NUR 190 Mental Health Nursing
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Free NUR 190 Mental Health Nursing Questions
The primary goal of psychiatric rehabilitation is to:
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Manage client's medications
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Control psychiatric symptoms
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Promote the recovery process
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Reduce hospital readmissions
Explanation
The Correct Answer is:
C. Promote the recovery process
Detailed Explanation:
The main goal of psychiatric rehabilitation is to promote recovery and help clients achieve optimal functioning in the community. This includes developing coping skills, building social supports, improving independence, and enhancing quality of life. While managing medications, controlling symptoms, and reducing hospital readmissions are important components, they all serve the broader purpose of supporting the client’s long-term recovery and reintegration into daily living.
Which of the following is a concern for children taking stimulants for ADHD for several years?
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Growth suppression
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Dependence on the drug
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Insomnia
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Weight gain
Explanation
The Correct Answer is:
A. Growth suppression
Detailed Explanation:
Long-term use of stimulant medications such as methylphenidate or amphetamines for ADHD has been associated with growth suppression in some children. These drugs can decrease appetite, leading to reduced calorie intake and slower physical growth over time. Regular monitoring of height and weight is essential, and dosage adjustments or medication holidays may be considered to minimize this effect. While insomnia and dependence can occur, growth suppression is the primary long-term concern requiring close follow-up.
A nurse understands the importance of advocating for children and adolescents with potential psychiatric disorders. Which of the following behaviors would most strongly indicate the need for further mental health evaluation?
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Easily distracted and forgetful
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Interrupts others and cannot take turns
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Moody, sullen, and pouting
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Excessive running, climbing, and fidgeting
Explanation
The Correct Answer is:
D. Excessive running, climbing, and fidgeting
Detailed Explanation:
Excessive running, climbing, and fidgeting are hallmark signs of hyperactivity, often associated with Attention-Deficit/Hyperactivity Disorder (ADHD). Such behaviors can significantly affect a child’s learning and social relationships. Early recognition and intervention are crucial, which is why nurses must advocate for thorough psychiatric evaluation and appropriate support for children exhibiting these symptoms.
For which reason is it crucial for nurses to advocate for children and adolescents regarding psychiatric disorders?
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Children and adolescents experience some of the same mental health problems as adults.
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Psychiatric disorders in children manifest themselves very quickly.
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It is not necessary because psychiatric disorders do not occur in children and adolescents.
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It is much more difficult to diagnose psychiatric disorders in children and adolescents.
Explanation
The Correct Answer is:
D. It is much more difficult to diagnose psychiatric disorders in children and adolescents.
Detailed Explanation:
It is crucial for nurses to advocate for children and adolescents because psychiatric disorders in this population are often difficult to recognize and diagnose. Symptoms may differ from those seen in adults and can overlap with normal developmental behaviors, making early detection challenging. Advocacy ensures that these young clients receive timely assessment, appropriate interventions, and access to mental health resources, helping prevent long-term emotional and behavioral difficulties
What is a neurotransmitter?
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A disorder
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A medication
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A chemical messenger
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A synapse
Explanation
The Correct Answer is:
C. A chemical messenger
Detailed Explanation:
A neurotransmitter is a chemical messenger that transmits signals across the synaptic gap between nerve cells (neurons). It enables communication within the nervous system, influencing mood, behavior, and body functions. Examples include dopamine, serotonin, acetylcholine, and norepinephrine. Imbalances in neurotransmitters are often linked to mental health disorders such as depression, anxiety, and schizophrenia, making them a major target for psychotropic medications.
Client: "I was so upset about my sister ignoring my pain when I broke my leg."
Nurse: "When are you going to your next diabetes education program?"
This is a nontherapeutic response because the nurse has
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Used testing to evaluate the client's insight
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Advised the client what to do
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Changed the topic
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Exhibited an egocentric focus
Explanation
The Correct Answer is:
C. Changed the topic
Detailed Explanation:
By abruptly shifting the conversation from the client’s emotional statement about her sister to an unrelated topic, the nurse has changed the subject, which blocks communication and invalidates the client’s feelings. This nontherapeutic technique prevents the client from exploring important emotions or concerns. Therapeutic communication would involve acknowledging the client’s feelings and encouraging expression, such as responding with, “It sounds like you felt hurt when your sister didn’t respond to your pain.”
A nurse is assessing a 9-year-old child who has difficulty sitting still, frequently interrupts others, and struggles to stay focused on tasks at school. Based on these observations, which characteristic would the nurse most likely identify as associated with ADHD?
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Hyperactivity and attention deficits
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Failure to develop interpersonal skills
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A history of disobedience and destructive acts
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High levels of anxiety when separated from the mother
Explanation
The Correct Answer is:
A. Hyperactivity and attention deficits
Detailed Explanation:
ADHD is characterized by hyperactivity, impulsivity, and inattention that interfere with daily functioning and development. Children may fidget, interrupt others, and struggle to complete tasks or follow directions. These symptoms are not due to defiance or anxiety but reflect neurological differences in attention regulation and impulse control. Early recognition and behavioral interventions can help improve focus, self-control, and academic performance.
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.
The staff nurse who has a student assigned to her unit today notices that the nursing student appears to cooperate with the group but repeatedly fails to complete agreed-upon tasks on time and then displays negativity. The nursing student may be showing signs of which of the following personality disorders or behaviors?
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Passive-aggressive behavior
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Paranoid
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Narcissistic
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Borderline
Explanation
The Correct Answer is:
A. Passive-aggressive behavior
Detailed Explanation:
Passive-aggressive behavior is characterized by indirect resistance to authority or expectations while appearing cooperative on the surface. The person expresses anger or resentment covertly through procrastination, inefficiency, or intentional forgetfulness rather than open defiance. The student’s repeated failure to complete tasks, followed by negativity, reflects this pattern. This differs from paranoid personality, which involves mistrust; narcissistic, which centers on arrogance; and borderline, which shows emotional instability and fear of abandonment.
The doctor's order states your patient is to receive 2 mL/kg/hr of IV fluid containing 20 mEq KCl. The patient's weight is 220 lbs. How many mL of IV fluid will your patient receive in 8 hours?
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1.6 L
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1 L
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1.5 L
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2 L
Explanation
The Correct Answer is:
A. 1.6 L
Detailed Explanation:
Step 1: Convert pounds to kilograms
220 lbs ÷ 2.2 = 100 kg
Step 2: Multiply by the ordered rate
2 mL × 100 kg = 200 mL/hr
Step 3: Multiply by the duration (8 hours)
200 mL/hr × 8 hr = 1600 mL
Step 4: Convert to liters
1600 mL ÷ 1000 = 1.6 L
Therefore, the patient will receive 1.6 liters of IV fluid in 8 hours.
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