physical, emotional, or educational neglect, all of which impair a child’s healthy development.
D. Sexual assault
Explanation: Sexual abuse includes any sexual contact or exploitation of a child, such as fondling, intercourse, or exposure to inappropriate sexual acts. It is a serious criminal offense and can cause long-term emotional and psychological trauma.
E. Overt torture or maiming
Explanation: Overt torture or maiming refers to extreme physical abuse that intentionally inflicts severe pain or permanent injury. It demonstrates deliberate cruelty and is considered one of the most severe forms of child abuse.
A nurse is caring for a child diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) who frequently acts impulsively and has difficulty following directions. Which nursing intervention should be the highest priority?
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Ensuring the child's safety and that of others
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Simplifying instructions and directions
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Providing a structured daily routine
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Encouraging improved role performance
Explanation
The Correct Answer is:
A. Ensuring the child's safety and that of others
Detailed Explanation:
The first priority in caring for a child with ADHD is maintaining safety. Impulsivity and hyperactivity place the child at risk for accidents, injuries, and unsafe behaviors. Once safety is ensured, interventions such as giving simple directions, creating a structured routine, and promoting appropriate role performance can support behavior management and learning. Safety must always come first in the plan of care.
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